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July 2025 Articles

Jul 31, 2025
Anesthesia Coding:
Check With Payers for Modifier 51 Specifics
Question: Can I use modifier 51 on secondary or other additional post-op pain blocks? Del... Read more
Jul 31, 2025
Optometry/Ophthalmology Coding:
Identify Inflammatory Sclera Conditions for Your Claim
Don't forget to specify laterality with a 6th character. The eye is made up of several st... Read more
Jul 31, 2025
General Surgery Coding:
Examine These 5 Skin Biopsy Myths
Learn how to bill multiple biopsies with different techniques. Skin biopsies are simple p... Read more
Jul 31, 2025
Orthopedic Coding:
Break Down Drug Volume Measurements
Question: How many billing units should I report for 1 cc of 4 mg per mL of dexamethasone?... Read more
Jul 31, 2025
Optometry/Ophthalmology Coding:
Correct This Hyaloid Membrane Detachment Claim
Question: I have an op note that states the surgeon started a posterior vitreous detachmen... Read more
Jul 31, 2025
Orthopedic Coding:
Learn 5 Tips to Strengthen Your Spinal Fusion Coding
Find out how to recognize cage codes. Spinal fusion surgeries can be complicated to code,... Read more
Jul 31, 2025
Pediatric Coding:
Try Your Hand at These Tick Removal Scenarios
Prepare to see more tick-related visits with summer amping up. As summer reaches its peak... Read more
Jul 30, 2025
General Coding:
Fine Tune Your Timely Filing Skills
Knowing the deadlines for each payer is key to success. Timely filing refers to the submi... Read more
Jul 30, 2025
Pediatric Coding:
Query to Kick the Confusion in This Conjunctivitis Case
Question: A 7-year-old patient was seen for conjunctivitis, or “pink eye,” in our offi... Read more
Jul 30, 2025
Otolaryngology Coding:
Remove This Code From Your PE Tube Removal Claims
Question: I am trying to find the correct way to code removal of tympanostomy (PE) tubes. ... Read more
Jul 30, 2025
Practice Management:
Understand Differences Between MOLST, POLST Forms
Question: Our patients sometimes ask our providers about MOLST or POLST forms during an en... Read more
Jul 30, 2025
Anesthesia Coding:
Bill Modifier 22 Confidently With These Tips
Hint: Don't expect consistency across different payers' policies. Anesthesia coders often... Read more
Jul 30, 2025
Diagnostic Radiology Coding:
Use a Sprain Code for an ACL Tear
Question: A patient presented to our radiology practice with pain and swelling in the righ... Read more
Jul 30, 2025
E/M Coding:
Remember Necessity and Criteria to Bill Incident-to
See how you can bill more services at 100 percent of the physician fee schedule instead of... Read more
Jul 29, 2025
RCI Bonus Content:
Get the Answers to All Your Big Beautiful Bill Questions
Stay on top of this major government legislation and know what may lie ahead. By now, you... Read more
Jul 29, 2025
Neurosurgery Coding:
Use This Total Disc Arthroplasty Guide to Nail Claims
Make sure claim proves medical necessity for TDA. Total disc arthroplasty (TDA), also kno... Read more
Jul 29, 2025
Primary Care Coding:
Understand Expansive Options for Purpura Dx
Question: I work for primary care providers at a family practice, and one of our providers... Read more
Jul 29, 2025
Practice Management:
Look Into EHR Options for Billing Statements
Question: The vendor we used to use to print our paper billing statements just sent us not... Read more
Jul 29, 2025
Technology & Innovation:
Identify CCTA Code With AI Analysis in 2026 MPFS Proposed Rule
Question: Will the 2026 Medicare Physician Fee Schedule (MPFS) include reimbursement for a... Read more
Jul 29, 2025
Otolaryngology Coding:
Get the Answers to These 3 Frequently Asked Head and Neck Cancer Questions
Learn how to navigate the ICD-10-CM Alphabetic Index and Table of Neoplasms. While they o... Read more
Jul 29, 2025
Diagnostic Radiology Coding:
Puff Up Your Chest to Confidently Code X-Ray Procedures
Can you report 71101 and 71111 with an AP view? The upper body is home to several differe... Read more
Jul 28, 2025
Neurology & Pain Management Coding:
Know Alternate Terms for All Types of Schizophrenia
