Cardiothoracic Surgery EHR and AI Medical Billing Software

Cardiothoracic surgery happens in the hospital with large teams. XEHR keeps the professional side documented and billed correctly.

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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

Pre-operative visit for valve surgery.

I35.0 Aortic valve stenosis

ReviewSign note

Diagnosis carried to the claimI35.0

THE HARD PARTS

What makes cardiothoracic surgery billing hard

Several surgeons, one case

Co-surgeons and assistants each bill their part, and documentation must show who did what.

Long global periods

Major cases carry extended follow-up, with separate rules for unrelated care.

Shared care with cardiology

Referrals, imaging and results move between teams.

WHERE THE WORK HAPPENS

How cardiothoracic surgery care is delivered and billed

Cardiothoracic surgeons operate on the heart, lungs, esophagus and chest wall in the hospital, with long post-operative stays and close work with cardiology, pulmonology and oncology. Almost all billing is professional with the hospital place of service, plus clinic consultations and follow-up. Operations are complex and multi-part, and each part must be documented to be paid.

What payers check on cardiothoracic surgery claims

Coronary bypass is billed by the number and type of grafts, so the note must list each one.
Major cardiothoracic operations carry a 90-day global period including hospital follow-up.
Assistant surgeons and co-surgeons are paid only when payers allow them for the procedure and both document their work.
Lung cancer surgery is coded with the exact lobe and side.
Valve procedures are coded with the valve and whether the problem is stenosis, insufficiency or both.

Common cardiothoracic surgery diagnoses ICD-10-CM

I25.10	Atherosclerotic heart disease of native coronary artery without angina pectoris
I35.0	Nonrheumatic aortic (valve) stenosis
I34.0	Nonrheumatic mitral (valve) insufficiency
C34.11	Malignant neoplasm of upper lobe, right bronchus or lung
I71.21	Aneurysm of the ascending aorta, without rupture
J93.11	Primary spontaneous pneumothorax

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 cardiothoracic surgery visit, start to payment

1
Evaluate with the team

Imaging, catheterization and pulmonary results are documented as the basis for surgery.
2
Approve and schedule

The operation is booked with prior authorization prepared from the evaluation.
3
Document every part

The operative note records each graft, valve, resection and device so nothing is left off the claim.
4
Bill and follow the stay

The professional claim goes out with the hospital place of service; daily care inside the global period is tracked.

How XEHR helps

From the cardiothoracic surgery visit to the payment

Operative documentation per surgeonEach surgeon role is recorded for an accurate claim.
Global periods trackedFollow-up inside the global period is visible.
Records shared with the teamResults and notes are exchanged using industry standards.
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 cardiothoracic surgery

AI medical billing for cardiothoracic surgery practices

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

Before the claim leaves

The claim-check agent looks for

Coronary bypass is billed by the number and type of grafts, so the note must list each one.
Major cardiothoracic operations carry a 90-day global period including hospital follow-up.
Assistant surgeons and co-surgeons are paid only when payers allow them for the procedure and both document their work.
Lung cancer surgery is coded with the exact lobe and side.

Around the visit

Agents run on their own

Coverage checked before each cardiothoracic surgery 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 cardiothoracic surgery EHR

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

Ask us on a demo

Does the operative note capture each graft, valve and resection?
Can hospital care inside the global period be tracked?
Are assistant and co-surgeon roles documented for payment?
Can the evaluation from cardiology and pulmonology be used for approval?
Are lung cancer operations coded with the exact lobe and side?

QUESTIONS

Cardiothoracic Surgery practices ask us

Can XEHR bill co-surgeon and assistant work?

Yes. Each role documented in the operative note is billed on the claim.

Does XEHR coordinate with cardiology practices?

Yes. Records can be shared using standard exchange, and referrals are tracked.

Does XEHR suit cardiothoracic surgery practices?

Yes. Consultations, complex operative notes and hospital billing are handled in one record.

Can XEHR track care during the global period?

Yes. Post-operative hospital and clinic visits are tracked against the operation’s global period.

Does XEHR support thoracic surgery clinics?

Yes. Consultations, imaging review and follow-up are documented and billed.

Can XEHR document tumor board decisions?

Yes. The team’s plan is recorded in the patient’s chart.

How much does XEHR cost for a cardiothoracic surgery 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 cardiothoracic surgery 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

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See XEHR set up for cardiothoracic surgery

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

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