February is American Heart Month – CMS Provides Resources for the Healthcare Community

The Centers for Medicare & Medicaid Services along with the Centers for Disease Control and Prevention offer programs to help prevent heart disease.

According to the Centers for Medicare & Medicaid Services (CMS), “heart disease can often be prevented by identifying risk factors and making healthy lifestyle choices.”

“Help your Medicare patients reduce their risk,” the agency suggests. “Recommend appropriate preventive services, including cardiovascular disease screening tests and intensive behavioral therapy for cardiovascular disease.”

CMS is promoting awareness of heart disease through three programs this February and these include the following:

  1. Preventive ServicesEducational Tool
  2. Million Hearts®: Resources to help educate, motivate, and monitor your patients
  3. Centers for Disease Control and Prevention Heart Disease website

Medicare covers a full range of preventive services to help keep beneficiaries healthy and help find problems early, when treatment is most effective. Beneficiaries should always ask their doctor which of these services is right for them:

  • One time “Welcome to Medicare” Preventive Visit, within the first 12 months you have Medicare Part B (medical insurance)
  • Yearly “Wellness” Visit: get this visit 12 months after your “Welcome to Medicare” preventive visit or 12 months after your Part B effective date
  • Abdominal Aortic Aneurysm Screening
  • Alcohol Misuse Screening and Counseling
  • Bone Mass Measurement (Bone Density Test)
  • Cardiovascular Disease (Behavioral Therapy)
  • Cardiovascular Screenings (cholesterol, lipids, triglycerides)
  • Colorectal Cancer Screening
  • Depression Screening
  • Diabetes Screening
  • Diabetes Self-management Training
  • Flu Shot
  • Glaucoma Test
  • Hepatitis B Shot
  • Hepatitis C Screening
  • HIV Screening
  • Lung Cancer Screening
  • Mammogram (screening for breast cancer)
  • Medical Nutrition Therapy Services
  • Obesity Screening and Counseling
  • Pap Test and Pelvic Exam (includes a breast exam)
  • Pneumococcal Shots
  • Prostate Cancer Screening
  • Sexually Transmitted Infection Screening and Counseling
  • Smoking and Tobacco Use Cessation

You can obtain this checklist online at: https://www.medicare.gov/Pubs/pdf/11420-Preventive-Services-Card.pdf.

There is also a wealth of information on CMS preventive services at: https://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/medicare-preventive-services/MPS-QuickReferenceChart-1.html.

 

Under the CMS cardiovascular disease screening tests, the following information can be found:

HCPCS/CPT Codes:

80061 – Lipid panel: this panel must include the following:

  • 82465– Cholesterol, serum, total
  • 83718– Lipoprotein, direct measurement, high-density cholesterol (HDL cholesterol)
  • 84478– Triglycerides

 

ICD-10-CM Code:  Z13.6 Encounter for Screening for Cardiovascular Disorders

 The Million Hearts® is a sponsored program by the U.S. Department of Health and Human Services that is promoted by CMS. It has a goal to save one million lives in five years through increased awareness, education, tools, and data. The CMS key messages under “Million Hearts” are to take control of your heart health and to:

  • Find time to be active.Aim for at least 150 minutes of physical activity  per week. Invite fitness buddies on an afternoon stroll, try an exercise class, or challenge the whole family to a soccer match.
  • Make healthy eating a habit.Small changes in your eating habits can make a big difference. Try making healthier versions of your favorite recipes. How? Look for ways to lower sodium and trans fat, and add more fruits and vegetables.
  • Quit tobacco, for good. Smoking cigarettes and using other tobacco products affects nearly every organ in your body, including your heart. Quitting can be tough, but it can be easier when you feel supported. Call 1-800-QUIT-NOW (1-800-784-8669) today or start with Tips from Former Smokers.®
  • Know your numbers. High blood pressureand high cholesterol  are major risk factors for heart disease. Ask your healthcare team to check your blood pressure and blood cholesterol levels regularly and help you take steps to control your levels.
  • Stick to the ’script.Taking your medications can be tough, especially if you feel fine. But sticking with your medication routine is important for managing and controlling conditions that could put your heart at risk. A video  offers tips to help you take medicines at the right time and in the prescribed amount.

The Centers for Disease Control and Prevention (CDC) has a dedicated website regarding heart disease. The CDC notes that in the United States, the most common type of heart disease is coronary artery disease or CAD, which can lead to heart attack (myocardial infarction). One can greatly reduce your risk for CAD through lifestyle changes and, in some cases, medication.

Some interesting heart disease facts published by the CDC include the following:

  • About 610,000 peopledie of heart disease in the United States every year; that’s 1 in every 4 deaths.
  • Heart disease is the leading cause of death for both men and women. More than halfof the deaths due to heart disease in 2009 were men.
  • Coronary heart disease(CHD) is the most common type of heart disease, killing over 370,000 people annually.
  • Every year about 735,000 Americanshave a heart attack. Of these, 525,000 are a first heart attack and 210,000 happen in people who have already had a heart attack.

Also, at this CDC Heart Disease website you can find the following areas:

  • Learn About Heart Disease
  • Heart Disease Risk Factors
  • Preventing Heart Disease: What You Can Do
  • Heart Disease Statistics and Maps
  • Educational Material on Heart Disease
  • Journal Articles on Heart Disease
  • Heart Disease Quiz

Visit the following to access this information and more at: https://www.cdc.gov/heartdisease/

Let’s not forget from a clinical coding perspective that heart disease in ICD-10-CM is located in Chapter 9, representing Diseases of the Circulatory System (I00-I99). There are specific codes for the type of myocardial infarction, and for 2018, new codes were added.

I’m impressed with all the great heart disease information, tools and resources offered to our healthcare community. Let’s take advantage of these and take heart!

Facebook
Twitter
LinkedIn

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS

Gloryanne is an HIM coding professional and leader with more than 40 years of experience. She has an RHIA, CDIP, CCS, and a CCDS. For the past six years she has been a regular speaker and contributing author for ICD10monitor and Talk Ten Tuesdays. She has conducted numerous educational programs on ICD-10-CM/PCS and CPT coding and continues to do so. Ms. Bryant continues to advocate for compliant clinical documentation and data quality. She is passionate about helping healthcare have accurate and reliable coded data.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.

December 3, 2025

Proactive Denial Management: Data-Driven Strategies to Prevent Revenue Loss

Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.

November 25, 2025
Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.

September 24, 2025

Trending News

Featured Webcasts

Surviving Federal Audits for Inpatient Rehab Facility Services

Surviving Federal Audits for Inpatient Rehab Facility Services

Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.

November 13, 2025
E/M Services Under Intensive Federal Scrutiny: Navigating Split/Shared, Incident-to & Critical Care Compliance in 2025-2026

E/M Services Under Intensive Federal Scrutiny: Navigating Split/Shared, Incident-to & Critical Care Compliance in 2025-2026

During this essential RACmonitor webcast Michael Calahan, PA, MBA Certified Compliance Officer, will clarify the rules, dispel common misconceptions, and equip you with practical strategies to code, document, and bill high-risk split/shared, incident-to & critical care E/M services with confidence. Don’t let audit risks or revenue losses catch your organization off guard — learn exactly what federal auditors are looking for and how to ensure your documentation and reporting stand up to scrutiny.

August 26, 2025

Trending News

Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more

Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24