Cardiology Billing Credentialing Services

Propelling Financial Performance for Cardiovascular Organizations

Cardiology billing changed substantially for 2026 — the 37220–37235 peripheral revascularization series was deleted and replaced with 46 new territory-based bundled codes (37254–37299), AI-based coronary plaque analysis (CPT 75577) graduated to Category I status, and Medicare now bundles branch interventions directly into primary PCI codes. We track these transitions so your practice doesn't lose revenue to outdated charge masters.

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Cardiology billing credentialing services

What Changed for 2026

Three Coding Shifts Every Cardiology Practice Needs to Track

37254–37299

Peripheral Revascularization Overhaul

The old 37220–37235 series was deleted and replaced with 46 new territory-based bundled codes — a full charge-master rebuild, not a simple crosswalk.

CPT 75577

AI Coronary Plaque Analysis

Graduated to Category I status for 2026 — practices using AI-based plaque analysis need updated billing protocols to capture this diagnostic correctly.

PCI Bundling

Branch Intervention Changes

Medicare now bundles branch interventions into primary PCI codes, eliminating several previously separate add-on codes.

Payer Enrollment & Compliance

Keeping Cardiovascular Practices Enrolled and Compliant

Interventional cardiologists, electrophysiologists, and diagnostic imaging centers each face different enrollment timelines and OIG/SAM exclusion-check requirements. We manage license renewal tracking, direct payer contact during enrollment freezes, and monthly exclusion screening — plus documentation alignment with current health-equity and network-status filing rules — so your cardiology practice's credentialing status never lapses during a coding transition like the one above.

Common Questions

Cardiology Billing Credentialing — FAQ

How do the 2026 peripheral revascularization changes impact billing?

The deletion of the 37220–37235 series and introduction of 46 new bundled codes (37254–37299) require a full charge-capture overhaul. We manage this transition so your office uses the correct territory-based codes and avoids immediate payer rejections on complex interventions.

Does your RCM support the new AI imaging code 75577?

Yes — with AI-based coronary plaque analysis graduating to Category I status, we update billing protocols so practices can properly bill and verify coverage for this diagnostic without friction.

How do 2026 CMS efficiency adjustments affect cardiology billing?

RVU shifts for high-volume procedures like echocardiograms have tightened margins for many groups. We help practices navigate these changes while maintaining network status and optimized reimbursement.

Can you help with complex PCI branch bundling?

Yes — Medicare now bundles branch interventions into primary PCI codes, eliminating several old add-on codes. Our workflows reflect these requirements so procedures are reimbursed at the correct rates.

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Your Cardiology Revenue Cycle, Built for 2026's Coding Overhaul

Talk to a team that already rebuilt its charge masters for the 37254–37299 transition.

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