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February 2025 Articles

Feb 28, 2025
Neurosurgery Coding:
Zone in on Key Points to Alleviate the Pain of Arthrodesis Surgery Coding
You'll filter through complex documentation on these claims. When choosing an appropriate... Read more
Feb 28, 2025
Optometry/Ophthalmology Coding:
Don’t Miss Out on Reimbursement by Skipping Eye Exam Codes
Question: I work for an ophthalmologist who also has a retina subspecialty. The provider w... Read more
Feb 28, 2025
Pulmonology Coding:
Know When to Separately Report Spirometry Results Interpretation
Question: A pulmonologist in our practice interpreted the results of a spirometry test per... Read more
Feb 28, 2025
Optometry/Ophthalmology Coding:
Correctly Bill for After-Hours Encounters
Question: A patient presented to an ophthalmologist's office after regular business hours ... Read more
Feb 28, 2025
E/M Coding:
Does a New Setting Determine Patient Status?
Question: I have a situation where our nurse practitioner (NP) performed a new visit for i... Read more
Feb 28, 2025
General Surgery Coding:
Review 2 Cases to Polish Your Pressure Ulcer Coding Skills
Coding the 6th character is a must. When your general surgeon treats a patient with a pre... Read more
Feb 28, 2025
Otolaryngology Coding:
Take These 3 Tips for Flawless Pharyngitis Coding
There's more to the condition than coding J02.-. Pharyngitis coding seems basic on the su... Read more
Feb 28, 2025
Podiatry Coding:
Scan Your Way to Successful Orthotics Claims
Question: I just want to confirm something. At our podiatry practice (provider not facilit... Read more
Feb 28, 2025
Pulmonology Coding:
Can You Report COPD and Chronic Bronchitis Together?
Question: I have a medical report for an encounter with an established patient. The pulmon... Read more
Feb 28, 2025
Pulmonology Coding:
Boost Your Bacterial Pneumonia Coding Knowledge
Find out how to code related conditions. Bacterial pneumonia is the most common type of p... Read more
Feb 27, 2025
Podiatry Coding:
Heed These Heel Spur Coding Tips
Question: I'm relatively new to podiatry coding. Can you explain the different surgic... Read more
Feb 27, 2025
Neurology & Pain Management Coding:
Check for CT When Coding PET Scans
Sometimes, the physician will order both tests at the same time. Positron emission tomogr... Read more
Feb 27, 2025
Pediatric Coding:
Report Vitamin D Drops for Infant, Not Parent
Question: How do I report a nursing infant receiving vitamin D drops? Our provider wants m... Read more
Feb 27, 2025
Path/Lab Coding:
Don’t Let Mistakes Muddle You Modifier 90 or 91 Claims
Here's how to avoid duplicate billing. Clinical labs frequently reach for modifiers 90 (R... Read more
Feb 27, 2025
Diagnostic Radiology Coding:
Get a Grip on Your Skier’s Thumb Diagnosis Coding
Question: A patient presented with pain in the right thumb following a fall while skiing. ... Read more
Feb 27, 2025
Oncology Coding:
Take Time to Code Care Management Services Correctly
Know your provider type and bundled services. Oncology stands out as a specialty not only... Read more
Feb 27, 2025
Neurology & Pain Management:
Medical Device Pain? There’s a Dx for That
Question: Encounter notes indicate that the pain management (PM) specialist saw a patient ... Read more
Feb 26, 2025
E/M Coding:
Don’t Let Technical Difficulties Ruin Your Claim
Question: If a telehealth visit was converted to an audio-only visit due to technical diff... Read more
Feb 26, 2025
Path/Lab Coding:
Look to Neoplasm Codes for Inflammatory Breast Cancer Dx
Question: Our pathologist diagnosed inflammatory breast cancer. Should we report this usin... Read more
Feb 26, 2025
Diagnostic Radiology Coding:
