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November 2025 Articles

Nov 28, 2025
General Coding:
Find Clarity in Wound Care Coding
Here's what you need to know regarding diagnosis documentation and reporting for wound car... Read more
Nov 28, 2025
Neurosurgery Coding:
Know Vertebroplasty/Kyphoplasty Differences for Correct Coding
Affected bone being elevated? That's a kyphoplasty. Kyphoplasty and vertebroplasty are mi... Read more
Nov 28, 2025
Optometry/Ophthalmology Coding:
Get to Know Uveitis and How to Code the Diagnosis
Question: I'm new to ophthalmology coding and have an encounter note where the physician d... Read more
Nov 28, 2025
Cardiology Coding:
Know These Qualifications for Medicare-Covered TTVR Surgery
Question: A colleague mentioned that the Centers for Medicare & Medicaid Services (CMS... Read more
Nov 28, 2025
Technology & Innovation in Healthcare:
Learn if Human Intelligence Is Still Necessary With Transcription
Question: The practitioners I work with are using artificial intelligence (AI) to transcri... Read more
Nov 28, 2025
Practice Management:
Working Together Is Key for Timely Filing
Question: When it comes to high-dollar claims, do you differentiate between timely filing ... Read more
Nov 28, 2025
Diagnostic Radiology Coding:
Brighten Your Understanding of Coding Sunrise X-ray Views
Question: What CPT® code should we use for bilateral sunrise views of knees? The patient ... Read more
Nov 28, 2025
Diagnostic Radiology Coding:
Teach AI to Compare Mammogram Views – Part 1
Discover how AI is trained to read mammograms like a radiologist. The mammogram screening... Read more
Nov 28, 2025
Path/Lab Coding:
Navigate Reproductive Medicine Lab Codes for Clean Claims
Account for each step in cases that may span years. To establish a healthy pregnancy, inf... Read more
Nov 26, 2025
Orthopedic Coding:
Reduce Your Coding Confusion for 3 Common Shoulder Injuries
Find out the common term for adhesive capsulitis. The shoulder is one of the most complex... Read more
Nov 26, 2025
Orthopedic Coding:
Know Your Options for This Shoulder Resurfacing Procedure
Question: I have a report for a patient who had a previous shoulder resurfacing procedure ... Read more
Nov 26, 2025
ICD-10-CM Coding:
Follow These Steps to Code an SCFE Injury
Question: An adolescent patient presented with a right hip injury and the provider documen... Read more
Nov 26, 2025
Oncology/Hematology Coding:
Get the Answers to These Frequently Asked Sickle Cell Disease Questions
Here's how to handle reporting SCD crises. Sickle cell disease (SCD) “affects more than... Read more
Nov 26, 2025
Oncology/Hematology Coding:
Look to Neuroendocrine Features for Correct SCC Coding
Question: In my research I have learned that small cell carcinomas are considered a neuroe... Read more
Nov 26, 2025
General Surgery Coding:
Is 97597 Appropriate for Selective Mechanical Debridement?
Question: Physician's op note states “Mechanical debridement of biofilm to the level of ... Read more
Nov 26, 2025
General Surgery Coding:
Learn How to Code Intraoperative Complications Correctly
Question: I have an operative note that states the patient suffered an intraoperative comp... Read more
Nov 26, 2025
General Surgery Coding:
Remove Any Confusion With Answers to These 5 Debridement FAQs
Do burn debridement procedures have their own codes? Removing unhealthy or dead tissue fr... Read more
Nov 25, 2025
Neurology & Pain Management Coding:
Follow Coding Steps for Neuropathy With Underlying Disease
Question: Encounter notes indicate a patient suffers from autonomic neuropathy caused by d... Read more
Nov 25, 2025
ICD-10-CM Coding:
Find Correct Code for Folate Deficiency Diagnosis
Question: A provider saw a 35-year-old patient who complained of fatigue. The patient's re... Read more
Nov 25, 2025
Path/Lab Coding:
Look to Provider Documentation to Code Elevated PSA
Question: A patient's prostate-specific antigen (PSA) test showed a level that was higher ... Read more
Nov 25, 2025
Path/Lab Coding:
Report Pathologist, Not Provider, Findings for This EGD Procedure
Question: The surgeon submitted a stomach biopsy of “inflamed tissue” from an eso... Read more
Nov 25, 2025
Gastroenterology Coding:
Find Out if CPT® 2026 Has New Gastroenterology Codes
Question: Are there any new gastroenterology procedure codes taking effect on Jan. 1,... Read more
Nov 25, 2025
Gastroenterology Coding:
Look to the 6th Character to Specify a Barrett’s Esophagus Diagnosis
Question: An established patient with Barrett's esophagus came in for a surveillance visit... Read more
Nov 25, 2025
E/M Coding:
Use These Tips to Distinguish Inherent From Separate Services
Make sure you can survive a modifier 25 audit with these tips. Modifier 25 (Significant, ... Read more
Nov 25, 2025
E/M Coding:
Pay Attention to Time for This New Patient E/M
Question: A provider saw a new patient and spent 44 minutes at the encounter. The provider... Read more
Nov 24, 2025
General Coding:
Use These Resources for Educational Conversations
Question: I'm an auditor who works with both coders and providers who want to do things co... Read more
Nov 24, 2025
General Coding:
Use These Tips When Coding a Problem During a Well Visit
Question: A 48-year-old patient presents to their gynecologist for an annual preventive se... Read more
Nov 24, 2025
Anesthesia Coding:
Dive Deep on Nerve Blocks for Postoperative and Chronic Pain
Hint: In some situations, you need to know whether the surgeon requested a block. Postope... Read more
Nov 24, 2025
Medicare Regulations:
Use These Tools to Check Eligibility
Question: We regularly see new patients, many of whom are Medicare beneficiaries. I know b... Read more
Nov 24, 2025
Anesthesia Coding:
Use 01402 for This Knee Surgery Anesthesia Service
Question: How should I code anesthesia services for a total knee arthroplasty on a 59... Read more
Nov 21, 2025
In Case You Missed It (RCI Bonus Content):
Deliver Proper Coding for Enteral Nutrition
Medicare coverage, medical necessity, and supplies all weigh in. Enteral nutrition is a m... Read more
Nov 21, 2025
Primary Care Coding:
Rely On These Codes When Reporting Portal Communication
Question: The primary care physician (PCP) I work for had a conversation with an establish... Read more
Nov 21, 2025
Neurosurgery Coding:
Know Neurofibromatosis Type Before Choosing Dx
Question: A patient reported to the neurosurgeon for an osteotomy of the thoracic spine to... Read more
Nov 21, 2025
Technology & Innovation:
Recognize the Differences in Remote Patient Monitoring Types
Pay attention to your documentation when billing RPM. Healthcare practitioners often use ... Read more
Nov 21, 2025
Anesthesia Coding:
Find Codes for Anesthesia Servies During Bypass Surgery
Question: One of the anesthesiologists I work with began a cardiopulmonary bypass case wit... Read more
Nov 20, 2025
Podiatry Coding:
Code This Hyperkeratotic Lesion Removal Case
Question: A podiatrist saw a Medicare patient with diabetes and evaluated the patient's fe... Read more
Nov 20, 2025
Practice Management:
Hold Onto Your Money From High-Dollar Claims
Inspire your team with tips to keep funds in your practice's pocket. With almost $20 bill... Read more
Nov 20, 2025
Primary Care Coding:
Rely On Discrete Documentation for Specific Encounter
Question: One of the primary care physicians (PCPs) I work for documented a visit: a 78-ye... Read more
Nov 20, 2025
Gastroenterology Coding:
Follow These CRC Testing Requirements to Bolster Your Claims – Part 1
Learn how often patients are eligible for a screening. Correctly coding colorectal cancer... Read more
Nov 19, 2025
Neurology & Pain Management Coding:
Remember to Code This Epilepsy Type to the 6th Character
Question: Encounter notes indicate that an epileptic patient suffers from attacks “w/no ... Read more
Nov 19, 2025
Urology Coding:
Learn How to Assign R97.20 for Elevated PSA Values
Question: A 55-year-old patient presented to the urologist for a prostate specific antigen... Read more
Nov 19, 2025
Optometry/Ophthalmology Coding:
Are 11440-11446 Appropriate for Chalazion Excisions?
