January 2026 Articles

Jan 30, 2026
Otolaryngology Coding:
Know When Unspecified Is an Appropriate Classification
Question: A colleague said to try not to use unspecified ICD-10-CM codes. However, numerou... Read more
Jan 30, 2026
Pulmonology Coding:
Stay On Top of Your TB Coding With This Helpful Guide
Identify the correct IGRA testing codes. Pulmonary tuberculosis (TB) is a form of TB that... Read more
Jan 30, 2026
Primary Care Coding:
Note Place of Service Before Coding Incident-to
Question: A physician and several nurses in our primary care practice occasionally travel ... Read more
Jan 30, 2026
Path/Lab Coding:
Breathe Easy With This Complete RSV Coding Guide
Know how to code for the “Big 3” RSV-related respiratory conditions. Has your lab bee... Read more
Jan 30, 2026
Neurology & Pain Management Coding:
Use 4 Simple Strategies to Differentiate Migraine Codes
Hint: In many cases, you'll be coding out to the 6th character. ICD-10-CM coding for migr... Read more
Jan 30, 2026
General Surgery Coding:
Use Modifier 52 When a Catheter Is Present for a Urethrocystography
Question: I have a report of an encounter with a 68-year-old established patient. The pati... Read more
Jan 30, 2026
General Surgery Coding:
Sort Out Global Package Status Indicator Confusion
Question: I'm new to coding and I'm still not clear on the global surgery packages. Could ... Read more
Jan 30, 2026
Technology & Innovation in Healthcare:
Get Answers to 5 Burning AI Questions From Coding Industry Experts
Could coders be used to train AI models in the future? Medical coders and auditors have v... Read more
Jan 30, 2026
Orthopedic Coding:
Use This Guide to Tackle Your Tendon Injection Claims
Remember to prove medical necessity. Providing therapeutic injections to tendons or ligam... Read more
Jan 29, 2026
Neurosurgery Coding:
Separate Shunt Surgery From Neuroendoscopy
Question: The neurosurgeon created a ventriculo-peritoneal shunt to drain a buildup of cer... Read more
Jan 29, 2026
Podiatry Coding:
Learn How to Report a Sever’s Disease Diagnosis
Question: A pediatric patient presented to the podiatry clinic with complaints of pain in ... Read more
Jan 29, 2026
Compliance:
Don’t Bill Incident to in Avoidance of Sanctions
Question: There's a doctor who recently joined our practice from out of state and is havin... Read more
Jan 29, 2026
General Coding:
List Procedure by RVU, Not Cost
Question: When I'm reporting multiple procedures on a claim, which should I list first? An... Read more
Jan 29, 2026
E/M Coding:
Know Status of RN When Calculating E/M Level
Question: I work at an office that prescribes birth control. Sometimes, registered nurses ... Read more
Jan 29, 2026
Practice Management:
Try These Tips to Ease Pain Points in Your Revenue Cycle
Making decisions around patient convenience can be a fruitful investment. Incorporating c... Read more
Jan 29, 2026
Technology & Innovation:
Provide Patients With Presbyopia Relief
Question: Our practice sees several middle-aged patients who experience a decline in their... Read more
Jan 29, 2026
Urology Coding:
Test Your Skills With These Pediatric Urology Coding Scenarios
Tip: Remember to add supplementary testing codes when needed. Pediatric urology procedure... Read more
Jan 29, 2026
Primary Care Coding:
Find Tips for Comprehensive Coding on Preventive Care Encounters
Hint: Rely on E/M codes for commercial payers and HCPCS for Medicare. Preventive care vis... Read more
Jan 29, 2026
Diagnostic Radiology Coding:
Imagine Coding Achilles Imaging Scenarios With Ease
Method is key to correctly coding these Achilles procedures. When a patient experiences a... Read more
Jan 28, 2026
General Coding:
Lean on Multiple Choice for Query Gold Standard
Question: Which is the “safest” type of written query format: open-ended, multiple cho... Read more
