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Cardiology IDR: win rates and median awards
What Cardiology providers win in No Surprises Act arbitration, from 83,809 published disputes.
What do Cardiology providers win at federal IDR? In the CMS federal IDR public use files, providers in Cardiology won 85.9 percent of decided federal IDR disputes under the No Surprises Act, across 83,809 published disputes. The median award was 6.8x the qualifying payment amount across decided line items in the specialty, and the median time from filing to decision was 30 days. Estimate your own case with the free IDR calculator.
Cardiology line items in the CMS federal IDR public use files, 2023 through 2025. Method on the methodology page.
A worked example
Take the most disputed Cardiology billing code, 93005, with a median qualifying payment amount of $111 in the files. A Cardiology dispute with a qualifying payment amount of $111 resolves at the specialty median of 6.8x, an estimated award of $755. A median is not a floor or a ceiling: half of decided line items in the specialty resolve higher and half lower.
Top Cardiology billing codes at federal IDR
The most disputed Cardiology codes in the public use files, at the line-item grain. Median award is the median decided award in dollars for that code. Win rates are within decided line items for the code.
| Code | Line items | Win rate | Median QPA | Median award |
|---|---|---|---|---|
| 93005 | 37,859 | 83.4% | $111 | $582 |
| 93010 | 21,105 | 85.6% | $13 | $94 |
| 93971 | 8,683 | 89.9% | $33 | $272 |
| 93976 | 4,789 | 91.7% | $82 | $492 |
| 93975 | 4,218 | 84.4% | $120 | $759 |
| 93970 | 3,167 | 90.9% | $52 | $424 |
Source: CMS federal IDR public use files, 2023 through 2025. "n/a" means CMS did not publish a usable dollar figure for that code.
Common questions
What percentage of Cardiology federal IDR disputes do providers win?
Providers won 85.9 percent of decided federal IDR disputes in Cardiology, across 83,809 disputes in the CMS federal IDR public use files. Decided disputes exclude default decisions, where one side never submitted an offer.
What is the median IDR award for code 93005?
Code 93005, the most disputed Cardiology code in the files, shows a median decided award of $582 against a median qualifying payment amount of $111, with an 83.4 percent provider win rate across 37,859 line items.
How long does a Cardiology IDR case take?
The median Cardiology dispute took 30 days from filing to decision. The No Surprises Act process is written only: after the payer's initial payment there are 30 business days to start open negotiation, 30 to negotiate, then 4 to initiate arbitration. There is no hearing.
Related pages
Radiology & Imaging IDR, Pulmonary Medicine IDR, and Cardiovascular & Thoracic Surgery IDR have their own pages, and the IDR calculator covers all 22 specialties. For filing help, Lido IDR files federal IDR for a flat fee per arbitration. To browse every published dispute, see idrexplorer.com.