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October 2025 Articles

Oct 31, 2025
Cardiology Coding:
Here’s What You Need to Know About Watchman Procedures
Find out which condition's symptoms the Watchman device tries to mitigate. When you hear ... Read more
Oct 31, 2025
Compliance Coding:
Don’t Let Vendors Become a Compliance Weak Spot
Do your due diligence on vendor trustworthiness before signing any contracts. Many practi... Read more
Oct 31, 2025
Path/Lab Coding:
Take This Advice to Select the Correct Tonsil Biopsy Code
Question: Can you explain the difference between 88304, 88305, and 88309 with regard to to... Read more
Oct 31, 2025
Otolaryngology Coding:
Use Combo Code in This Primary Tonsillectomy and Secondary Adenoidectomy Scenario
Question: Our provider performed a primary tonsillectomy and a secondary adenoidectomy on ... Read more
Oct 31, 2025
Technology & Innovation:
Learn How Medical Device Manufacturers Receive Reimbursement
Find out what reimbursement pathways are available. Healthcare is full of medical devices... Read more
Oct 31, 2025
Diagnostic Radiology Coding:
Take Your Mammography Coding From Negative to Positive With This Guide
Find out if screenings are for everyone. As a radiology coder, you're sure to see your fa... Read more
Oct 31, 2025
Neurosurgery Coding:
Know Spinal Sections to Master Anatomy
Question: I'm new to neurosurgery coding and the anatomy of the spine is still confusing t... Read more
Oct 31, 2025
Neurosurgery Coding:
Look Out for Dx Codes That Specify ICU
Question: The neurosurgeon performs a procedure that requires mechanical ventilation. Afte... Read more
Oct 30, 2025
Neurology & Pain Management Coding:
Use These Tips to Decipher Diagnostic, Therapeutic Spinal Punctures
Remember to code differently for puncture with chemo. When a patient reports to the provi... Read more
Oct 30, 2025
Otolaryngology Coding:
Spur Your Understanding of Spasmodic Dysphonia
Know your treatment options and remember how to calculate wastage. Your otolaryngologist ... Read more
Oct 30, 2025
Oncology/Hematology Coding:
Know When to Bill Separate E/M With Chemo Clearance
Question: Are there guidelines out there for when you would and would not bill an evaluati... Read more
Oct 30, 2025
Pulmonology Coding:
Identify Echocardiogram and Heart Catheterization Codes for an ED Encounter
Question: I have an encounter note with a 78-year-old patient who presented to the emergen... Read more
Oct 30, 2025
Path/Lab Coding:
Beware Payer Bundling for Multiple STI NAAT Tests
Know when payer policy overrides CPT®, NCCI rules. Consider the following scenario, comm... Read more
Oct 30, 2025
Pediatric Coding:
Do You Have a Handle on Hand, Foot and Mouth Disease?
Get your HFMD claims paid faster than it can spread. With school back in full swing and c... Read more
Oct 30, 2025
Path/Lab Coding:
Pinpoint Sample Location Precisely for Accurate Breast Biopsy Dx Coding
Question: Our lab performed a biopsy on tissue samples taken from a female patient's upper... Read more
Oct 29, 2025
Anesthesia Coding:
Follow These Tips When Coding Pediatric Anesthesia Cases
Hint: Payers may define “medically necessary” differently for pediatric patients. The... Read more
Oct 29, 2025
Gastroenterology Coding:
Should You Report Pain, Bloating, and Constipation Without a Diagnosis?
Question: A patient presented with abdominal pain, constipation, and bloating. The gastroe... Read more
Oct 29, 2025
Optometry/Ophthalmology Coding:
Master These 5 Common Ophthalmic Diagnoses for Bulletproof ICD-10-CM Coding
Use 5th, 6th, and 7th characters to specify the eye condition. Ophthalmology and optometr... Read more
Oct 29, 2025
Practice Management:
Consider a Cheat Sheet for Scheduling Staff
Question: I'm a provider who performs minor in-office procedures. I've had a few situation... Read more
Oct 29, 2025
Primary Care Coding:
Rely On a Strong Documentation Foundation for Behavioral Health Coding, Part I
You can show providers the significance of thorough documentation by letting money talk. ... Read more
Oct 28, 2025
Optometry/Ophthalmology Coding:
Get to Know How to Code Myopic Degeneration Conditions
Question: I'm new to optometry/ophthalmology coding and I'm having trouble determining the... Read more
Oct 28, 2025
Diagnostic Radiology Coding:
Know How to Report Minimally Displaced Fractures
Question: I code for a radiology practice and I'm having trouble deciding which codes to a... Read more
Oct 28, 2025
Pulmonology Coding:
Avoid Unspecified Codes When a NOS Diagnosis Is Made
Question: A patient presented to our outpatient pulmonology clinic with wheezing, shortnes... Read more
Oct 28, 2025
General Coding:
Rely On 54 for This Out-of-Town Surgery
Question: I live in a region famous for mountain biking, and a provider in my practice saw... Read more
Oct 28, 2025
General Coding:
Don’t Use 99050 When Your Schedule Runs Late
Question: One of the providers stayed after hours to observe a patient who received a dose... Read more
Oct 27, 2025
Oncology/Hematology Coding:
Sequence This Radiation Sequela Scenario Successfully
Question: Our provider recently diagnosed a patient with lymphedema and began treating the... Read more
Oct 27, 2025
Optometry/Ophthalmology Coding:
Don’t Forget the JZ Modifier for Full Drug Administration
Question: An ophthalmologist performed an intravitreal injection of 2 mg of EYLEA on a Med... Read more
Oct 27, 2025
Urology Coding:
Resolve This Genital Inflammation Repair
Question: The urologist performed a surgical procedure where a low inguinal incision ... Read more
Oct 24, 2025
Orthopedic Coding:
Don’t Stress Over This Dystrophy Case
Question: The practitioner's notes indicate that they treated a patient who had Horne... Read more
Oct 24, 2025
ICD-10-CM Coding:
Follow Documentation for Croup Cases
Question: A pediatric patient presents for a barking cough, stridor, and fever. In the doc... Read more
Oct 24, 2025
Anesthesia Coding:
Remember Anesthesia Modifiers Are Only for Anesthesia Practitioners
Question: A certified registered nurse anesthetist (CRNA) administered anesthesia during a... Read more
Oct 23, 2025
Pulmonology Coding:
Examine This Guide to Common Pulmonary Procedure Codes – Part 1
Pulmonary medicine encompasses a wide range of services, from basic diagnostic tests to ad... Read more
Oct 23, 2025
ICD-10-CM Coding:
Note Exception for Candidiasis When Coding UTIs
Question: A patient presented with symptoms of a urinary tract infection (UTI) and the pro... Read more
Oct 23, 2025
Anesthesia Coding:
Focus On Anatomy for Greater Auricular Nerve Block Clarification
Question: I'm looking for a code for a greater auricular nerve block. My research is sugge... Read more
Oct 22, 2025
In Case You Missed It (RCI Bonus Content):
A Coder’s Guide to Breast Cancer
Bringing awareness through coding accuracy and education. October brings renewed focus to... Read more
Oct 22, 2025
Podiatry Coding:
Can You Bill an Achilles Tendon Repair With Bone Spur Excision?
