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Revenue Cycle Insider
June 2026 Articles
June 2026 Articles
Jun 30, 2026
Pulmonology Coding:
Know When to Report Thoracostomy vs. Thoracentesis Procedures
Explore the procedure differences and how to get the correct code every time. A patient p...
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Jun 30, 2026
Podiatry Coding:
Understand These 4 Stages to Report Gout Flawlessly
Don't forget to look at the inclusion terms. According to the American Academy of Family ...
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Jun 30, 2026
Technology & Innovation in Healthcare:
Innovate Clinical Decision Making With AI
Question: Are industry leaders in artificial intelligence (AI) and healthcare teaming up t...
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Jun 30, 2026
Technology & Innovation in Healthcare:
Can You Disinfect a Catheter for Reuse? This Company Found a Way
Question: With the increasing costs of healthcare supplies, have companies developed produ...
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Jun 30, 2026
Diagnostic Radiology Coding:
Realize the Risks of AI in Billing and How to Avoid Them
Remember to review records regardless of what created them. Artificial intelligence (AI) ...
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Jun 30, 2026
Neurosurgery Coding:
Use This Advice to Master Intracranial Aneurysm Repair Coding
Know the factors that can make the surgery complex. Intracranial aneurysm repairs can be ...
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Jun 30, 2026
Orthopedic Coding:
Don’t Let Orthopedic Trauma Coding Break You
Use this practical guide to fractures, dislocations, and the associated injuries. The fra...
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Jun 30, 2026
Pulmonology Coding:
What Makes Asthma ‘Uncomplicated’?
Question: A 35-year-old patient was referred to the pulmonology clinic due to their wheezi...
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Jun 30, 2026
Pulmonology Coding:
Master How to Report Mediastinal Emphysema
Question: A 75-year-old patient presented to the pulmonologist with a chronic cough and un...
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Jun 30, 2026
E/M Coding:
Test Your MDM Identification With These Case Studies
See whether you can identify elements of MDM to level these encounter scenarios. Often, c...
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Jun 30, 2026
ICD-10-CM Coding:
Distinguish Active Kidney Stones From History of Stones
Question: Our nephrology office sees a 46-year-old established patient referred for recurr...
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Jun 29, 2026
Podiatry Coding:
Verify the Correct Varus Deformity Code
Question: A 65-year-old patient presented to the podiatrist with the inside of their right...
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Jun 29, 2026
Primary Care Coding:
Code This Thorny Encounter With Confidence
Question: An established adult patient presents with a painful puncture wound on the palm ...
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Jun 29, 2026
Medicare Regulations:
Act Now to Comply With 2027 Electronic Prior Authorization Requirements
That was CMS' recommendation in a recent communique. Do you know why? In May, the Centers...
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Jun 29, 2026
Podiatry Coding:
Move to the Head of the Class by Understanding Q Modifiers for Foot Care
Question: I'm new to podiatry coding and I was told I needed to append a class-finding mod...
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Jun 29, 2026
Otolaryngology Coding:
Beware This Contradictory Advice for Glossectomy, Tracheostomy Bundling
Question: Is a planned tracheostomy bundled with a glossectomy, or can you bill it separat...
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Jun 29, 2026
Cardiology Coding:
Observe These Rules When Reporting Cardiac Catheterization With Moderate Sedation
Coding hinges on who's providing which services. Cardiac catheterizations are very common...
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Jun 29, 2026
Neurology & Pain Management Coding:
Signals Tell the Story When Coding Evoked Potential Studies
Remember to look for other services during these encounters. An evoked potential (EP) stu...
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Jun 29, 2026
General Surgery Coding:
Recognize the Keys to Coding Diagnostic VATS Procedures
Does the provider have to perform a biopsy? Find out. During a video-assisted thoracic su...
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Jun 29, 2026
Gastroenterology Coding:
Get Comfortable Coding With AI in Your Gastro Practice
Understand how existing codes are being fused with new technology. As artificial intellig...
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Jun 29, 2026
E/M Coding:
For Chemical Peels, Lean on Documentation and Medical Necessity
Question: An established 16-year-old patient presents to an outpatient dermatology office ...
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Jun 26, 2026
Emergency Department Coding:
Eye These Codes for Ocular FBRs
Code for slit lamp use on some eye FBRs. The arrival of summer means people are working a...
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Jun 26, 2026
Pediatrics Coding:
Make Your Summer Coding Sparkle
Fireworks, though a Fourth of July tradition, are a major source of summer injuries. Summ...
