The Difference Between Cardiothoracic and Endovascular Surgery
Cardiothoracic surgery and endovascular surgery are both specialized fields within the broader discipline of surgery, but they differ in terms of focus and techniques.
What is Cardiothoracic surgery?
Cardiothoracic surgery primarily deals with surgical interventions related to the heart, lungs, esophagus, and other structures within the chest cavity. Cardiothoracic surgeons perform various procedures, including coronary artery bypass grafting (CABG), heart valve repair or replacement, heart transplantation, lung transplantation, and thoracic aortic surgery.
What is Endovascular surgery?
Endovascular surgery focuses on minimally invasive procedures to treat vascular conditions, primarily involving blood vessels outside the heart and brain. Endovascular surgery includes treatments like angioplasty, stenting, embolization, and endovascular repair of aortic aneurysms. These procedures are performed by navigating instruments through the blood vessels to the targeted site.
Key Success Factors for Cardiothoracic and Endovascular Surgery Billing:
The billing process for cardiothoracic and endovascular surgeries can have some nuanced differences due to the specific procedures and resources involved.
TriumpHealth Cardiothoracic and Endovascular Surgery medical billing experts take all of the below key points into consideration when working with an organization or practice like yourself.
Diagnosis codes: Cardiothoracic surgeries typically require specific diagnosis codes related to heart, lung, or chest conditions. These codes are used to justify the medical necessity of the procedure. Endovascular surgeries also require specific diagnosis codes related to vascular conditions. These codes are used to support the medical necessity of the procedure.
Procedure codes: Cardiothoracic surgeries have their own set of procedure codes that accurately describe the surgical intervention performed. These codes are used for billing purposes and determine the reimbursement rates. Endovascular surgeries have their own set of procedure codes that accurately describe the minimally invasive interventions performed. These codes determine the reimbursement rates.
Device-related billing: Endovascular procedures often involve the use of devices such as stents, balloons, or embolization materials. These devices may have their own separate billing codes and charges.
Global billing: Some cardiothoracic surgeries, such as coronary artery bypass grafting (CABG), may be billed as a global package. This means that the preoperative, intraoperative, and postoperative care are bundled together under a single code.
Complexity and modifiers: The complexity of cardiothoracic surgeries can vary, and modifiers may be used to indicate any additional factors that may affect reimbursement. For example, a modifier may be used to indicate the use of a heart-lung bypass machine during the procedure.
Imaging and guidance: Endovascular procedures commonly require the use of imaging techniques, such as fluoroscopy or angiography, for visualization and guidance. These services may be separately billable.
Let TriumpHealth Take Care of Your Cardiothoracic and Endovascular Billing Needs!
It’s important to note that cardiothoracic and endovascular medical billing practices can vary among healthcare providers, insurance plans, and regulatory guidelines. If you are a Cardiothoracic and Endovascular Surgery medical billing practice looking to outsource your billing, consider reaching out to TriumpHealth to discuss your organization’s needs. TriumpHealth works with healthcare organizations nationwide and knows all the necessary steps to maximize your revenue.