Question: A podiatrist performed a calcaneal exostectomy with Achilles tendon repair to re... Read more
Oct 22, 2025
Emergency Department Coding:
Get Physician Signoff on Critical Care Claims
Question: I am having trouble with the guidelines for critical care codes 99291 and +99292... Read more
Oct 21, 2025
Pediatric Coding:
Code This Periodic Physical With Additional Services
Question: When an existing patient is scheduled for their periodic physical exam, but... Read more
Oct 21, 2025
ICD-10-CM Coding:
Brush Up on How to Code Minor Household Injuries
Do you know how to navigate all 7 layers of the S00.- to T88.- code set? Minor household ... Read more
Oct 21, 2025
Medicare Regulations:
Prepare Adequately for Medicare Claim Submission for Polysomnography
Question: A provider sees a Medicare beneficiary and has them evaluated via a sleep study.... Read more
Oct 21, 2025
Medicare Regulations:
Inquire With Patient Regarding Part B Status Post-Incarceration
Question: A patient who comes to our practice was a Medicare beneficiary but was convicted... Read more
Oct 21, 2025
E/M Coding:
Code Labs and Tests Toward MDM With Confidence
Hint: You must meet two of the three elements to meet a specific level of MDM. Even the m... Read more
Oct 21, 2025
Compliance:
Protect Role Integrity With Policies and Adequate Staffing
Question: I am a certified professional coder (CPC®) and certified professional medical a... Read more
Oct 17, 2025
Podiatry Coding:
Tackle Turf Toe Injury Coding With These Tips – Part 1
Find out what codes to report for turf toe diagnoses. Turf toe is a painful injury that i... Read more
Oct 17, 2025
Emergency Department Coding:
Know Myocardial Infarction Types to Ace Dx Coding
Do you know what type of MI indicates sudden cardiac death? When a patient reports to the... Read more
Oct 17, 2025
Primary Care Coding:
Don’t Miss Code Notes for CGM Interpretation Codes
Question: I report 95251 when a provider evaluates the blood glucose levels of a patient w... Read more
Oct 16, 2025
General Surgery Coding:
Identify Specific Mastectomy Type for Simpler Coding
Hint: Look to the C50.- series for most diagnoses. While mastectomy coding may be relativ... Read more
Oct 16, 2025
Urology Coding:
Refresh Your Knowledge of Foreign Body Removals
Review the CMS guidelines to make sure you're using 52000 correctly. When a patient prese... Read more
Oct 16, 2025
Orthopedic Coding:
Add More Detail to Prevent a Downcode
Question: Can someone please help me to understand why my claims with 20680 are always bei... Read more
Oct 15, 2025
Podiatry Coding:
Stay Compliant When Reporting Foot Care Claims
Question: When can a provider receive reimbursement for foot care? Our podiatrist performe... Read more
Oct 15, 2025
Practice Management:
How Advanced Team-Based Care May Elevate Your Practice’s Efficiency
ATBC helps improve workflows and frees up providers' time. Nearly every medical practice ... Read more
Oct 15, 2025
General Surgery Coding:
Fix This Ulcer Debridement Claim
Question: We submitted a claim for a wound debridement that was denied. The provider docum... Read more
Oct 14, 2025
Technology & Innovation:
Solidify Best Practices Through Regular Cybersecurity Training
Question: Some staff in our practice think that ongoing cybersecurity training is less ben... Read more
Oct 14, 2025
General Surgery Coding:
Code This Colon Resection Case
Question: Our surgeon performed a laparoscopic low anterior resection for diverticulitis. ... Read more
Oct 14, 2025
Emergency Department Coding:
Remember to Code These Lesion Treatments Separately
Question: Encounter notes indicate that the emergency department (ED) physician shaved a p... Read more
Oct 13, 2025
Primary Care Coding:
Independent Historian Should Be Clinically Necessary
Question: A patient came to an encounter with their spouse. Although the patient does not ... Read more
Oct 13, 2025
Orthopedic Coding:
Refresh Your Femoral Fracture Know-How
The location, type, and treatment will all determine correct coding choices. Femoral frac... Read more
Oct 13, 2025
Neurology & Pain Management Coding:
Look for Disturbances Before Choosing Dementia Dx
Question: Encounter notes indicate a patient is diagnosed with severe vascular dementia. T... Read more
Oct 10, 2025
Neurosurgery Coding:
Know Surgical Specifics to Stop CSF Shunt Coding Mistakes
If the encounter included add-on procedures or co-surgeons, you need to know. Patients wh... Read more
Oct 10, 2025
Practice Management:
Navigate Exceptions for CLIA Certificate Locations
Question: Our practice has multiple locations, and our providers perform tests that are co... Read more
Oct 10, 2025
Technology & Innovation:
Are You Compliant When Using ChatGPT With Office Tasks?