Jan 28, 2026
Otolaryngology Coding:
Take These 2 Tips, Report Lesion Removal and Different-Day Tissue Transfer Correctly
Question: One of our otolaryngologists excised a lesion from a patient's nose with an exci... Read more
Jan 28, 2026
Optometry/Ophthalmology Coding:
Hook The Correct Code for Lens Subluxation
Question: A patient presented to urgent care following an injury during a boxing training ... Read more
Jan 28, 2026
Podiatry Coding:
Look to an Unlisted Code For Plantar Fascia Fenestration
Question: I have a report for a procedure performed at our podiatry clinic. The patient pr... Read more
Jan 28, 2026
Podiatry Coding:
Don’t Get Caught Flatfooted When Coding Pes Planus
Is there a single code for flat feet correction? Flat feet — clinically referred to as ... Read more
Jan 28, 2026
E/M Coding:
Don’t Use 94451 for Referring Physician’s Work
Question: A provider in my practice reached out to another physician to consult on a patie... Read more
Jan 27, 2026
Neurosurgery Coding:
Remember External Cause Code With Concussion Dx
Question: A patient reports to the neurosurgeon with symptoms of headache, dizziness, and ... Read more
Jan 27, 2026
Practice Management:
Rely On Technology for Tightening Team Communication
Question: I'm trying to get my coding team on the same page, generally, but I'm also tryin... Read more
Jan 27, 2026
Practice Management:
Work Through Backlogs via Specific Goals
Question: I just joined a practice and am shocked by the backlog of claims that need to be... Read more
Jan 27, 2026
Optometry/Ophthalmology Coding:
Check Out These Ophthalmology CPT® 2026 Changes
Question: Does the CPT® code set have any optometry or ophthalmology code changes in 2026... Read more
Jan 27, 2026
Medicare Regulations:
Get a Handle on the 2 MPFS Conversion Factors in 2026
Revenue cycle management teams should expect ongoing payment differences between QP and no... Read more
Jan 27, 2026
Medicare Regulations:
Know Actual ‘Housebound’ Definition
Question: The providers I work for see a lot of elderly Medicare beneficiaries who rarely ... Read more
Jan 23, 2026
In Case You Missed It (RCI Bonus Content):
Spotlight on 2026 Medicare Policy Changes
Find out if your practice will be affected by these significant developments. A new year ... Read more
Jan 23, 2026
Emergency Department Coding:
Secure Incision and Drainage Pay With 5 Key Tips
Differentiate simple from complicated to nail down the right code. When your emergency de... Read more
Jan 23, 2026
ICD-10-CM Coding:
Choosing the Correct Code for Documented Endometriosis
Question: My provider documented “endometriosis with chronic pelvic pain” after perfor... Read more
Jan 23, 2026
Anesthesia Coding:
Find CPT® and ASA Crosswalk Solutions for Discectomy Coding
Question: How should I code anesthesia services for a discectomy? Oklahoma Subscriber An... Read more
Jan 23, 2026
ICD-10-CM Coding:
Code Acute Appendicitis Without Peritonitis Like This
Question: A surgeon documents “acute appendicitis” and explicitly states that the pati... Read more
Jan 23, 2026
Compliance:
Know Difference Between Documentation Amendment and Addendum
Question: Why can't a provider “unsign” a medical record, and then go back in and chan... Read more
Jan 22, 2026
Urology Coding:
Accurately Code This Kidney and Ureter Stone Case
Question: Can you help me to correctly choose the diagnosis code for a patient found ... Read more
Jan 22, 2026
Neurosurgery Coding:
Here’s How to Confidently Navigate Coding Arthrodesis for Spinal Deformity
Did you know that spinal deformity arthrodesis follows a different set of coding rules tha... Read more
Jan 22, 2026
Diagnostic Radiology Coding:
Don’t Get Squeezed for Missing This Modifier