Pick the Correct Code for 3-Finger X-Rays
Question: A patient presented with pain in the third, fourth, and fifth digits of the left... Read more
Feb 26, 2025
Emergency Department Coding:
Definitive Dx Changes ICD-10-CM Code Choice
Question: A patient presents to the emergency department (ED) complaining of diarrhea, nau... Read more
Feb 26, 2025
Pediatric Coding:
Unlock Better Care With New Childhood Obesity Codes
Question: How will the new ICD-10-CM codes for childhood obesity, which became effective O... Read more
Feb 26, 2025
Podiatry Coding:
Don’t Cut Yourself Short on This Ingrown Toenail Encounter
Applying modifiers correctly is the key to successful payment on this claim. Surgeries fo... Read more
Feb 26, 2025
Neurosurgery Coding:
Take These Tips to Tame T Codes
Question: Recently at out neurosurgery clinic, I heard one of the coders tell the other to... Read more
Feb 25, 2025
Urology Coding:
Use Documentation to Correctly Report Bladder Biopsies and Lesion Removals
Learn how to report multiple tumor resections. As a urology coder, you should pay careful... Read more
Feb 25, 2025
General Coding:
Be Specific, Not Leading, in Query
Question: In a recent encounter, a provider documented that a patient had a patient-health... Read more
Feb 25, 2025
General Coding:
Use These Tips for Finding Information on Payer Policies
Question: Patients in my practice are covered by a few different insurance carriers, and o... Read more
Feb 25, 2025
Compliance:
Establish Policies to Reach Audit Goals
Question: I know audit policies are part of a comprehensive compliance program, but what s... Read more
Feb 25, 2025
Path/Lab Coding:
Pick These Codes for Tubal Ligation and Placenta Pathology
Question: A patient had a cesarean section (C-section) and had bilateral tubal ligation du... Read more
Feb 25, 2025
Diagnostic Radiology Coding:
Assess Your Image Guidance Coding Knowledge
Find out when you need a guidance code. Knowing how and when to report image guidance pro... Read more
Feb 25, 2025
General Surgery Coding:
Code This Breast Cystectomy Case
Question: I need help coding the following procedure notes: A medial periareolar incision... Read more
Feb 24, 2025
Orthopedic Coding:
Code Ankle Arthroscopy With Confidence
Enhance your understanding of descriptor verbiage. Orthopedic surgeons commonly perform a... Read more
Feb 24, 2025
Compliance:
See What Distinguishes a Diligence Audit
Question: I'm reading more about compliance and recently saw the term “diligence audit.�... Read more
Feb 24, 2025
Neurology & Pain Management Coding:
Doppler Study Code Gets 2025 Add-Ons
Question: When our neurologist performs a complete transcranial Doppler study (TCD), they ... Read more
Feb 21, 2025
IN CASE YOU MISSED IT (RCI BONUS CONTENT):
April ICD-10-CM Update Comes in Like a Lamb
Small but significant changes to the code set are on the way. ICD-10-CM has released its ... Read more
Feb 21, 2025
Otolaryngology Coding:
Use These Codes to Document Flu With Sinusitis
Question: A patient with congestion, thick nasal drainage, facial pain, and a headache pre... Read more
Feb 21, 2025
Emergency Department Coding:
Focus on Details in Lesion Coding
Size, location, complexity all figure into your choices. Coding for lesion removal in the... Read more
Feb 20, 2025
Cardiology Coding:
Look for Link Before Coding Adverse Effect
Question: We have a patient who presented to the emergency department (ED) with swelling o... Read more
Feb 20, 2025
Cardiology Coding:
Know These 3 Factors for Coding Heart Catheterizations
Question: Is it appropriate to use the CPT® codes for congenital heart catheterization af... Read more
Feb 20, 2025
Orthopedic Coding:
Wrap Your Head Around This Wrist Surgery
