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December 2025 Articles

Dec 31, 2025
Pediatric Coding:
Test Your Pediatric Coding Capabilities
How closely did you pay attention to the topics covered this year? Regardless of your cod... Read more
Dec 31, 2025
General Coding:
Code Wound Care Correctly With These Tips
Payer auditors are increasing their scrutiny of wound care reporting. Gena Cornett, CPC, ... Read more
Dec 31, 2025
Orthopedic Coding:
Learn How to Identify and Code Winter Sports Injuries
Find out if all injuries require surgery. When the weather gets cold, winter sports enthu... Read more
Dec 31, 2025
Emergency Department Coding:
Code for Every (Square) Centimeter on Ulcer Debridement
Question: A patient with chronic venous insufficiency without varicosity reports to the em... Read more
Dec 30, 2025
Optometry/Ophthalmology Coding:
Correctly Report Corneal Tissue Transportation for Keratoplasty
Question: I'm new to ophthalmology coding, and I have a report for a keratoplasty procedur... Read more
Dec 30, 2025
Urology Coding:
Look for These Documentation Clues to Keep Urinary Incontinence Claims Flowing
Know when it's appropriate to query the provider. Urinary incontinence is one of the most... Read more
Dec 30, 2025
Practice Management:
Empower Employees to Unplug
Question: Our physicians and nonphysician practitioners (NPPs) are great clinicians and tr... Read more
Dec 30, 2025
Optometry/Ophthalmology Coding:
Get Clarity on OCT Coding and Avoid These Pitfalls
Can you bill OCT separately for each eye? Find out. Since its introduction in the 1990s, ... Read more
Dec 29, 2025
Oncology/Hematology Coding:
Don’t Confuse Unconfirmed With Uncertain in This Lung Cancer Encounter
Question: One of our patients has a history of right lung cancer. After a recent visit, th... Read more
Dec 29, 2025
Primary Care Coding:
Look to Treatment Plan Changes When Considering Modifier 25 for New Patients
Question: An encounter note says a new patient was seen by a primary care physician for co... Read more
Dec 29, 2025
Otolaryngology Coding:
Take This Advice for Coding Transtympanic Therapeutic Injections
Question: Our otolaryngologists commonly perform transtympanic therapeutic injections. The... Read more
Dec 29, 2025
Technology & Innovation:
Use Telehealth to Treat Patients Affected by SDOH
Find out what barriers stand in the way of widespread adoption. Social determinants of he... Read more
Dec 26, 2025
Primary Care:
Know the Ins and Outs of Transitional Care Management
Find billing tips for providing this crucial service for patients. Transitional care mana... Read more
Dec 26, 2025
General Surgery Coding:
Round Out 2025 With a Surgical Pathology Coding Quiz
Do you remember what code to use for a gross examination only? Surgical pathology codes h... Read more
Dec 26, 2025
Otolaryngology Coding:
Get Up to Speed With Drug-Eluting Sinus Implant Coding
Use this handy decision tree for accurate billing documentation. Drug-eluting sinus impla... Read more
Dec 26, 2025
Neurology & Pain Management Coding:
Brush Up on Chronic Care Management Codes
Do you know the differences between standard and complex chronic care management? Chronic... Read more
Dec 24, 2025
Primary Care Coding:
Capture ‘Chronic’ Nature of Tonsilitis Diagnosis
Question: An 8-year-old patient has come in complaining of sore throat six times over the ... Read more
Dec 24, 2025
Diagnostic Radiology Coding:
Teach AI to Compare Mammogram Views, Part 2
Learn what a 0.96 AUC score means. The mammogram screening process captures X-ray picture... Read more
Dec 24, 2025
Neurology & Pain Management Coding:
Code Every Service on This Headache Encounter
Question: The pain management (PM) specialist sees a new patient suffering from “horribl... Read more
