Cardiology Question for the Week of July 7, 2025
What are the circumstances that will meet the requirements for assigning 93458?
What are the circumstances that will meet the requirements for assigning 93458?
When both tibial/peroneal arteries in both legs are treated for lower extremity revascularization, what modifiers would we report?
Can you provide more clarity for 37215?
As a follow-up to last week’s question, if an embolic protection device cannot be used, which code do we report between the two?
When are codes 37215 and 37216 assigned?
For revascularization codes, what modifiers should be assigned if the tibial/peroneal arteries in both legs are treated?
What impact do the recent CMS updates to the Conditions of Participation (CoP) and Outpatient Prospective Payment System (OPPS) have on emergency preparedness and cardiac care, particularly in hospitals and Critical Access Hospitals?
What new payment policy is CMS implementing to support the use of domestically sourced Mo-99 in nuclear cardiology imaging?
Can you explain how CMS is addressing reimbursement for high-cost diagnostic radiopharmaceuticals used in nuclear cardiology?
What steps is CMS taking to improve access to high-cost specialty drugs, particularly for underserved populations served by Indian Health Service and tribal hospitals?
CMS just finalized a policy to pay for non-opioid pain treatments. Why does this matter, especially for heart patients?
What recent change has CMS made regarding Intensive Outpatient Programs (IOPs), and how does it impact treatment options for patients with opioid use disorder (OUD) and cardiovascular conditions?
Subscribe to receive our News, Insights, and Compliance Question of the Week articles delivered right to your inbox.




This Memorial Day, we honor those who gave all for our freedom. Take 20% off sitewide through May 29 with code MEMORIAL26Â at checkout
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24Â