Cardiac Catheterization & PCI Coding Excellence 2026: Improve Documentation, Coding and Revenue

Course Description:

Cardiology coding remains one of the most complex areas in healthcare, guided by an intricate web of CPT®, NCCI, and Medicare-specific rules. One of the most frequent sources of confusion stems from coding based on the service performed rather than the vessel treated. This webinar provides a clear and concise snapshot of cardiology anatomy and services, from basic diagnostics to advanced interventional procedures, helping business of healthcare professionals of all experience levels, whether new, intermediate, or seasoned, strengthen their confidence and accuracy.

This comprehensive session will dive into coding for cardiac catheterizations and percutaneous coronary interventions (PCI), including stents, angioplasties, and atherectomies. It will also address injection services, congenital heart defect procedures, and other specialized cardiovascular interventions.

Updates for 2025 and 2026: The program will highlight the new PCI codes for complex stenting and chronic total occlusion (CTO) interventions, revised RVU values, CPT® 2026 code set changes effective January 1, 2026, and ICD-10-CM updates effective October 1, 2025. Proposed Medicare Physician Fee Schedule adjustments for 2026 and their impact on cath lab reimbursement will also be reviewed.

Led by JMCI’s cardiology coding expert Kimberly Jolivette Williams, the webinar will further explore:
• Peripheral vascular studies of the lower extremities
• Pacemaker and defibrillator services
• Percutaneous Left Atrial Appendage Closure (LAAC/Watchman) procedures
• And more essential cardiovascular services

With a focus on CCI edits, CPT® inclusions, modifier usage, and proper documentation, Kimberly will equip attendees with actionable strategies to avoid denials, promote compliance, and achieve equitable reimbursement.

Learning Objectives:

• Gain Clarity on 2025 Cardiology Coding Updates and Foundational Anatomy
  • Review of new, revised, and deleted CPT® codes, including PCI changes and vascular family guidance
  • Deepen your understanding of cardiovascular anatomy and its impact on coding accuracy
  • Explore Appendix L for a practical overview of vascular families and how they guide procedural reporting
• Enhance Accuracy in Cardiac Catheterization and PCI Coding
  • Learn how to report both diagnostic cardiac cath and PCI services correctly
  • Understand bundling rules and identify new opportunities for compliant billing
  • Clarify when coding multiple stents in the same vessel is appropriate
• Optimizing Reimbursement through Modifiers and Clinical Documentation
  • Apply modifiers effectively to support medical necessity and reduce denials
  • Decode Cath lab procedure report language to ensure correct CPT® code selection
  • Promote payment success through strong documentation and coding alignment

Areas Covered in the Session:

• Agenda
• Vast Sub-specialties In The Cardiovascular Arena
• Cardiologist vs Cardiac Surgeon
• Vessels: Arteries vs Veins
  • Arteries 
  • Veins
  • Capillaries
• The Heart
  • Four (4) Chambers
  • Three (3) layers
  • The Valves
  • Chambers
  • Great vessels 
• ICD-10-CM Coding
• 2026 ICD-10-CM Update
• A Few Common Cardiology Diagnoses
• Myocardial Infarction
  • Infarction = tissue death/necrosis
  • Ischemia = reduced blood flow
• Myocardial Infarction
  • Acute MI
  • 5 types of MIs identified in ICD-10-CM
  • Subsequent MI
  • Old MI
  • STEMI (ST elevation) vs NSTEMI (non-ST elevation)
• Classifications and Code Selection for Myocardial Infarction
• Coding Tip Excludes Notes
• Cardiac Cycle 
  • Systole (Systolic Blood Pressure)
  • Diastole (Diastolic Blood Pressure)
• Cardiovascular Video
• Diagnostic Study
  • What is a Diagnostic Study?
  • Interpretation of Results
• Heart Catheterization - Type Of Procedure
• Monitoring Heart Activity
• Cardiovascular Diagnostics
• Diagnostic Test Components
• EKG or ECG
• Echocardiograms
• Echocardiograms (ECHO)
• TEE Best Practice Documentation Requirements for Anesthesiologist
• Coding Tips & Add-On Codes
• TEE Guidance
  • CPT Code
  • Coding Tips
• Cardiovascular Procedures
• CPT® Coding
  • Surgical Section - Cardiovascular System — 33016-37799
  • Radiology Section
  • Medicine Section
• Cardiovascular Anatomy - Coronary Circulation
  • Major Arteries
  • Major vein
• Heart Catheterization- Two Families Of Code
  • Congenital heart disease
  • All other conditions
• Special Note
• Normal Anatomy
• The Power of the Indent! 
• Interventions
• Diagnostics with Interventions
• Major Coronary Arteries
• PCI Base Code Selection
• PCI Add-On Code Selection
• Types of PCI
• Atherectomy Native Vessel
• Intracoronary Stent(s) Native Vessel
• Stenting and Atherectomy
• Revascularization of Bypass Graft
• Revascularization of Acute Occlusion (During Acute MI)
• Additional PCI Code Guidance
• Revascularization of Chronic Total Occlusion (CTO)
• Additional PCI Code Guidance
  • Chronic total occlusion (CTO) 
  • Not considered CTO
• PCI Additional Procedures
• Intravascular Ultrasound (IVUS)
• Heart (Including Valves) and Great Vessels
• Modifiers
• 2026 CPT Update
• New For 2026: 46 codes

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Suggested Attendees:

This webinar is ideal for professionals involved in the coding, billing, and reimbursement of cardiology services, including:

• Medical Coders, Billers, and Auditors
• Practice Administrators and Managers
• Physicians and Providers
• Prior Authorization Specialists
• Clinical Documentation Improvement (CDI) Professionals
• Revenue Cycle Management Teams
• Compliance Officers and Risk Managers

About the Presenter:

Kimberly Jolivette Williams, CPC, CPCO, CPB, CPMA, CPC-I, CANPC, CCC, CEMC Compliance Coding & Billing Analyst / Texas Health Physicians Group

Kimberly Jolivette Williams has over 20 years of medical auditing, coding, and billing expertise in the healthcare industry. She has more than 10 years of upper management experience and has spent more than seven years as a medical healthcare educator with Dallas County Community College and AAPC. In 2020, Williams delved into the compliance arena. During her distinguished career, Williams has played a pivotal role in the training and coaching of staff and medical providers in medical coding, compliance, billing, and auditing services. Currently, Williams is employed as a compliance, coding, and billing analyst at Texas Health Physicians Group-THPG and an adjunct instructor for Purpose Medical Institute and the AAPC Virtual Instructor Learning Training (VILT) program. Williams is a current member of AAPC’s Billing Advisory Committee and was the 2022 president of the Richardson, Tx., local chapter.

Additional Information:

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to hear clearly

For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

Snippet From Our Previous Session:

FAQ:

1. On-Demand Recording:
   • Best for flexibility and learning at convenience.
   • Forever access with unlimited views and resources.
2. Flash Drive + Replay:
   • Physical flash drive with full webinar recording.
   • Ownership with bonus forever digital replay access.
3. E-book Format:
   • Comprehensive written guide with powerpoint slides and visual references.
   • E-Book will be sent after the Live Session is done.
   • Ideal for learners who prefer reading over watching videos.
4. Corporate/Team Access:
   • Ideal for teams (up to 10 members) looking for a shared experience.
   • On-demand access with team dashboard and group certificates.

Testimonials:

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"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN" 

Sandie Fowler, Out of Network Billing Staff

"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer