Heart of Health Policy | The Centers for Medicare and Medicaid Services (CMS) has developed a new specialty code in interventional cardiology to reflect its distinction from other specialties. The ACC supported a request from the Society for Cardiovascular Angiography and Interventions to obtain the new designation, which allows CMS to distinguish an interventional cardiologist from a clinical cardiologist when billing for Medicare services. Previously, no mechanism existed for CMS to accurately report on this category of physician and some local Medicare carriers have denied claims, citing duplicate billing, when a cardiologist and an interventionalist from the same group practice have billed for patient evaluation services. Once CMS takes necessary next steps to create a new code, it will allow for the reporting of the involvement of two specialty physicians providing distinct services to an individual patient.

Keywords: Medicaid, Centers for Medicare and Medicaid Services, U.S., Medicare, Group Practice, Cardiology Magazine, ACC Publications

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