Question: Encounter notes indicate that the physician treated a patient with “hebephreni... Read more
Jul 28, 2025
Technology & Innovation:
Address Staffing Shortages With Robots
Question: With staffing shortages in healthcare, are there any technological options to he... Read more
Jul 28, 2025
Urology Coding:
Know When to Ask for Urinary Incontinence Clarification
Question: I have an encounter note where the urologist documented the diagnosis as “urin... Read more
Jul 25, 2025
Pulmonology Coding:
Learn How to Code a Complete PFT
Question: A 55-year-old patient presented to the pulmonologist with swollen ankles and dif... Read more
Jul 25, 2025
Neurosurgery Coding:
Check for Laterality in CPT® Code Descriptors
Question: A patient suffering from “thoracol. Spondylosis, no radiculopathy/myelopathy... Read more
Jul 25, 2025
Optometry/Ophthalmology Coding:
Can You Report 67010 Separately From Cataract Surgery?
Question: I have an op note for a complex cataract surgery where the surgeon performed an ... Read more
Jul 24, 2025
Otolaryngology Coding:
Tackle This Tracheitis Coding Conundrum
Question: What is the correct way to code for tracheitis? Maine Subscriber Answer: The a... Read more
Jul 24, 2025
Anesthesia Coding:
Don’t ‘Date Range’ Your Anesthesia Claims
Question: The provider I work for performed an anesthesia service for a Medicare beneficia... Read more
Jul 24, 2025
Compliance:
Using AI? Prioritize These Regulations and Rules
Question: Our practice leadership wants to incorporate more artificial intelligence (AI) i... Read more
Jul 23, 2025
General Surgery Coding:
Report a Surgical Wound Exam During a High BP Follow-Up
Question: I have a report from a follow-up encounter between a patient and their primary c... Read more
Jul 23, 2025
Neurology & Pain Management Coding:
Know Neurologic Exam Components for Potential Strokes
Question: Encounter notes indicate that a patient presented with stroke-like symptoms, and... Read more
Jul 23, 2025
Neurosurgery Coding:
Know Area Where Encephalocele Occurred
Question: Encounter notes indicate that the neurosurgeon treated a newborn patient with an... Read more
Jul 22, 2025
ICD-10-CM Coding:
Distinguish ‘Other’ From ‘Unspecified’
Question: I just got my CPC-A credential, and I've noticed that a lot of ICD-10-CM codes f... Read more
Jul 22, 2025
Medicare Regulations Understand Regulations for Hospice Attestation
Question: Does a provider need a particular credential to be able to perform an attestatio... Read more
Jul 22, 2025
Compliance:
Be Wary of Varying Billing Practices Between Payers
Question: Our orthopedic practice sometimes has situations where patients come in with the... Read more
Jul 21, 2025
Oncology/Hematology Coding:
Know How Social Determinants Affect Oncology Coding
Capture the complexity of cancer care by painting the full patient picture. According to ... Read more
Jul 21, 2025
Urology Coding:
Learn How to Approach Prostatectomy Coding – Part 2
Does a prostatectomy code require a modifier for a biopsy? In the first article of this t... Read more
Jul 21, 2025
Oncology/Hematology Coding:
Make Your Way Through the Malaise of This Coding Muddle
Question: A patient on a course of chemotherapy for lymphoma came in complaining of fatigu... Read more
Jul 18, 2025
RCI Bonus Content:
CMS Releases Proposed Rule for 2026 Physician Fee Schedule
Surprise: Get ready for two conversion factors. The Centers for Medicare & Medicaid S... Read more
Jul 18, 2025
Oncology/Hematology Coding:
Code This ESA Scenario With Ease
Question: We are treating a Medicare patient with Procrit using J0885. The patient has ane... Read more
Jul 18, 2025
Practice Management:
Bolster Your Knowledge of Contracts With a Matrix
Use this tool to track contract specifics with each payer. Staying on top of each contrac... Read more
Jul 18, 2025
Podiatry Coding:
Handle Heel Pain Coding With Ease
This grievance is a top reason for podiatry visits. Heel pain is a very frequent complain... Read more
Jul 17, 2025
Orthopedic Coding:
Can You Report Grafts Separately With Rotator Cuff Repairs?