Dec 24, 2025
Path/Lab Coding:
Follow 3 Tips to Perfect Your Bone Marrow Pathology Exam Coding
Look to this advice to avoid overbilling. Bone marrow cases with multiple specimens and s... Read more
Dec 23, 2025
Compliance:
Don’t Silo Your CDI Specialists From Your Coders, Part 1
As external audits increase, bolster your compliance by making sure your teams are working... Read more
Dec 23, 2025
General Surgery Coding:
Use 11400-11446 Code Range for Dermal Lesion Excisions
Question: A surgeon excised a benign lesion from a patient's left arm. The excised diamete... Read more
Dec 23, 2025
Practice Management:
Follow State Law When Reporting Surgery Assistance
Question: What are the appropriate modifiers to append for providers who assist during sur... Read more
Dec 23, 2025
Practice Management:
Center Your Revenue Cycle on People, Part 1
Prioritizing patient care and perspective can make your revenue cycle healthier. Even tho... Read more
Dec 22, 2025
Compliance:
Keep These Reference Books and Resources On Hand
Question: I'm putting together a little in-house library for coders, billers, and our inte... Read more
Dec 22, 2025
Urology Coding:
Add Modifier 50 for Bilateral Renal Tumor Ablations
Question: Over the past few months, I've had several op notes that show the urologist perf... Read more
Dec 22, 2025
Oncology/Hematology Coding:
Get the Answers to Your Frequently Asked PIN Service Questions
Understand the difference between PIN and PIN-PS. Coders and billers in oncology still ha... Read more
Dec 22, 2025
ICD-10-CM Coding:
Yule Be Smart to Review These Dangers of the Holidays Codes
Add “Knowing how to code these common situations” to your holiday prep checklist. Dur... Read more
Dec 19, 2025
ICD-10-CM Coding:
Use This Route When Coding Gout
Question: My coworker and I are trying to determine the reason for a claim denial we recei... Read more
Dec 19, 2025
Neurosurgery Coding:
Infection, Immunization Evidence Matter for This Encephalopathy Dx
Question: Encounter notes indicate that the neurosurgeon performed critical care on a 5-ye... Read more
Dec 19, 2025
E/M Coding:
Check Thresholds for Critical Care Code Reporting
Question: Two critical care providers saw a patient on the same day. I reported 99291 for ... Read more
Dec 19, 2025
Cardiology Coding:
Use Add-On Code +92972 Correctly
Question: I submitted a claim with 92972 to report a percutaneous transluminal coronary li... Read more
Dec 18, 2025
Pediatric Coding:
Query for Cough Specificity
Question: I'm fairly new to pediatric coding and my practitioner only noted that the patie... Read more
Dec 18, 2025
Anesthesia Coding:
Know Medicare Particulars for Radiologic Anesthesia Coding
Question: I'm reporting radiologic anesthesia services performed on a Medicare beneficiary... Read more
Dec 18, 2025
Anesthesia Coding:
Stay Up to Date With Acute Pain Management, Part 1
Find some expert tips for coding anesthesia pain management services. Acute postoperative... Read more
Dec 18, 2025
Cardiology Coding:
Find Mitral Valve Repair Code Options
Question: A cardiologist performed a mitral valve repair. According to the documentation, ... Read more
Dec 17, 2025
Medicare Regulations:
Prepare for TEAM, Coming January 1
Hundreds of facilities are impacted nationwide. Are you part of this new mandatory model? ... Read more
Dec 17, 2025
Pulmonology Coding:
Boost Your Flu, COVID-19, and RSV Vaccine Coding Knowledge This Season
Learn what separates vaccines from monoclonal antibodies. Respiratory diseases are one of... Read more
Dec 17, 2025
Pediatric Coding:
Expertly Code This Eczema Case
Question: I'm unsure which ICD-10-CM  code is appropriate based on the  followin... Read more
Dec 17, 2025
Neurosurgery Coding:
Know All Spinal Decompression Types to Master Coding