Question: I have a surgical note with the following listed as the procedure: 1. Debrideme... Read more
Feb 19, 2025
Orthopedic Coding:
Find Out How to Report Knee Arthroscopy With VMO Plication
Question: An orthopedic surgeon performed knee arthroscopy with lateral release and vastus... Read more
Feb 19, 2025
Compliance:
Make Monitoring a Linchpin of Your Compliance Program
Compliance officers can delegate monitoring processes to managers and supervisors. The U.... Read more
Feb 19, 2025
ICD-10-CM Coding:
Grasp the Appropriate Use of Z51 Codes
Question: Can ICD-10-CM code Z51.11 be used when the provider sees a patient in between tr... Read more
Feb 18, 2025
General Surgery Coding:
Figure Out This Fissurectomy Frustration
Question: When I attempt to bill a claim for CPT® codes 46505 and 46200 together, one of ... Read more
Feb 18, 2025
E/M Coding:
Code Level 4 E/M for Strep? Not so Fast
Consider CPT® definitions of systemic symptoms for precise coding. When the AMA revised ... Read more
Feb 18, 2025
Gastroenterology Coding:
Solve This Angiodysplasia Coding Query
Question: I have a report for a small intestine endoscopy, where the physician found an ac... Read more
Feb 17, 2025
Gastroenterology Coding:
Fix These Capsule Endoscopy Claims
Question: We submitted separate claims for two different patients where one of our gastroe... Read more
Feb 17, 2025
Medicare Regulations:
Medicare Preventive Services Get a Boost for 2025
CMS changes will enable providers to detect problems earlier, when treatment is most effec... Read more
Feb 17, 2025
Practice Management:
Is Time Blocking Beneficial?
Question: Our organization is hiring a practice manager who wants to switch our sched... Read more
Feb 14, 2025
Otolaryngology Coding:
Keep Your Eye on This Code for vHIT Procedures
Question: What is the correct CPTÒ code for the video head impulse test (vHIT), which is ... Read more
Feb 14, 2025
Practice Management:
Learn the Limit for Medicare Overpayments
Question: What are the guidelines for refunding excess payments if we recently found ... Read more
Feb 14, 2025
Technology & Innovation:
Administer Epinephrine Without Needles
Question: I have several patients who have severe allergies that always need to carry an e... Read more
Feb 13, 2025
Primary Care Coding:
Understand How Location of Osteoarthritis Narrows Code Choices
Question: There are several types of osteoarthritis (OA), lots of places it can manifest, ... Read more
Feb 13, 2025
Technology & Innovation:
Screen for Colorectal Cancer With a Blood Test
Question: Physicians in our practice refer several patients for colorectal cancer screenin... Read more
Feb 13, 2025
Medicare Regulations:
Find Appropriate Payer Order
Question: One of our patients is 69 but their spouse is 63 and works for a mom-and-pop bus... Read more
Feb 12, 2025
Neurosurgery Coding:
Look Into Interspaces Before Coding PEEK Cage Insertion
Question: Some of my surgeons are inserting polyether-ether-ketone (PEEK) cages bilaterall... Read more
Feb 12, 2025
Technology & Innovation:
Understand What’s in President Trump’s AI Executive Order
Find out if federal land will open for AI development. On Jan. 23, 2025, President Donald... Read more
Feb 12, 2025
Primary Care Coding:
Learn this Eating Disorder Acronym
Question: I work at a primary care practice and one of our providers documented a patient ... Read more
Feb 11, 2025
Primary Care Coding:
Get the Answers to All Your Vanderbilt Assessment Coding Questions
Don't forget to brush up on your ADHD coding knowledge. If your provider has been adminis... Read more
Feb 11, 2025
Anesthesia Coding:
Beware Exceptions to Locum Tenens
Question: Some of our staff who help administer anesthesia are taking off on vacation at t... Read more
Feb 11, 2025
Urology Coding:
Assess This Problematic Abscess Procedure
Question: The urologist performed a procedure with operative notes as follows: Follow... Read more
Feb 10, 2025
Emergency Department Coding:
Choose Carefully on Refill E/M
Question: A patient with benign prostatic hyperplasia (BPH) without lower urinary tract sy... Read more
Feb 10, 2025
Urology Coding:
Figure Out This French Whistle Tip Stent Scenario
Question: My urologist says he put in ureteral stents for another physician during a ... Read more
Feb 10, 2025
Anesthesia Coding:
Educate Yourself on Moderate Sedation Documentation, Guidelines
Find clarity when reporting moderate sedation. Moderate sedation is a drug-induced state ... Read more
Feb 07, 2025
Gastroenterology Coding:
Learn When and How to Use 43246 for Percutaneous Endoscopic Gastrostomy
Hint: You can't use the code for every EGD procedure. The CPT® code range for esophagoga... Read more
Feb 07, 2025
ICD-10-CM Coding:
See the Difference Between Aftereffect and Sequela
Question: I'm relatively new to coding and my coworker and I are wondering how the definit... Read more
Feb 07, 2025
Oncology Coding:
Don’t Take This Advice for PET Scan Dx
Question: I am having terrible issues with referring doctors using R91.8 for 78815/A9552. ... Read more
Feb 06, 2025
Oncology Coding:
Use Two Claim Lines in This Bilateral Mastectomy Scenario
Question: We recently had a patient come in for a bilateral mastectomy. The left breast ha... Read more
Feb 06, 2025
General Coding:
Differentiate Modifiers GC, GE for Teaching Physician Services
Hint: Mastering the primary care exception rule helps open reimbursement doors. When your... Read more
Feb 06, 2025
Pediatric Coding:
Lean On Other Signs/Symptoms to I.D. Viral, Bacterial, or Fungal Rashes
Hint: Sometimes the rash is the first sign, sometimes one of the last. According to the A... Read more
Feb 05, 2025
Optometry/Ophthalmology Coding:
Clarify Your Cataract Extraction Coding Knowledge – Part 2
Learn what is needed to report ATIOLs and other procedures to correct cataracts. Last mon... Read more
Feb 05, 2025
ICD-10-CM Coding:
Reduce Denials by Brushing Up on Excludes1 and Excludes2 Notes
Do you know the difference between an Excludes1 note and an Excludes2 note? Sometimes, it... Read more
Feb 05, 2025
Cardiology Coding:
Explore Transthoracic Echocardiography and Separately Billable Modalities
Pocket these tips for billing echocardiography services. Echocardiography (“echo”) is... Read more
Feb 04, 2025
Medicare Regulations:
Look for Payment for Some HIV Drugs as Additional Preventive Services
Question: Does the Centers for Medicare & Medicaid Services (CMS) cover medication for... Read more
Feb 04, 2025
Ob-Gyn Coding:
5 Tips for Reporting 99211 Every Day in Your Ob-Gyn Practice
Here's what needs to be in the documentation. Having a nurse on staff at your ob-gyn prac... Read more
Feb 04, 2025
Ob-Gyn Coding:
Adding 59 to 57500 Means Correct Dx Code
Question: Can we bill 58545 and 57500 together if the surgeon took out a cervical polyp wh... Read more
Feb 03, 2025
Anesthesia Coding:
Find Split Billing Payment Answers
Question: Can an AA (anesthesia assistant) bill with a QZ modifier? Does this mean all AAs... Read more
Feb 03, 2025
Ob-Gyn Coding:
Choose This Code for Aspirated Ectopic Pregnancy
Question: What is the best CPT® code for this case?  Cesarean scar ectopic pregnanc... Read more
Feb 03, 2025
Practice Management:
Explore These Causes for CHAMPVA Claims Going Unpaid
Tip: Check VA financial enrollment, then evaluate billing. If you are treating patients u... Read more
Available Years:  2025  2024  

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