Question: I have an op note that indicates the surgeon excised two chalazions from the pat... Read more
Nov 19, 2025
Pulmonology Coding:
Watch Out for Double Billing on COVID-19 Vaccine Administration
Question: An established patient presented for a routine follow-up visit concerning their ... Read more
Nov 18, 2025
Orthopedic Coding:
Learn if 29806 or 29827 Are Needed for a Remplissage Procedure
Question: The orthopedic surgeon performed arthroscopic shoulder labral repair and remplis... Read more
Nov 18, 2025
Medicare Regulations:
Consider Dx Complexity When Billing G2211
Question: I think the code descriptor for G2211 makes it seem like a coder can't bill G221... Read more
Nov 18, 2025
Compliance:
Tighten Up Your E-Signature Security
Question: During a recent risk assessment audit, it was found that our e-signatures, ... Read more
Nov 17, 2025
Urology Coding:
Can You Bill Catheter Exchange and Injection Procedures Separately?
Question: A patient came in for a Botox injection in their bladder, which happened through... Read more
Nov 17, 2025
Pediatric Coding:
Inflate Your Asthma Expertise
Remember to include a 5th character when coding an asthma diagnosis. With roughly 4.9 mil... Read more
Nov 17, 2025
Oncology/Hematology Coding:
Consider Cause in This Cancer Anxiety Coding Conundrum
Question: Our providers often address the patient's anxiety related to their new cancer di... Read more
Nov 14, 2025
E/M Coding:
Look for Data Elements to Count Discussions Toward E/M
Question: I code for physicians who see inpatients and collaborate with other providers on... Read more
Nov 14, 2025
Technology & Innovation:
Copy and Paste Isn’t All It’s Cut Out to Be
Question: One of our practitioners copies and pastes the same template in their notes over... Read more
Nov 14, 2025
Podiatry Coding:
Know the Documentation Requirements for Anti-Fungal Treatments
Question: A patient presents to our podiatry practice with fungal nails, and the podiatris... Read more
Nov 13, 2025
Emergency Department Coding:
Know Stages to Take Pressure Off When Coding These Ulcers
Question: A patient reports to the emergency department (ED) with a pressure ulcer on thei... Read more
Nov 13, 2025
Otolaryngology Coding:
Peruse This Primer for Nasal Polyp Removal Coding Precision
And mind these modifiers to avoid denials. Nasal polyps are benign mucosal growths that c... Read more
Nov 13, 2025
Cardiology Coding:
Check Your Coding Knowledge of Cardioplegia Medication in CABG Procedures
Question: A patient's record includes the following documentation: Appropriate consent ob... Read more
Nov 12, 2025
Primary Care:
Learn When and How to Correctly Use Personal History Codes
Refresh your knowledge of the Z codes to accurately report past medical conditions that af... Read more
Nov 12, 2025
Diagnostic Radiology Coding:
Do Pelvic X-rays Receive a Separate Code When Captured With Hip X-rays?