Question: I'm new to neurosurgery coding, having spent the past few years coding for a neu... Read more
Dec 16, 2025
Orthopedic Coding:
Use a Total Knee Arthroplasty Revision Code for a Poly Revision
Question: An orthopedic surgeon performed total knee arthroplasty revision where they plac... Read more
Dec 16, 2025
Path/Lab Coding:
Wait to Match Surgical Pathology Level With Definitive Dx
Question: Our pathologist received a specimen that the op report identified as “soft tis... Read more
Dec 16, 2025
ICD-10-CM Coding:
Become Familiar With Otitis Media Codes
Question: How can I distinguish the difference between and correctly code the conditions o... Read more
Dec 16, 2025
Compliance:
Prioritize Data Organization
Question: I'm going through past audits and finding them so hard to search, as codes seem ... Read more
Dec 15, 2025
Neurosurgery Coding:
3 Tips Help You Collect for Spinal Osteotomies
Don't forget to check whether the surgeon used an anterior or posterior approach. When yo... Read more
Dec 15, 2025
Podiatry Coding:
Cast Off Doubt About Coding for Castings
Question: We have a practitioner specializing in foot and ankle care. Until now, they... Read more
Dec 15, 2025
Technology & Innovation:
Learn Which Networks Are Designated QHINs for TEFCA
Question: In the article “Everything You Need to Know About Participating in the TEFCA,... Read more
Dec 15, 2025
Optometry/Ophthalmology Coding:
Does This Cataract Surgery Fall Under a Complex Procedure?
Question: I have a report for a cataract surgery. The postoperative diagnosis is nuclear s... Read more
Dec 12, 2025
In Case You Missed It (RCI Bonus Content):
Lessons Learned From OIG Audits
Take to heart these lessons that others learned the hard way. In healthcare, every audit ... Read more
Dec 12, 2025
E/M Coding:
See How to Bill This NP Shared Service
Question: A doctor saw a patient with a nurse practitioner (NP). The NP recorded the docum... Read more
Dec 12, 2025
Pulmonology Coding:
Report an Abnormality Without a Pathology Report
Question: A 47-year-old patient presented to our pulmonology practice with a chronic cough... Read more
Dec 12, 2025
Pulmonology Coding:
Avoid Coding Signs/Symptoms When a Diagnosis Is Confirmed
Question: A senior patient visited the emergency department (ED) with difficulty breathing... Read more
Dec 11, 2025
Anesthesia Coding:
Navigate Metric Conversion for Successful J2003 Reporting
Question: How do I report the use of 2 cc of lidocaine used in an injection? I think I'll ... Read more
Dec 11, 2025
Orthopedic Coding:
Code This Colles’ Fracture Encounter
Question: A new patient was referred to an orthopedic practice with pain and swelling in t... Read more
Dec 11, 2025
Diagnostic Radiology Coding:
Clearly Code This Repeat Procedure
Question: I'm the newest coder in our radiology office and I'm confused about how I should... Read more
Dec 10, 2025
Medicare Regulations:
Organize a Template for Bariatric Surgery Claim Prep
Question: I now work for a surgeon who performs bariatric surgeries, and many of our patie... Read more
Dec 10, 2025
General Coding:
Be Wary of Using Unlisted CPT® Codes
Question: I'm an auditor and found a claim with 99499 billed and denied. Is there a situat... Read more
Dec 10, 2025
General Surgery Coding:
Use 31805 for an Intrathoracic Tracheal Wound Repair
Question: A patient was transported to the emergency department (ED) following a severe ca... Read more
Dec 09, 2025
Neurology & Pain Management Coding:
Remember Secondary Dx for These Huntington’s Patients
Question: A patient reports to the neurologist with a diagnosis of Huntington's disease. E... Read more
Dec 09, 2025
Medicare Regulations:
Check Payer Policies for Consultation Codes