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Jun 26, 2026
Compliance:
Aim for Compliance Maintenance, at the Least
Striving for robust compliance can help keep money coming in. Compliance is a crucial cur...
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Jun 26, 2026
Anesthesia Coding:
Use This Advice to Code and Bill Qualifying Circumstances for Anesthesia
Remember: Qualifying circumstances codes are never a primary anesthesia code. Qualifying ...
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Jun 26, 2026
Urology Coding:
Distinguish Screening From Diagnostic Testing to Avoid PSA Coding Errors
Remember: It all starts with the reason for the test. Although prostate-specific antigen ...
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Jun 25, 2026
General Coding:
Mash Through the Mental Block of Modifier 22
Understanding when not to use it is just as important. How can you determine if modifier ...
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Jun 25, 2026
Diagnostic Radiology Coding:
How Many Structures Need to Be Visualized for a Complete Ultrasound?
Question: A 44-year-old patient presented to a radiology practice with an acute knee injur...
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Jun 25, 2026
Orthopedic Coding:
Report a Shoulder Hemiarthroplasty Revision Correctly
Question: I have a surgical report where the orthopedic surgeon performed a shoulder hemia...
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Jun 24, 2026
Anesthesia Coding:
Multiple Anesthetists Involved? Try These Tips
Question: How do I bill a procedure that is started by one anesthesiologist, but finished ...
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Jun 24, 2026
Anesthesia Coding:
Distinguish Anesthesia Timing for These Two Concurrent Procedures
Question: An anesthesiologist participated in a breast reconstruction procedure after a pa...
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Jun 24, 2026
Optometry/Ophthalmology Coding:
Avoid Miscoding This Gonioscopy Examination
Question: A 6-year-old established patient with primary congenital glaucoma presented to t...
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Jun 23, 2026
Path/Lab Coding:
Decide Between These Codes for TPMT Activity Testing
Question: A provider wants to begin azathioprine (AZA) therapy for a patient with rheumato...
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Jun 23, 2026
Optometry/Ophthalmology Coding:
Use 92066 When a Vision Therapist Delivers Orthoptic Therapy
Question: I'm new to ophthalmology coding and I have a medical record for a patient who pr...
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Jun 23, 2026
Optometry/Ophthalmology Coding:
Know When to Bill E/M Services Versus Eye Exam Codes
Plus — find out if you can bill both codes on the same claim. Choosing between evaluati...
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Jun 22, 2026
Orthopedic Coding:
Does CTR Include Tenosynovium Biopsy? Find out
Question: I have an operative note for an open carpal tunnel procedure where the orthopedi...
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Jun 22, 2026
Emergency Department Coding:
Check Physician Actions Before Coding Cyst Tx
Question: A patient reports to the emergency department (ED) with a pilonidal cyst. What s...
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Jun 22, 2026
Otolaryngology Coding:
Code This Lesion Excision as a Biopsy
Question: Our otolaryngologist examined a patient and found a 2.8 cm white lesion with a s...
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Jun 18, 2026
Cardiology Coding:
Rely on Query for Clarity on Assessment vs. Diagnosis
Question: A patient presents to the cardiology office with palpitations, lightheadedness, ...
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Jun 18, 2026
Technology & Innovation in Healthcare:
Learn What You Can — and Can’t — Code From Ambient AI Notes
Focus on the work performed, not the amount of documentation generated. Healthcare organi...
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Jun 18, 2026
Compliance:
Turn Lesion Removal Red Flags Into Opportunities
Question: I'm conducting my first internal audit, on lesion removal procedures, and came u...
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Jun 17, 2026
Gastroenterology Coding:
Code the Signs and Symptoms for Suspected Celiac Disease
Question: We are treating a patient who is experiencing persistent constipation, flat...
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Jun 17, 2026
Oncology/Hematology Coding:
Get the Answers to All Your BI-RADS Coding Questions
Know which BI-RADS score prevents a first-listed diagnosis of Z12.31. When a radiologist ...
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Jun 17, 2026
Neurology & Pain Management Coding:
Know When to Use Combination Code for Parkinson’s Dx
Question: Encounter notes indicate a patient is suffering from “Parkinsons w/dyskinesia/...
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Jun 16, 2026
In Case You Missed It (RCI Bonus Content):
Coding Peripheral Vascular Disease With Rutherford’s
Use this classification to improve the specificity of acute or chronic ischemia. Any time...
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Jun 16, 2026
Urology Coding:
How Many Codes Are Needed for UTI, Hydronephrosis, and Kidney Stone Diagnoses?
