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May 2025 Articles

May 30, 2025
Technology & Innovation:
Explore How AI Can Take Items Off Your To-Do List
Jump start your projects with AI analyzing the data. Have you ever wondered how much time... Read more
May 30, 2025
Neurology & Pain Management Coding:
Know Differences Before Coding Extremity Ultrasounds
Question: What is the difference between a complete and a limited ultrasound (US) of an ex... Read more
May 30, 2025
Pulmonology Coding:
Use This Guide to Accurately Code Pulmonary Embolism Diagnoses
Receive a PE condition breakdown. Pulmonary embolism (PE) is a life-threatening condition... Read more
May 30, 2025
ICD-10-CM Coding:
Test Your Principal Dx Knowledge With These Scenarios
Find out how to navigate these complicated coding situations correctly. Selecting the pri... Read more
May 30, 2025
Path/Lab Coding:
Don’t Get Tired of Reporting Fatigue Dx With CBC
Question: Is it true that you cannot report fatigue as a primary diagnosis on outpatient l... Read more
May 30, 2025
Pulmonology Coding:
Ask Your Provider for Additional Information When It’s Needed
Question: An 80-year-old patient presented complaining of a cough lasting for more than a ... Read more
May 29, 2025
Emergency Department Coding:
Use This Code for Ganglion Cyst Treatments
Question: If a patient presents with three ganglion cysts on their ankle and foot and the ... Read more
May 29, 2025
Anesthesia Coding:
Remember These 3 Circumstances to Append GC Modifier
Question: What situations would call for use of the GC modifier? Are there any particular ... Read more
May 29, 2025
Path/Lab Coding:
Master Infectious-Agent Coding With These 5 Tips
Don't forget what the # symbol means in CPT®. When you're searching for the correct test... Read more
May 29, 2025
Path/Lab Coding:
Distinguish Between These Iron Stain Tests
Question: What is the difference between codes 85536 and 88313 for iron stain? India... Read more
May 29, 2025
Podiatry Coding:
Stand Your Ground on Bunionectomy Coding
Keep your podiatry claims clean and your resources up to date. Bunionectomies are among t... Read more
May 29, 2025
Pulmonology Coding:
Locate the Correct Test Code for COVID, Flu, and RSV
Question: I have a report of a 75-year-old patient with chronic obstructive pulmonary dise... Read more
May 29, 2025
Anesthesia Coding:
Don’t Bill These Services Separately
Question: What services are bundled into anesthesia and not separately billable? Oregon S... Read more
May 28, 2025
Orthopedic Coding:
Don’t Use 2 CPT® Codes When 1 Will Do
Question: I have an op note in which the orthopedic surgeon documented fusing the first ta... Read more
May 28, 2025
Orthopedic Coding:
Remember to Report the Same CPT® Codes for Modifier 62
Question: I am new to orthopedic coding and our providers have started working together on... Read more
May 28, 2025
Primary Care Coding:
Include This Z Code When Reporting Prescription
Question: I work at a primary care provider's office. A provider saw a patient who came in... Read more
May 28, 2025
Neurology & Pain Management Coding:
Look to Unspecified Code for This TMJ Disorder Dx
Question: Encounter notes indicate that the pain management (PM) provider treated a patien... Read more
May 27, 2025
Cardiology Coding:
Note CPT® Specifications for ICD Generator Replacement
Question: Do I need an add-on code to report an upgrade of a single chamber pacemaker to a... Read more
May 27, 2025
Anesthesia Coding:
Find Answers to These Common Anesthesia Coding Questions
Hint: In anesthesia, MAC can refer to two very different things. Whether you're new to an... Read more
May 27, 2025
Otolaryngology Coding:
Test Your Hearing Test Knowledge With Our Audiologic Function Testing Quiz
Read to the end for a great piece of advice. With CPT® listing so many audiologic functi... Read more
May 27, 2025
Optometry/Ophthalmology Coding:
Spice Up Your Conjunctivitis Coding
Question: A patient presented with severe pain, redness, and excessive tear production in ... Read more
May 26, 2025
In Case You Missed It (RCI Bonus Content):
2025 Brings New Telemedicine Codes
But only one is reimbursable under Medicare. For calendar year 2025, the American Medical... Read more
May 26, 2025
Optometry/Ophthalmology Coding:
Don’t Forget DOS on Your Post-Op Service Medicare Claims
Question: We have been billing for the co-management of cataract surgery post-op services,... Read more
May 26, 2025
Primary Care Coding:
Look to Cause, Not Timing on Allergy Dx
Question: A patient presents with complaints of runny nose, sneezing, nasal congestion, an... Read more
May 26, 2025
Otolaryngology Coding:
Understand Removal or Reduction in This Turbinate Reduction Op Note
Question: Our surgeon documented the following for an in-office turbinate reduction: ... Read more
May 26, 2025
Neurology & Pain Management Coding:
Look at Nerve Injected When Coding Destruction by Neurolytic Agent
Refer to 64600-64647 for a complete list of these codes. Destruction sounds intense, but ... Read more
May 23, 2025
General Coding:
Structure Your Denial Management Program for Success
Adopting this approach will boost your office's financial performance. By following the s... Read more
May 23, 2025
Pediatric Coding:
Get the Answers to Your Frequently Asked Immunization Z Code Questions
Hint: Pay attention to ICD-10-CM notes. The difference between coding Z23 (Encounter for ... Read more
May 23, 2025
General Surgery Coding:
Understand Which Tissues Need to Be Debrided for 11043/+11046
Question: I have documentation for a surgical debridement where the surgeon removed devita... Read more
May 23, 2025
Optometry/Ophthalmology Coding:
Relieve Your Dry Eye Coding Discomfort
Find out what tests physicians use to make a diagnosis. Itchy? Stinging? Burning? Gritty?... Read more
May 22, 2025
General Surgery Coding:
Does a Cyst Removal Require an Excision or I&D Code?