Question: A patient who previously underwent a mastectomy due to breast cancer came to our... Read more
Jan 21, 2026
General Surgery Coding:
Learn How to Correctly Report Unlisted Procedures
Plus, avoid common unlisted procedure billing errors. Unlisted CPT® codes are found with... Read more
Jan 21, 2026
Gastroenterology Coding:
Understand Ulcerative Colitis vs. Crohn’s Disease With This Guide
Here's how location and depth of disease determine your diagnosis code. Coding for inflam... Read more
Jan 21, 2026
Neurology & Pain Management Coding:
Look to Combination Code for Some Myelographies
Question: Encounter notes indicate that the PM specialist saw a patient with granulomas in... Read more
Jan 20, 2026
Pulmonology Coding:
Recognize These Codes for Remote Pulse Ox Monitoring
Question: Our pulmonology practice just started offering remote physiological monitoring (... Read more
Jan 20, 2026
Pulmonology Coding:
Pinpoint the Difference Between Pulmonary Hypertension and Heart Failure
Question: Is pulmonary hypertension considered a type of heart failure? Florida Subscribe... Read more
Jan 20, 2026
Otolaryngology Coding:
Ask These 5 Questions, Get Your Epistaxis Coding Under Control
Know when you should, and should not, code for laterality. When your otolaryngologist per... Read more
Jan 19, 2026
ICD-10 Coding:
6 Steps Show You How to Code Tachycardia Diagnoses Accurately
Learn what to look for in your physician's documentation. Tachycardia coding can be trick... Read more
Jan 19, 2026
Anesthesia Coding:
Consider These Aspects of Procedure Coding for Postoperative Pain Management
Hint: Look to the anatomical approach to find the right code. Procedure coding will depen... Read more
Jan 19, 2026
Path/Lab Coding:
Modify Your Understanding of QW Use
Question: I am still confused about when to append modifier QW to a lab test. What advice ... Read more
Jan 16, 2026
Orthopedic Coding:
Does a Periprosthetic Fracture Treatment Need Modifier 22?
Question: I'm new to orthopedic coding and I'm looking for a second opinion on the followi... Read more
Jan 16, 2026
Orthopedic Coding:
Identify How to Report a Knee Joint Scar Excision
Question: How should I report an intra-articular scar excision? I've always been told to u... Read more
Jan 16, 2026
Path/Lab Coding:
Consult This 88323 Advice
Question: When our pathologist receives material from another physician for slide preparat... Read more
Jan 15, 2026
Compliance:
Use These Strategies to Align Your CDI and Coding Teams
Hint: Compliance programs offer built-in structures you can use. Moving from siloed to co... Read more
Jan 15, 2026
Pediatric Coding:
Unravel This Ringworm Encounter
Question: I'm new to coding and I have no idea where to even begin with coding the followi... Read more
Jan 15, 2026
Emergency Department Coding:
Know When to Roll ECG Interpretation Into E/M
Question: The emergency department (ED) physician orders an electrocardiogram (ECG) for a ... Read more
Jan 14, 2026
Pediatric Coding:
Use These New Immunization Counseling Codes in Your Practice
When vaccine visits result in refusal, these codes will still result in reimbursement. Be... Read more
Jan 14, 2026
Gastroenterology Coding:
Count On a Calculus Code for a Gallstone Diagnosis
Question: I have a record of an encounter with a patient who presented to the emergency de... Read more
Jan 14, 2026
Oncology/Hematology Coding:
Take Note of These 2026 Rad Onc Code Additions and Revisions
Plenty of G code deletions will help make your life easier!  This year, the Radiatio... Read more
Jan 13, 2026
Oncology/Hematology Coding:
Take This Advice to Code Screening Mammograms Correctly
Question: I am still confused about the correct way to code for a screening mammograp... Read more
Jan 13, 2026
Medicare Regulations:
