First #DontDissTheHis post I can find in the EP record: 19 January 2017.
Nine years later, conduction system pacing (His / LBB area) is still billed like a routine RV lead. No dedicated CPT. No differential payment for a harder implant that preserves native activation.
Hardware costs less than a CS-LV / BiV CRT stack. Patient benefit is better physiology than RV apical pacing and, in the right patient, a cleaner alternative to coronary-sinus BiV. System value is fewer pacing-induced cardiomyopathies and fewer non-responders.
Starting a renewed push for coverage and reimbursement that matches the work, the evidence, and the value.
Please share your perspective so we can finally get this done. ✅
#DontDissTheHis#EPeeps#CSP
9/
RPM valuation: CMS admits it has "very little invoice or pricing information" and proposes -12.8% on 99454 and -20.6% on 99470 anyway. If you're a vendor, send invoices. I asked for a formal invoice window before any revaluation.
70-year old doctor, 40 months in prison for profiting just $37k related to false billing. TAKE AWAY: don’t bill inappropriately, if you don’t understand a reg… exercise due diligence before submitting any claims.
If it’s cardiology or remote care management… who’s your boy?
Www.cardiologycoder.com
New multisociety consensus statement (SCAI/ASE/HRS/SIR/SVS, July 2026) confirms what we’ve been saying: heavy lead aprons are a leading cause of orthopedic injury in the cath lab — 62-66% of physicians and techs report symptoms from apron wear.
OrthoVest transfers that weight from your spine to your hips — engineered relief for the workforce carrying the burden every day.
myorthovest.comdoi.org/10.1016/j.jscai.2026…#EPeeps#CardioTwitter#SCAI
🚨 Breaking: CMS Drops Major RPM Changes in 2027 PFS Proposed Rule
Key proposals: • Restructuring + revaluation of RPM codes → potential reimbursement cuts (lower device costs + removed PE inputs) • Limits on who can furnish services: Only in-house employed staff — third-party partners out • New required initiating visit for RPM/RTM + established patient rules tightened
Big implications for remote monitoring programs. Comment period open — changes not final yet.
What do you think? #RPM#Medicare#PFS2027
Your back pain isn't "just part of the job."
It's physics. And it's preventable.
Take the Global Lead Apron Survey (GLAS)
4 minutes to complete, your voice = industry change.
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If you wear lead, take this.
#CardiacCathLab#EPeeps#HRS2026#OrthoVest