Cardiology Medical Billing Services in Texas
AMS Solutions provides specialized cardiology medical billing for practices across Texas. Whether you’re in Dallas, Houston, Austin, San Antonio, or anywhere in the state, our AAPC-certified billers handle the full cardiology code set (cardiac catheterization, PCI, echocardiography and electrophysiology) and the prior-authorization gauntlet that Texas commercial plans and Medicare contractors require that Texas practices encounter.
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.
Texas-specific payer landscape
We work with Texas Medicaid (administered through Texas Health and Human Services), Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna, and all major commercial plans in your region. Texas operates under the Novitas Solutions Medicare Administrative Contractor (MAC) for Part B, which has its own Local Coverage Determinations (LCDs) for cardiac imaging and electrophysiology — we know them.
Where Texas cardiology revenue leaks
- Missed 26/TC splits on echo and stress testing when a hospital owns the equipment but your physician reads the study
- Prior-auth denials on advanced imaging (cardiac MRI, CCTA) — Texas commercial plans tightened these in 2025
- Bundled E/M visits on same-day cath consults (Modifier 25 essential)
- CTO PCI (92943 and 92945) documentation gaps that trigger payer takebacks
What AMS handles for Texas practices
- Pre-encounter eligibility verification and benefit checks
- Coding, charge entry, and claim submission
- Denial management and appeals (we don’t write off — we fight)
- A/R follow-up and patient statements
- Monthly reporting tied to your practice management system
Texas compliance
Texas Medical Board rules require itemized billing on demand and 7-year record retention. Our secure document management meets both, plus the Texas Medical Records Privacy Act (TMRPA). We operate under a signed BAA and serve cardiology practices in Texas as part of a nationwide service area.
Get a Cardiology Billing Assessment for Your Texas Practice
Call 866-973-2221 or book a 30-minute review with our team. We’ll audit your last 90 days of claims, flag every recoverable issue, and show you exactly what’s leaking — no obligation.
Yes. We bill all Texas Medicaid managed care plans (Amerigroup, Molina, Superior HealthPlan, etc.) and traditional Medicaid for cardiology procedures, including cath, PCI, echo, and EP studies.
We track Novitas LCD updates monthly and apply medical-necessity ICD-10 codes that meet coverage criteria before claim submission. If a service falls outside LCD coverage, we flag it before billing.
Both. We typically work old A/R (90-120+ days) on a contingency basis while taking over new claim cycles concurrently.
The six confirmed 2026 book figures, including clean claim rate, are published only on the 2026 medical billing benchmark report, with method. This page does not republish those figures. Request a free 90-day billing audit for practice-specific findings.
We execute Business Associate Agreements with every practice and meet HIPAA Security/Privacy Rule requirements. Texas adds the Texas Medical Records Privacy Act (TMRPA) — we comply with that too.
Related resources
See our full Cardiology Medical Billing services, Texas medical billing services, or download the 2026 Cardiology CPT Cheat Sheet.