Medicare Part B Covers a Separate Cognitive Assessment Visit
Question: We have a few patients that are complaining about mental decline. I thought I sa... Read more
Jan 13, 2026
Technology & Innovation:
Learn How You Can Build Your AI Skills
Question: How can coders, auditors, and other personnel in the health information manageme... Read more
Jan 12, 2026
Pediatric Coding:
Correctly Code These Separate but Equal Encounters
Question: A parent came in with their twin children, who were showing signs of having cold... Read more
Jan 12, 2026
Ob-Gyn Coding:
After Cancer Surgery, Look to This Modifier for Chemo Plan
Question: When can we bill a visit after a surgery for cancer? My colleague says that we c... Read more
Jan 12, 2026
Gastroenterology Coding:
Learn How to Report an EGD With Stent Exchange Procedure
Question: I have a report for an esophagogastroduodenoscopy (EGD) with a stent removal and... Read more
Jan 09, 2026
Ob-Gyn Coding:
Report Perimenopause With Precision Using the N95.- Codes
Know when to report perimenopause and when to report symptoms. Perimenopause is a transit... Read more
Jan 09, 2026
Ob-Gyn Coding:
Avoid P Codes for Breastfeeding Counseling
Question: A patient who had problems breastfeeding their newborn came to see our ob-gyn. W... Read more
Jan 09, 2026
Optometry/Ophthalmology Coding:
Pick the Correct Pink Eye Codes With This Handy Guide
Remember to pay attention to code notes. Conjunctivitis, often called “pink eye,” is ... Read more
Jan 08, 2026
Oncology/Hematology Coding:
Understand MDM Definitions for Chronic Conditions
Question: We are treating a patient with chronic lymphocytic leukemia (CLL). The condition... Read more
Jan 08, 2026
Cardiology Coding:
Atrial Fibrillation Ablations: A Practical Guide to Submitting Medical Claims
Don't miss these potential add-on codes. As a medical coder working in cardiology, electr... Read more
Jan 08, 2026
Cardiology Coding:
Reporting 93246: What Documentation Is Necessary?
Question: I'm preparing to submit a claim with 93246, but I want to make sure I have the d... Read more
Jan 07, 2026
Diagnostic Radiology Coding:
Beware of Included Services Causing Denials
Question: I am relatively new to coding and recently had a claim denied. One of our radiol... Read more
Jan 07, 2026
Urology Coding:
Code This Combo Repair Procedure
Question: What is the appropriate procedure coding for an escutcheonectomy in conjunc... Read more
Jan 07, 2026
Cardiology Coding:
Do I Need a Modifier for 93010?
Question: After a patient undergoes cardiac surgery and is discharged, the cardiologi... Read more
Jan 06, 2026
Emergency Department Coding:
Know Complexity Definitions to Nail Wound Repair Coding
Question: A patient reports to the emergency department (ED) with two wounds on their trun... Read more
Jan 06, 2026
Neurology & Pain Management Coding:
Dig Deep for Drug Dependence Dx
Question: If a patient suffers from clonazepam (Klonopin) dependence with withdrawal, what... Read more
Jan 05, 2026
Primary Care Coding:
Find the Solution to This Fungal Case
Question: A patient came in stating they noticed a gradual thickening and discoloration of... Read more
Jan 05, 2026
E/M Coding:
Use These Tips to Select the Right E/M Code in the Hospital Setting
Is it an observation, consultation, or an office visit? Refresh your E/M coding skills for... Read more
Jan 02, 2026
Anesthesia Coding:
Use This Process for FBR Anesthesia Coding
Question: How do I code the anesthesia service for a foreign body removal in the airway? ... Read more
Jan 02, 2026
General Coding:
Getting Past The Velvet Rope: Master Prior Authorization to Unlock Medical Payments
Find tips for achieving successful prior authorizations. The best experiences are often b... Read more
Available Years:  2026  2025  2024