Question: We have an orthopedic surgeon who performs arthroscopic rotator cuff repairs wit... Read more
Jul 17, 2025
Emergency Department Coding:
Look for Specifics on Eye FB
Question: If a patient reports to the emergency department (ED) with a foreign body (FB) i... Read more
Jul 17, 2025
Urology Coding:
Understand if Modifier 52 Is Needed for a Unilateral Vasectomy
Question: A patient who had a testicle removed five years prior due to cancer presented fo... Read more
Jul 16, 2025
Pulmonology Coding:
Simplify Your Spirometry Claim
Question: I have a report where the pulmonologist performed spirometry, then administered ... Read more
Jul 16, 2025
Medicare Regulations:
Find These Coding Options for Skin Substitutes
Question: My provider does wound care for patients, including Medicare beneficiaries, with... Read more
Jul 16, 2025
General Surgery Coding:
Add G89.18 to Your Surgical Claims for Post-Op Pain Management
Question: I code surgical procedures for an outpatient facility. I have an operative note&... Read more
Jul 15, 2025
Gastroenterology Coding:
Recognize the Correct Foreign Body Removal Code
Question: A physician used a flexible sigmoidoscopy to remove a foreign body from a patien... Read more
Jul 15, 2025
Emergency Department Coding:
Remember These Clues for Manipulation Question
Question: A patient reported with an anterior displaced fracture of the sternal end of the... Read more
Jul 15, 2025
Gastroenterology Coding:
Distinguish Between Modifier XS and 59 Use for Separate Procedures
Question: I have a report that documents one of our gastroenterologists performed a screen... Read more
Jul 15, 2025
ICD-10-CM Coding:
Check Out ICD-10-CM Coding Guideline Updates for FY 2026
New updates affect specific conditions and some bigger-picture coding conventions. The U.... Read more
Jul 14, 2025
Podiatry Coding:
Avoid Getting Caught Stuck on This EDL Release
Question: I want a second opinion for coding the following procedure: Extensor digitorum ... Read more
Jul 14, 2025
Path/Lab Coding:
Advance Your Understanding of Drug Test Coding, Part 2
Make sure you answer the mini quiz at the end. Last month, we looked at the difference be... Read more
Jul 14, 2025
General Coding:
Clarify These Coding Components
Question: How do I look at a code and know if it can be billed with both a professional an... Read more
Jul 11, 2025
Cardiology Coding:
Don’t Miss This Key Rule on Vascular Families in Cath Coding
Question: If a cardiologist performs catheterizations of the right vertebral artery (... Read more
Jul 11, 2025
Cardiology Coding:
Here’s How to Code Orthostatic Hypotension Correctly
Question: My cardiologist documented that the patient has orthostatic hypotension. What's ... Read more
Jul 11, 2025
Diagnostic Radiology Coding:
Review the Documentation for Symptoms When X-rays Are Normal
Question: If there is no medical reason for the X-ray listed in the clinical documentation... Read more
Jul 10, 2025
Primary Care Coding:
Use These New Codes for Genetic Susceptibility
Question: Is there a way to report a patient's genetic predisposition to cancers and other... Read more
Jul 10, 2025
Path/Lab Coding:
Mark This DOS Advice in Your Claim Calendar
Question: We received a saliva specimen for a genetic screening test that had been stored ... Read more
Jul 10, 2025
Pediatric Coding:
Code This Campfire Injury Correctly
Question: The physician had a 13-year-old patient come in with second-degree burns on... Read more