Question: A physician in my practice saw a patient who has Medicare, as well as a commerci... Read more
Dec 09, 2025
Path/Lab Coding:
Go Unlisted for Single NGS Multiple Gene Analysis
Question: A provider ordered a full gene sequence analysis of BRCA2 plus a BRCA1 known fam... Read more
Dec 08, 2025
Podiatry Coding:
Get the Skinny on Skin Substitute HCPCS Updates
Question: Are there any HCPCS Level II updates related to skin substitution codes coming i... Read more
Dec 08, 2025
Podiatry Coding:
Stay Ahead of Audits in Your Office
And learn to perfect your podiatry modifier usage going into 2026. During her HEALTHCON R... Read more
Dec 08, 2025
Diagnostic Radiology:
Familiarize Yourself With X{EPSU} Modifiers
Question: I've only been coding in radiology for a few months and I'm having a hard time u... Read more
Dec 05, 2025
Emergency Department Coding:
Get Body Surface Area Correct Before Coding Burn Treatment
Question: A patient presents to the emergency department (ED) with second-degree burns to ... Read more
Dec 05, 2025
Gastroenterology Coding:
Learn How to Report Control of GI Bleed Following CRC Screening
Question: I have an op note for a second colonoscopy performed the day after the patient e... Read more
Dec 05, 2025
Gastroenterology Coding:
Locate the Code for Appendicitis With Localized Peritonitis
Question: A patient presented to the emergency department (ED) at 3 a.m. with severe abdom... Read more
Dec 04, 2025
Otolaryngology Coding:
Defer to Provider for Otitis Media Timeline Guidance
Question: My otolaryngologist documented otitis media with effusion for one patient a... Read more
Dec 04, 2025
Emergency Department Coding:
Differentiate Modifiers 25 and 57 to Stay Compliant
The key for ED providers is to count the global days. When your emergency department (ED)... Read more
Dec 04, 2025
Technology & Innovation:
Avoid Doubling Your Workload by Using Coding-Aware AI
Question: What's the difference between coding-naive and coding-aware artificial intellige... Read more
Dec 03, 2025
Ob-Gyn Coding:
Dive Deep Into Hysteroscopy Coding With This Guide, Part 2
Learn how to report IUD removal and reinsertion. In the first part of this article series... Read more
Dec 03, 2025
Urology Coding:
Should You Use 40818 or 15240 for Buccal Mucosa Grafts?
Question: I have an operative note for a urethroplasty procedure where the surgeon harvest... Read more
Dec 03, 2025
E/M Coding:
Find Even More Tips for Distinguishing Inherent From Separate Services
Find out what information you need to append modifier 25 correctly and with confidence. M... Read more
Dec 02, 2025
Cardiology Coding:
Use These Tips for Coding Thrombolytic Therapy
Hint: There are 3 main types of thrombolytic therapy procedures. Thrombolytic therapy, or... Read more
Dec 02, 2025
Ob-Gyn Coding:
Code This RFA Fetal Reduction C Section Scenario
Question: The patient had a radiofrequency ablation (RFA) fetal reduction of twin A at 18 ... Read more
Dec 02, 2025
Ob-Gyn Coding:
Be Careful on Prior Authorizations for PT for Pregnant Patients
Question: Payers are denying prior authorizations for our pregnant patients who are experi... Read more
Dec 01, 2025
Oncology/Hematology Coding:
Look to This Scenario to Master Metastatic CSF Cancer Coding
Question: A patient had a lumbar puncture that showed metastatic breast cancer to the cere... Read more
Dec 01, 2025
Gastroenterology Coding:
Follow These CRC Testing Requirements to Bolster Your Claims – Part 2
Find out where you won't find clear guidance. Correctly coding colorectal cancer (CRC) sc... Read more
Dec 01, 2025
General Coding:
Appeal Insurance Denials and Get the Reimbursement You Deserve
Question: As a medical coder working in a neurosurgical practice, I often encounter freque... Read more
Available Years:  2025  2024