Question: I have a radiology report where the physician documented, “An AP pelvis and la... Read more
Nov 12, 2025
Emergency Department Coding:
Rely On Modifier Trio for This Elbow Fix
Question: A 4-year-old patient presents to the emergency department (ED) with an obviously... Read more
Nov 11, 2025
Compliance:
Leverage the Payers’ Resources to Keep More of Your Claim Payment
Learn how to use each payers tools to your practice's advantage. Although every practice ... Read more
Nov 11, 2025
Urology Coding:
Prepare for New Prostate Procedure CPT® Codes in 2026
Get to know the new in-bore prostate biopsy codes. With 2026 approaching, urology coders ... Read more
Nov 11, 2025
Pulmonology Coding:
Use R Codes to Report Unspecified Abnormal Findings
Question: One of our pulmonologists ordered a chest X-ray for a patient to evaluate their ... Read more
Nov 10, 2025
Podiatry Coding:
Tackle Turf Toe Injury Coding With These Tips – Part 2
Is there a specific turf toe treatment procedure code? Turf toe is a painful injury that ... Read more
Nov 10, 2025
Neurology & Pain Management Coding:
Stay Awake to Routine EEG Coding Possibilities
Consider the patient's consciousness status before selecting a code. When the provider pe... Read more
Nov 10, 2025
Pediatric Coding:
Recent NCCI Edits Creating a Problem
Question: I just got a denial for a patient who received a nasal flu vaccine and a COVID s... Read more
Nov 07, 2025
Medicare Regulations:
Find Out Which Proposals Made the MPFS Final Rule
The final conversion factors are lower than what CMS initially proposed. The Centers for ... Read more
Nov 07, 2025
Emergency Department Coding:
Navigate E/M Codes for Patients in the Emergency Department
Time is definitely NOT of the essence when it comes to ED coding. When a patient presents... Read more
Nov 07, 2025
Otolaryngology Coding:
Know the Difference Between These Turbinate Surgery Codes
Question: What is the correct way to code the following op note? I am having some difficul... Read more
Nov 06, 2025
Pediatric Coding:
Don’t Get Swallowed by Strep Test Coding
Question: I'm new to pediatric coding, and I'm unsure how to code the following encounter:... Read more
Nov 06, 2025
Neurosurgery Coding:
Know Shunt Malfunction Types to Master Coding
Question: Encounter notes indicate that the neurosurgeon saw a patient who was experiencin... Read more
Nov 06, 2025
Practice Management:
Gain Confidence in Your Query Process
Question: We are trying to outline our query process and want some more insight. When you ... Read more
Nov 05, 2025
Compliance:
Remain HIPAA Compliant While Transitioning to Digital
Question: I'm a manager at an office that still uses a lot of paper. We are looking to fin... Read more
Nov 05, 2025
Optometry/Ophthalmology Coding:
Take These 4 Steps to Master Diabetic Retinopathy Dx Coding
Don't forget to test yourself at the end. The most severe complications of diabetes are c... Read more
Nov 05, 2025
Pulmonology Coding:
Examine This Guide to Common Pulmonary Procedure Codes — Part 2
Learn how to report HSATs for Medicare patients. Pulmonary medicine encompasses a wide ra... Read more
Nov 04, 2025
Ob-Gyn Coding:
Know What to Do When Induction Takes Days
Question: Do most payers cover evaluation and management (E/M) codes for patients who are ... Read more
Nov 04, 2025
Ob-Gyn Coding:
Keep Global Codes on Hand Even When MD Leaves
Question: One of our providers recently left our office, so all the patients were transfer... Read more
Nov 04, 2025
Ob-Gyn Coding:
Dive Deep Into Hysteroscopy Coding With This Guide – Part 1
Why knowing when — and how — to report each code can be tricky. Hysteroscopy procedur... Read more
Nov 03, 2025
Otolaryngology Coding:
Bill for Grafts in This Tympanic Membrane Perforation Repair Encounter
Question: Our provider repaired a tympanic membrane perforation using both a tragal cartil... Read more
Nov 03, 2025
Cardiology Coding:
Endovascular Revascularization Coding: How to Report a Superior Vena Cava Stent Procedure
Don't confuse codes for veins with codes for arteries. When your provider performs a perc... Read more
Nov 03, 2025
ICD-10-CM Coding:
Use These Tips for Educating Providers on Diagnosis Documentation
When your provider's documentation falls short, approach them with official guidelines and... Read more
Available Years:  2025  2024