Question: I'm having difficulty determining if the following surgical documentation suppor... Read more
May 22, 2025
Compliance:
Feel Confident When Delivering Audit Results With These Tips, Part 1
Hint: Rely on scope to determine who's going to see the results. The “A word” can mak... Read more
May 22, 2025
Practice Management:
Avoid a Kick From the Anti-Kickback Statute
Learning the legalities of remuneration could protect you in the long run. Robert Saltafo... Read more
May 22, 2025
General Coding:
Inject These New Codes Into Your Coding Arsenal
Question: Are there any new HCPCS injection codes I should be aware of? I feel like an upd... Read more
May 21, 2025
Otolaryngology Coding:
Look to Etiology for Definitive VPI Dx
Question: What is the correct way to code for an augmentation pharyngoplasty for a diagnos... Read more
May 21, 2025
Urology Coding:
Learn How to Approach Prostatectomy Coding – Part 1
Learn the difference between subtotal and radical procedures. As a urology coder, you sho... Read more
May 21, 2025
Diagnostic Radiology Coding:
Learn the Definition of a Hyperechoic Pancreatic Mass
Question: I have a radiology report for an ultrasound (US) on a 40-year-old patient. The p... Read more
May 20, 2025
Cardiology Coding:
Pay Attention to Septic Embolism Code First Notes
Question: A cardiologist at my practice documented that a patient with infective endocardi... Read more
May 20, 2025
Neurosurgery Coding:
Use This Code Trio When Choosing Hypotension Dx
Question: If a patient has intracranial hypotension, is there a single diagnosis code to r... Read more
May 20, 2025
Neurosurgery Coding:
Get the Jump on July T Codes
Question: I remember a reader question in RCI recently that referenced Category III codes,... Read more
May 19, 2025
General Surgery Coding:
Code Cholecystectomy Surgeries With Confidence
Pay attention to NCCI edits before reporting additional procedures. In the U.S., approxim... Read more
May 19, 2025
E/M Coding:
Incorporate These Strategies Into Your Provider Education
Common sense: Adapt your educational content to your audience. Teaching providers about e... Read more
May 19, 2025
Neurosurgery Coding:
Check Complexity, Brain Area on AVM Repairs
Remember to check for separately codeable services, too. When your neurosurgeon treats a ... Read more
May 16, 2025
Primary Care Coding:
Take This Advice for Seamless BHI
Here's how to bring everyone together to streamline services and improve patient outcomes.... Read more
May 16, 2025
Emergency Department Coding:
Remember 3 Dx Codes for This CKD/Hypertension Patient
Question: The emergency department (ED) provider performs an evaluation and management (E/... Read more
May 16, 2025
Gastroenterology Coding:
Can You Assign Z86.- As a Primary Diagnosis Code?