Question: A staff member was writing a prior authorization request to the patient's payer ... Read more
Oct 09, 2025
Ob-Gyn Coding:
Learn Why Some Payers Still Deny +58661 for Tubal Ligation After a C-Section
Get clear guidance on when you can — and can't — report it separately. Reviewing a tu... Read more
Oct 09, 2025
Ob-Gyn Coding:
Unsuccessful Pessary Fittings? Do This
Question: We're having a discussion in my office about billing for unsuccessful pessary fi... Read more
Oct 09, 2025
Cardiology Coding:
Find Codes for This NSTEMI
Question: A patient presents to the emergency department with chest pain pressure and shor... Read more
Oct 08, 2025
Urology Coding:
Count Every Seed in This Marker Placement Scenario
Question: If my urologist performs a fiducial marker placement in the office, how sho... Read more
Oct 08, 2025
Medicare Regulations:
Prepare Now for OPPS and ASC Payment System Changes Coming in CY 2026
The policy's fine print holds some surprises. The Centers for Medicare & Medicaid Ser... Read more
Oct 08, 2025
Neurology & Pain Management Coding:
Consider Chronic Pain a Condition in Itself
Question: What is the difference between acute pain and chronic pain? Massachusetts Subsc... Read more
Oct 07, 2025
Diagnostic Radiology Coding:
Differentiate Between Foraminal Stenosis and Neurogenic Claudication
Question: I have a radiology report for a multiplanar, multisequence noncontrast MRI of th... Read more
Oct 07, 2025
E/M Coding:
Code This Tick Removal Encounter
Question: How should I code the following encounter? A 12-year-old established patie... Read more
Oct 07, 2025
Otolaryngology Coding:
Bill for Rescue Treatment in Cases of Induced Allergic Reactions
Question: Our practice has a policy for patients who come in for allergy testing or subcut... Read more
Oct 06, 2025
Oncology/Hematology Coding:
Interpret Guideline I.C.2 Correctly for Flawless Neoplasm Dx Coding
Be sure to take note of these helpful examples. If you want to hone your ability to code ... Read more
Oct 06, 2025
Gastroenterology Coding:
Learn What Every Coder Needs to Know for Coding Hepatitis
Here's the difference between alcoholic hepatitis and hepatitis C. As hepatitis diagnoses... Read more
Oct 06, 2025
Gastroenterology Coding:
Do This When Coding Dysphagia and Stricture Found During Endoscopy
Question: A patient with a history of gastroesophageal reflux disease (GERD) presented wit... Read more
Oct 03, 2025
Pediatric Coding:
Practitioner Determines New or Established, Not Location
Question: If our pediatrician discharged a newborn from the hospital and then sees the sam... Read more
Oct 03, 2025
Ob-Gyn Coding:
High-Risk Meds During Pregnancy? Report This
Question: I need help locating the ICD-10-CM codes for use of high-risk medication during ... Read more
Oct 03, 2025
Cardiology Coding:
Follow These Steps for Contrast Echo Code Selection
Question: My provider is reading echos for a hospital and has read a few limited echocardi... Read more
Oct 01, 2025
Compliance:
Use These Tips for DME Compliance
Question: I'm a newbie to durable medical equipment (DME) and not exactly sure what we nee... Read more
Oct 01, 2025
General Coding:
Use These Tips to Lock Up Your Appeal
Here's Part 2 in a series on filing appeals successfully. In August, we reviewed the step... Read more
Oct 01, 2025
E/M Coding:
Navigate NCCI Edits and Payer Policy to Understand Denial
Question: We are receiving denials for CPT® code +99417 indicating included. We are billi... Read more
Available Years:  2025  2024