AMS Solutions provides specialized cardiology medical billing services in Illinois. From Chicago to Aurora and the rest of the state, our AAPC-certified billers handle the full cardiology code set (93451-93461 catheterization, 92920/92924/92928/92930/92933/92937/92941/92943/92945 PCI, 93306-93308 echo, 93619-93655 EP) and the prior authorization for advanced imaging (CT coronary angiography, cardiac MRI, PET) and structural-heart procedures (TAVR, MitraClip) that Illinois practices need to navigate.
CPT 2026 change (effective 1 January 2026): 92921, 92925, 92929, 92934, 92938 and 92944 were deleted. Branch work is now included in the base code for that major coronary artery, 92930 covers two or more distinct lesions with two or more stents in two or more segments or a bifurcation lesion treated in both the main artery and the side branch, and 92945 covers a chronic total occlusion treated by combined antegrade and retrograde approaches.
We work with Illinois Medicaid (HealthChoice Illinois MCOs: Aetna Better Health, Blue Cross Community, CountyCare, Meridian, Molina, YouthCare), plus all major commercial plans: Blue Cross Blue Shield of Illinois, UnitedHealthcare, Aetna, Cigna, Humana, Health Alliance. Illinois operates under National Government Services (NGS) as the Medicare Administrative Contractor. Illinois falls under NGS Jurisdiction 6 with strict timely-filing requirements (180 days for Medicare).
Our cardiology billing team handles PCI/cath lab procedures, echocardiography, electrophysiology studies, nuclear cardiology, and cardiac CT/MRI. We’re particularly strong at managing the common modifier 26/TC splits, CTO PCI documentation (92943 and 92945), and global-period overlaps. Our workflows integrate with leading practice management and EHR platforms, including Athenahealth.
Yes — every plan listed in HealthChoice Illinois MCOs: Aetna Better Health, Blue Cross Community, CountyCare, Meridian, Molina, YouthCare. We verify benefits before each billing cycle.
We work with all in-state Medicare Advantage plans, commercial plans, and Medicaid MCOs. We verify benefits and authorizations before each catheterization or imaging study.
We track payer-specific bundling rules and apply correct modifiers (26 professional, TC technical, 76 repeat) at the time of charge entry. Our denial rate on cardiology cases is under 5%.
Ready to talk? Call 866-973-2221 or book a free 30-minute review with our team. We’ll audit a sample of your Illinois cardiology claims at no cost.
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