Pediatric Cardiology EHR and AI Medical Billing Software

Pediatric cardiologists follow children from a first murmur through surgery and into adulthood. XEHR keeps echoes, operations and growth together with the family’s details.

Book a pediatric cardiology demo See pricing

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Heart murmur heard at 6-month check-up.

R01.1 Cardiac murmur, unspecified

ReviewSign note

Diagnosis carried to the claimR01.1

THE HARD PARTS

What makes pediatric cardiology billing hard

Echoes on every visit

Most visits include an echocardiogram, billed as complete, reading only or technical only depending on the equipment.

Congenital conditions for life

Defects and repairs must be coded the same way across many years and many providers.

Fetal and newborn care

Fetal echoes and newborn consults happen before the child has their own coverage.

WHERE THE WORK HAPPENS

How pediatric cardiology care is delivered and billed

Pediatric cardiologists work in children’s hospitals and outreach clinics, with echocardiography labs, catheterization labs and close links to congenital heart surgeons and neonatal units. Visits and echo interpretations are billed on the professional claim; fetal echocardiograms are billed under the mother’s coverage. Medicaid and CHIP cover many patients.

What payers check on pediatric cardiology claims

Echocardiograms are billed as complete, reading only or technical only depending on who owned the equipment and who read.
Congenital heart defects keep congenital anomaly codes for life.
Fetal echocardiograms are billed under the mother with the pregnancy-related diagnosis.
Medicaid and CHIP plans may require referrals for specialist visits.
Heart rhythm monitoring is billed per monitoring period with a documented interpretation.

Common pediatric cardiology diagnoses ICD-10-CM

R01.1	Cardiac murmur, unspecified
Q21.0	Ventricular septal defect
Q25.0	Patent ductus arteriosus
Q21.3	Tetralogy of Fallot
R55	Syncope and collapse
I47.10	Supraventricular tachycardia, unspecified

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A pediatric cardiology visit, start to payment

1
Referral and coverage

The referral and the child’s coverage are confirmed before the visit.
2
Echo and exam

The echo is performed and read, and the exam and growth are documented.
3
Plan with the family

The plan, including any surgery referral, is explained and recorded.
4
Bill and report back

Visit and echo go out on a checked claim; the note goes to the referring pediatrician.

How XEHR helps

From the pediatric cardiology visit to the payment

Echo and visit togetherThe echo report and the visit note are filed together and billed with the right part.
Defect history in one placeDiagnoses, repairs and outside operative notes stay on the child’s record.
Coverage from the startFetal studies are billed under the mother and newborn care under the baby once covered.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for pediatric cardiology

AI medical billing for pediatric cardiology practices

XEHR is an agentic EHR: AI agents do the administrative work around every pediatric cardiology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Echocardiograms are billed as complete, reading only or technical only depending on who owned the equipment and who read.
Congenital heart defects keep congenital anomaly codes for life.
Fetal echocardiograms are billed under the mother with the pregnancy-related diagnosis.
Medicaid and CHIP plans may require referrals for specialist visits.

Around the visit

Agents run on their own

Coverage checked before each pediatric cardiology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a pediatric cardiology EHR

Ask every vendor, including us. The answers show whether a system was built for pediatric cardiology work or only adapted to it.

Ask us on a demo

Are echoes billed as complete, reading only or technical only correctly?
Are fetal studies billed under the mother’s coverage?
Can outside operative notes be kept with the child’s record?
Can rhythm monitoring be billed with the interpretation?
Does the history move with the patient into adult care?

QUESTIONS

Pediatric Cardiology practices ask us

Does XEHR support pediatric cardiology?

Yes. Visits, echoes, fetal studies and surgical follow-up are documented and billed from one record.

Can XEHR bill echoes read for a hospital?

Yes. Reading-only echoes are billed as the professional part.

Does XEHR handle fetal echocardiography billing?

Yes. Fetal studies are billed under the mother’s coverage with the pregnancy diagnosis.

Can older patients move to adult congenital care?

Yes. The full history stays in the record when care transfers.

Does XEHR support outreach clinics for pediatric cardiology?

Yes. Each outreach site carries its own location for billing.

Can XEHR record sports clearance for heart patients?

Yes. Clearance notes are produced from the chart.

Can echo reports be shared with the pediatrician?

Yes. Reports are filed and shared from the same record.

How much does XEHR cost for a pediatric cardiology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a pediatric cardiology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for pediatric cardiology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing