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Revenue Cycle Insider
March 2025 Articles
March 2025 Articles
Mar 31, 2025
Diagnostic Radiology Coding:
Use This Guide to Identify Venous Malformation Imaging and Dx Codes
Remember to examine MRI code descriptors. When abnormalities develop in the body's vascul...
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Mar 31, 2025
Gastroenterology Coding:
Master Same-Day GI Endoscopy Coding With 5 Key Scenarios
Hint: Mind your modifiers to ensure accurate coding and compliance. Gastroenterologists a...
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Mar 31, 2025
Diagnostic Radiology Coding:
Remember a 7th Character When Reporting Gout Dx
Question: I have a radiology report where the radiologist performed a CT scan of the patie...
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Mar 31, 2025
Diagnostic Radiology Coding:
Find Out What Code to Report for Conray 60 Contrast
Question: I'm new to radiology coding and I'm having trouble choosing which HCPCS Level II...
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Mar 31, 2025
Neurology & Pain Management Coding:
Phantom Limb Problems Might Not Mean Pain
Question: Encounter notes indicate that a patient suffers from “phantom limb syndrome.�...
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Mar 31, 2025
Urology Coding:
Can You Report 52234-52240 For a TURBT Procedure?
Question: I have a urology report that states the urologist performed a cup biopsy of a tu...
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Mar 31, 2025
Urology Coding:
Understand What Conditions Can Cause Neurogenic Bladder
Learn about the different neurogenic bladder types. Neurogenic bladder is a urologic cond...
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Mar 28, 2025
Urology Coding:
Code This Cystourethroscopy With Lithotripsy Case
Question: A 65-year-old patient presented with recurrent left flank pain and hematuria. Th...
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Mar 28, 2025
ICD-10-CM Coding:
Sequence Is Crucial When Coding Breathing Symptoms
Find out why the order of your symptom codes matters as much as your primary Dx. In your ...
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Mar 28, 2025
Optometry/Ophthalmology Coding:
Analyze This Anisometropia IOL Implant Case
Question: A patient with anisometropia in their left eye presented for an intraocular lens...
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Mar 28, 2025
E/M Coding:
Update Your Code Books With CPT® Errata and Technical Corrections
Keeping resources current will help prevent inaccurate coding of medical services. The AM...
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Mar 28, 2025
Anesthesia Coding:
Find Clarity on Appropriate Modifiers
Question: I'm preparing a claim involving a certified registered nurse anesthetist (CRNA) ...
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Mar 28, 2025
Neurology & Pain Management Coding:
Ask the Right Questions to Arrive at Menstrual Migraine Dx
Question: If a patient is diagnosed with a menstrual migraine, how should I choose an ICD-...
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Mar 28, 2025
Neurosurgery Coding:
Use 1 Code to Represent Several Spinal Nerve Cyst Types
Question: Encounter notes indicate that the surgeon treated a patient with “cyst, lumb n...
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Mar 27, 2025
Path/Lab Coding:
Follow 3 Tips for Perfect Prostate Biopsy Pathology Coding
Test yourself with this coding case study. Billing a case for a prostate biopsy pathology...
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Mar 27, 2025
Technology & Innovation:
Add AI to Your Healthcare Organization With These 3 Tips
Show staff how AI can free them up for more valuable tasks. Artificial intelligence (AI) ...
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Mar 27, 2025
Neurosurgery Coding:
Prevent Discectomy Coding Slip Ups by Knowing Anatomy
There are different codes for different spinal areas. Patients who report to the neurosur...
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Mar 27, 2025
Podiatry Coding:
Refresh Your Bunionectomy Coding Skills With 3 Cases
Find out if bunionectomies and sesamoidectomies can be coded together. Within your podiat...
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Mar 27, 2025
Optometry/Ophthalmology Coding:
Thrive Under Pressure While Coding Glaucoma Treatments — Part 1
Differentiate open and closed angle glaucoma. Loosely defined, the term glaucoma encompas...
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Mar 27, 2025
ICD-10-CM Coding:
Check Excludes Notes to Avoid a Denial
Question: I've been getting a handful of denials from Humana about ICD-10-CM codes being i...
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Mar 27, 2025
Path/Lab Coding:
Look to This Immunoassay Code for Islet Cell Tests
Question: The lab performed an ELISA test for glutamic acid decarboxylase antibody on...
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Mar 26, 2025
Technology & Innovation:
Identify IBD Flare-Ups Before They Happen With Wearable Devices
Question: I'm a gastroenterologist and have several patients who suffer from inflammatory ...
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Mar 26, 2025
Technology & Innovation:
Upgrade Your OS Before Time Runs Out on Updates
Question: The computers in our organization are running a certain operating system (OS...
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Mar 26, 2025
Optometry/Ophthalmology Coding:
Safely Report a Visual Field Test With OCT Imaging
Question: An ophthalmologist performed a bilateral Humphrey visual field test with the 30-...
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Mar 26, 2025
Cardiology Coding:
Find Coding Answers for Pericarditis Dx
Question: A patient presented with a sudden onset of severe chest pain, which was less unc...
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Mar 26, 2025
Emergency Department Coding:
Critical Care Bundles Vary by Age, Code
Question: Encounter notes indicate that the emergency department (ED) physician provided 5...
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Mar 25, 2025
In Case You Missed It (RCI Bonus Content):
Take a Surgical Report From Chaos to Order
Use these six steps to correctly code complex procedures. Every surgical coder can relate...
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Mar 25, 2025
Medicare Regulations:
Follow Guidelines for Beneficiary Referral Visits
Question: One of our providers saw a Medicare beneficiary who visited for a problem that o...
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Mar 25, 2025
Practice Management:
Incorporate These Strategies for Hiring Top-Notch Coders
Hint: Start at the foundation by focusing on the job description. Organizations can culti...
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Mar 25, 2025
Compliance:
Maintain Office Compliance With These HIPAA Tips
Staff training should be ongoing, not just once a year. As a healthcare professional freq...
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Mar 25, 2025
Pulmonology Coding:
Precisely Understand ‘Unspecified’ Codes
Question: I'm having trouble understanding how the word “unspecified” differs between ...
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Mar 24, 2025
Primary Care Coding:
Lean on Symptoms Coding Without Definitive Diagnosis
Question: A patient presented with fever, headache, fatigue, muscle aches, and swollen gla...
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Mar 24, 2025
General Surgery Coding:
Pin Down Panniculectomy and Abdominoplasty Coding
Learn exclusions to Medicare's cosmetic surgery rules. Patients who undergo significant w...
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Mar 24, 2025
General Surgery Coding:
Don’t Use Lesion Excision Codes for Skin Tag Removals
Question: A patient presented with 20 skin tags on multiple areas of the body. The provide...
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Mar 21, 2025
Pediatric Coding:
Is Laterality a Necessity in This Sticky Scenario?
Question: My coworker told me that when reporting H61.21 or H61.22, I still must appe...
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Mar 21, 2025
General Surgery:
Pay Attention to Measurement Units for Adjacent Tissue Transfers
Question: What measurements are used when determining the size of the adjacent tissue tran...
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Mar 21, 2025
General Coding:
Incorporate These Responsibilities Into the CDI Job Description
Fully utilize the specialized knowledge of your CDI specialist with these tips. Having a ...
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Mar 20, 2025
Cardiology Coding:
Look to These Codes for Primary Arterial Mechanical Thrombectomy
Question: Which code or codes should I use to report a primary arterial mechanical thrombe...
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Mar 20, 2025
Pulmonology Coding:
Verify The Correct Code for a Viral Infection Case
Question: I have a report that lists the diagnosis as viral lower respiratory tract infect...
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Mar 20, 2025
Podiatry Coding:
Don’t Overdo This Collateral Ligament Repair
Question: My podiatrist performed a primary ankle collateral ligament repair. In the medic...
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Mar 19, 2025
Pulmonology Coding:
Build Your Bronchiectasis Diagnosis and Treatment Coding Knowledge
Remember a 4th character for ICD-10-CM codes. Bronchiectasis is a respiratory condition w...
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Mar 19, 2025
Compliance:
Reach an Understanding Before Signing Agreements for Audits
Question: We are hiring an external entity to perform an audit to assess the performa...
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Mar 19, 2025
Path/Lab Coding:
Use This 1 Code to Document 2 Testosterone Tests
Question: Our lab performs tests to assess a patient's ability to produce testosterone aft...
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Mar 18, 2025
ICD-10-CM Coding:
Figure Out This Fall and Fracture
Question: A patient presented to an outpatient radiology practice after suffering a f...
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Mar 18, 2025
Emergency Department Coding:
Tread Carefully When Billing ED Transfers to Observation Care
Medicare and CPT® disagree on the rules for ED transfers to observation. Ever since CPT�...
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Mar 18, 2025
Otolaryngology Coding:
Correctly Code This Postnasal Polyp Patient
Question: Our practitioner saw a new patient for postnasal drip and difficulty breath...
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Mar 17, 2025
Anesthesia Coding:
Don’t Count on Prior Authorizations
Question: I'm soon taking a job at an organization where I'll be coding anesthesia service...
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Mar 17, 2025
Medicare Regulations:
Find Clarity on MSP Types
Question: I'm trying to navigate situations in which a patient is a Medicare beneficiary b...
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Mar 17, 2025
Otolaryngology Coding:
Take This Advice to Code Vaping and Related Conditions
Bolster your knowledge of this growing epidemic. Since 2014, e-cigarettes (vapes) have be...
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Mar 13, 2025
Otolaryngology Coding:
Effectively Code This Nasal Swell Body Procedure
Question: Can we separately bill code 30117 when our healthcare provider carries out ...
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Mar 13, 2025
Orthopedic Coding:
Can You Separately Report ID Repair During Spine Surgery?
Question: Our orthopedic spine surgeon performed an extensive spine procedure. Due to a co...
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Mar 13, 2025
Neurology & Pain Management Coding:
Use These Tips for Sure Shot ESI Claims
Code choice will vary depending on spinal area. Epidural steroid injections (ESIs) are co...
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Mar 13, 2025
Oncology/Hemotology Coding:
Know the Dos and Don’ts of Coding Long-Term Cancer Drug Use
Hint: Look at your ICD-10-CM long-term drug use appendix. Whether you're coding the long-...
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Mar 13, 2025
E/M Coding:
Patient’s Decision Doesn’t Change the Work Involved
Question: A provider advised a patient to begin a medication and instructed them on the co...
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Mar 13, 2025
Primary Care Coding:
Don’t See All Injections As Prescription Drug Management
Question: One of our clinicians administered a cortisone injection for a patient during an...
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Mar 12, 2025
Orthopedic Coding:
Decipher This Open Fx Debridement Case
Question: If an orthopedic surgeon documents an open fracture was debrided and copiously i...
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Mar 12, 2025
Emergency Department Coding:
Get Granular on Diverticulitis Dx
Question: Encounter notes indicate that a patient suffers from diverticulitis of the small...
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Mar 12, 2025
Compliance:
Stick to Same DOS to Stay Compliant
Question: Can the time spent by the doctor preparing for a patient's appointment a da...
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Mar 11, 2025
General Coding:
Find Clarity on RVU Designation
Question: I'm trying to figure out reimbursement for my provider, who's a specialist. What...
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Mar 11, 2025
Orthopedic Coding:
Unraveling the Complexities of Coding Carpal Tunnel Syndrome — Part 1
Find out the differences between NCS and EMG tests. The carpal tunnel is a narrow passage...
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Mar 11, 2025
Gastroenterology Coding:
Does Poor Patient Preparation Warrant Modifier 52?
Question: A Medicare patient came in for a screening colonoscopy, and they had a poor prep...
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Mar 10, 2025
Pediatric Coding:
Determined Diagnosis Makes All the Difference
Question: A 6-year-old patient was seen for abdominal pain, diarrhea, and nausea with...
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Mar 10, 2025
Gastroenterology Coding:
Use an ERCP Code for a Bile Duct Blood Clot Removal
Question: We have a procedure report that indicates the physician performed balloon sweeps...
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Mar 10, 2025
Podiatry Coding:
Try Out This Tendinitis Dx
Question: My podiatrist recently treated a patient for peroneal tendinitis. What is p...
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Mar 07, 2025
Neurosurgery Coding:
Look at Modifiers, CPT® Code Before Resubmitting Shunt Claim
Question: We recently had a patient that needed to return to surgery with a complex medica...
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Mar 07, 2025
Oncology/Hematology Coding:
Heed This Guideline for Complications Treatment Coding
Question: We had a patient come in suffering from nausea and vomiting; they have cervical ...
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Mar 07, 2025
Pediatric Coding:
Unlocking Coverage: Tips to Prevent Unnecessary Coding Denials With Well Visits
Gain specifics on how to prevent or minimize unnecessary lost revenue. When billing for a...
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Mar 06, 2025
Oncology Coding:
Look to Treatment and Determine Active or History Dx
Question: Patients who have breast cancer, and who have had the malignancy removed, will f...
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Mar 06, 2025
E/M Coding:
Distinguish Between Mentions and Discussions
Question: A provider wrote that they made a diagnosis and then discussed with the patient ...
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Mar 06, 2025
Cardiology Coding:
Use These Tips for Reporting US Guidance for Vascular Access
Solid documentation a must for successful US claims. There are several documentation requ...
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Mar 05, 2025
Practice Management:
You Can Use G2211 for Patients Beyond Medicare Beneficiaries
Question: Can I use G2211 for patients regardless of their insurance or only for Medicare ...
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Mar 05, 2025
Primary Care Coding:
Try These Tips to Code Pressure Ulcers Accurately
Code for quality of care, not just reimbursement. According to the Agency for Healthcare ...
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Mar 05, 2025
Medicare Regulations:
Beware More Oversight Coming for Remote Patient Monitoring
More remote capabilities may mean more responsibilities — and oversight. In September 2...
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Mar 04, 2025
Ob-Gyn Coding:
Here’s How to Report a Revision of Laceration
Question: I need help determining which would be the appropriate code for this. The proced...
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Mar 04, 2025
Ob-Gyn Coding:
What to Do for ‘Hydrocele Repair for a Female’
Question: I haven't had any luck finding a code for hydrocele repair for a female. What is...
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Mar 04, 2025
Anesthesia Coding:
Rely on These 4 Factors When Calculating Time Units
Keep this formula for reimbursement handy. Anesthesia billing is a process that involves ...
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Mar 03, 2025
General Coding:
Know These Billing Categories
Question: What's the difference between self-pay, insured, and institutional billing? Kan...
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Mar 03, 2025
Ob-Gyn Coding:
Use These 3 Steps to Correctly Code This Amnio Note
Understand why reporting ultrasound guidance is a mistake. When an amniocentesis claim la...
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Mar 03, 2025
Practice Management:
Use These Tips for Scheduling Billing Statements
Question: Are there legal requirements for when a practice needs to collect money owed by ...
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Available Years:
2025
2024