Jul 09, 2025
Pulmonology Coding:
Examine This Comprehensive Guide on Sarcoidosis Treatment and Coding
Find out about the Siltzbach classification system. Sarcoidosis is a condition that devel... Read more
Jul 09, 2025
Technology & Innovation:
Learn How New Treatments Reach Your Patients — Part 2
Examine the FDA's role in medical device development. Revenue Cycle Insider explored diff... Read more
Jul 09, 2025
Gastroenterology Coding:
Understand the Intricacies of GERD Coding
Find out how to report testing procedures for GERD. Gastroesophageal reflux disease (GERD... Read more
Jul 08, 2025
ICD-10-CM Coding:
Code Causal Dx, not Just the Context for Encounter
Question: A provider at my practice documented that a patient came in to receive hormone r... Read more
Jul 08, 2025
E/M Coding:
Bill an E/M for This Follow-Up Situation
Question: A provider saw a patient and performed a procedure, which had 0 global days, and... Read more
Jul 08, 2025
Podiatry Coding:
Apply KX Correctly on Your DME Claims
Question: I am relatively new to podiatry coding, and I am trying to determine if the KX m... Read more
Jul 07, 2025
General Coding:
Stress Less About This New Patient Scenario
Question: Can a stress test and a new physical therapy office visit be billed together? A... Read more
Jul 07, 2025
Evaluation and Management:
Don’t Use Prolonged Services Codes for Calls
Question: I'm reading documentation notes and see that a provider had a 40-minute phone ca... Read more
Jul 07, 2025
Path/Lab Coding:
Match This Biopsy Lab With the Right Dx
Question: We are seeing denials when 88305 is billed with certain diagnosis codes, so I'm ... Read more
Jul 03, 2025
Neurology & Pain Management Coding:
Sleep Disorder Coding Requires Nimble ICD-10-CM Navigation
The various sections contain codes for a broad spectrum of conditions. Not all sleep diso... Read more
Jul 03, 2025
Medicare Regulations:
Know the Ins and Outs of Medicare Rules Regarding Disasters
Keep an eye out for blanket waivers, which can make associated paperwork less burdensome. ... Read more
Jul 03, 2025
Cardiology Coding:
Navigate When to Code Standard Echocardiograms vs. Congenital With These Tips
Hint: Don't make your coding selection based on age alone. Echocardiography , also known ... Read more
Jul 02, 2025
Emergency Department Coding:
Breeze Through 3 Common Summer Presentations With Key Tips
Certain ED complaints are more common when the temperatures rise. The temperature is up, ... Read more
Jul 02, 2025
Ob-Gyn Coding:
Post-Term Pregnancies Means This Many Weeks
Question: We are seeing patients with post-term pregnancies. What does that mean, and... Read more
Jul 02, 2025
Ob-Gyn Coding:
Hysterectomy Coding Decoded: Mastering CPT® Nuances for Maximum Reimbursement
Don't miss common add-ons during hysterectomy procedures. With approximately 600,000 hyst... Read more
Jul 01, 2025
Compliance:
Use This Website to Help Identify Fraud and Stay Compliant
Protect yourself by staying current on government-impersonating scammers. The Office of t... Read more
Jul 01, 2025
Primary Care Coding:
Bring Your Measles Coding Up to Speed, Part 2
Here's what to do when immunizations don't go forward. In the first part of this series o... Read more
Jul 01, 2025
Ob-Gyn Coding:
Gestational Hypertension no Longer Present: What to Do
Question: How do you code for a postpartum follow-up visit for a patient who had gest... Read more
Available Years:  2025  2024