Question: A patient with a history of adenomatous colon polyps came in for a screening col... Read more
May 15, 2025
Podiatry Coding:
Crack the Code on This Cuboid Case
Question: A patient was seen at our practice for treatment of a displaced fracture of... Read more
May 15, 2025
Medicare Regulations:
Find Relief in G2211 Update
Question: My provider wants me to bill G2211 alongside a Medicare annual wellness visit. C... Read more
May 15, 2025
Diagnostic Radiology Coding:
Examine This Comprehensive Guide to Spinal Myelography Codes
Pay attention to spinal region when coding myelography. Conditions affecting or centered ... Read more
May 14, 2025
General Coding:
Don’t Bill Transfer of Care Within the Same Global Group
Question: I work for a group of surgeons. I have a patient who underwent a surgery with on... Read more
May 14, 2025
Compliance:
Utilize Separate Notes
Question: We sometimes see patients who come in for services relating to incidents involvi... Read more
May 14, 2025
Technology & Innovation:
Another Day, Another Cybersecurity Breach in Healthcare
Question: The ransomware attack on Change Healthcare in 2024 shook the healthcare industry... Read more
May 13, 2025
Podiatry Coding:
Button Up This Tailor’s Bunion Procedure
Question: I need help coding the following operative report: “4 cm linear incision plac... Read more
May 13, 2025
E/M Coding:
Expect Denial When Reporting 2 E/M Services on Same DOS
Question: One of our physicians saw a patient in the morning, and then again in the aftern... Read more
May 13, 2025
Cardiology Coding:
Get Into the Technicalities When Coding Cardiovascular Wearables
Hint: You need to know whether a service provided is global or a component. When patients... Read more
May 12, 2025
Practice Management:
Keep This HIPAA Expiration in Mind
Question: I've observed that our patient documents related to HIPAA are only valid fo... Read more
May 12, 2025
Orthopedic Coding:
Coding Finger Fractures Doesn’t Have to Be Daunting
Remember the difference between open and closed fractures. Finger fractures are a common ... Read more
May 12, 2025
Pediatric Coding:
Sequence These Diagnoses Correctly
Question: Our pediatrician saw a patient who came in after having several days of low-grad... Read more
May 09, 2025
Compliance:
Understand What Receiving Kickbacks From EHR Vendors Looks Like
Question: Our practice uses a vendor to provide and maintain the infrastructure of our ele... Read more
May 09, 2025
Gastroenterology Coding:
Get to the Bottom of This EGD and Botox Injection Coding Mystery
Question: I have a procedure report for an esophagogastroduodenoscopy (EGD). The gastroent... Read more
May 09, 2025
Emergency Department Coding:
Monitor Method, Size, and Depth When Selecting Debridement Codes
Remember add-on codes when additional surface area is addressed. When patients come to th... Read more
May 08, 2025
ICD-10-CM Coding:
See When Signs and Symptoms Require a Query
Question: My provider recently saw a patient displaying symptoms of nausea, vomiting,... Read more
May 08, 2025
Ob-Gyn Coding:
Learn Why You Should Report Q0091 for Pap Smears
Question: I was hoping to get some clarification on the Pap smear code Q0091. I have not b... Read more
May 08, 2025
Oncology Coding:
Let This NCD Be Your Guide to Correct CAR-T Administration Billing
Question: Our providers are trying to bill CPT® code 38228, and the claims are continuous... Read more
May 07, 2025
Oncology/Hematology Coding:
Take on These Common Oncology Coding Challenges
Make sure you avoid these interpretation errors. Oncology coding is a critical component ... Read more
May 07, 2025
Urology Coding:
Use Modifier 59 to Report Separate Biopsy and Stent Placement Procedures
Question: A urologist used cold cup biopsy forceps to biopsy a lesion on the left ureteral... Read more
May 07, 2025
Diagnostic Radiology Coding:
Turn to the Radiology Report to Further Specify a Diagnosis
Question: I have a report where the emergency department (ED) physician diagnosed the pati... Read more
May 06, 2025
E/M Coding:
Don’t Upcode This Low-Level Follow-Up
Question: I'm coding a follow-up encounter for a patient who experienced a neck injur... Read more
May 06, 2025
Technology & Innovation:
Deliver Continuous Chest Compressions in Emergencies
Question: Emergency medical technicians (EMTs) often arrive at our emergency department (E... Read more
May 06, 2025
Medicare Regulations:
Distinguish Redetermination From Reconsideration
Question: What's the difference between a redetermination and a reconsideration, in terms ... Read more
May 05, 2025
Oncology Coding:
Sequence These 2 Codes for Myxofibrosarcoma IMRT
Question: A patient came in for intensity-modulated radiotherapy (IMRT) to treat myxofibro... Read more
May 05, 2025
ICD-10-CM Coding:
Don’t Miss Delirium Code in This UTI Scenario
Question: A provider documents that a patient has delirium due to an acute urinary tract i... Read more
May 05, 2025
Urology Coding:
Does 51102 Require a Laterality Modifier? Find out
Question: We have a claim that was returned with a code denial. Originally, we submitted 5... Read more
May 02, 2025
Medicare Regulations:
Stay Updated on Fast-Tracked Price Transparency
Find out what the president's executive orders may mean for your organization. On Feb. 25... Read more
May 02, 2025
Ob-Gyn Coding:
Can an Ob-Gyn Report a Preventive Code the Same Day As an E/M Visit?
Tip: Don't use 99401-99404 if the patient is sick. Fact: You can report preventive m... Read more
May 02, 2025
Pediatric Coding:
Look to Age for Colic Dx
Question: One of our pediatricians saw a 4-month-old patient and reported that the patient... Read more
May 01, 2025
Practice Management:
Don’t Get Caught Billing ‘Improbable Time’
Question: A colleague of mine who works as a coder at another location of the same medical... Read more
May 01, 2025
Ob-Gyn Coding:
Know What to Do If a Baby is Born at Home
Question: A patient was seen by a clinic for their entire pregnancy, but they had an unpla... Read more
May 01, 2025
Gastroenterology Coding:
Capture Capsule Endoscopy Procedures on Your Claim
Learn if incidental visualizations can be reported separately. Capsule endoscopy is a med... Read more
Available Years:  2025  2024