Question: Our urologist diagnosed a patient with an acute urinary tract infection (UTI) an...
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Jun 16, 2026
Pediatric Coding:
Add Modifier 59 to Hear a Claim Approval
Question: What is the correct CPT® code for conducting hearing screenings on newborn...
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Jun 15, 2026
Diagnostic Radiology Coding:
Avoid S Codes for a Fracture That Has Already Healed
Question: An established patient presented for a global radiology follow-up office visit. ...
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Jun 15, 2026
Emergency Department Coding:
Consider Injury Type When Choosing These 2nd Characters
Question: When reporting a code from Chapter 19 of ICD-10-CM code book: Injury, Poisoning,...
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Jun 15, 2026
Oncology/Hematology Coding:
Use These Codes for Anemia Following Bariatric Surgery
Question: We have a patient seeing one of our oncologists with a diagnosis of iron deficie...
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Jun 12, 2026
Urology Coding:
Learn How to Code Diabetic CKD and Hypertensive CKD
Question: I have a medical record with type 2 diabetes mellitus, hypertension, and stage 3...
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Jun 12, 2026
Cardiology Coding:
Code Manifestation First for Drug-Induced Adverse Reaction
Question: An established patient with atrial fibrillation returns urgently to the cardiolo...
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Jun 12, 2026
ICD-10-CM Coding:
Get Familiar With the 2027 ICD-10-CM Updates
With nearly 300 coding changes, you won't want to miss this. Our team has scoured the 202...
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Jun 11, 2026
Medicare Regulations:
Make Sure Documentation Supports These 4 Criteria Before Billing Incident-to
Question: Our physician practice sees Medicare beneficiaries, and auxiliary staff sometime...
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Jun 11, 2026
Primary Care Coding:
Patients on GLP-1s? Clarify Coding, BMI Reporting Rules, and Payer Scrutiny
Here's why assigning E66.9 when the doctor documents ‘BMI 32.1' is incorrect. When you ...
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Jun 11, 2026
Practice Management:
Don’t Write Off the Unpaid Bills of a Deceased Patient
Find tips for pursuing collections via other avenues. Many providers take the easy way ou...
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Jun 10, 2026
Path/Lab Coding:
Reporting Path Services Before a Definitive Diagnosis Is Available? Here’s How
Test your knowledge with 4 typical examples. Pathology reporting often unfolds over time....
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Jun 10, 2026
General Coding:
Time Is of the Essence When Billing +95941
Question: I understand that CPT® +95941 (Continuous intraoperative neurophysiology monito...
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Jun 10, 2026
Medicare Regulations:
For Work-Related Injuries, Follow MSP Rules
Question: A Medicare beneficiary works part-time at a grocery store and slips while liftin...
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Jun 09, 2026
Neurosurgery Coding:
Dig Deeper for Cervical Arthrodesis Codes
Question: The surgeon performs arthrodesis via posterior technique on a patient with cervi...
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Jun 09, 2026
Oncology/Hematology Coding:
Know These Codes for Reporting Tumor Board Meeting
Question: Can I use 99358/+99359 to account for time when presenting a case for a specific...
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Jun 08, 2026
Neurology & Pain Management Coding:
Look for Further Sequences/Sections When Coding CT and MRI
Question: What is the difference between a CT scan and an MRI? Tennessee Subscriber Answ...
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Jun 08, 2026
Ob-Gyn Coding:
Code Intrauterine Device Services Accurately
Know how to code for standard IUD services and high-risk scenarios. Assigning the correct...
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Jun 08, 2026
Ob-Gyn Coding:
Should We Separately Report Antepartum Care From Multiple Providers?
Question: If multiple healthcare providers from the same ob-gyn practice saw a patient dur...
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Jun 05, 2026
General Surgery Coding:
Analyze This Axillary Lymph Node Biopsy Case
Question: A patient presented to radiology for a superficial axillary lymph node core need...
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Jun 05, 2026
E/M Coding:
Don’t Risk Upcoding in a Telehealth Scenario
Question: An established patient is seen by telehealth for follow-up of diabetes, hyperten...
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Jun 05, 2026
Primary Care Coding:
Don’t Rely on Wearable Alerts Alone for AFib Diagnosis
Question: An established patient presents for a follow-up for hyperlipidemia and mentions ...
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Jun 04, 2026
Pediatric Coding:
Feel the Love for Tennis Elbow Coding
Question: The provider saw an established 13-year-old patient who was experienc...
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Jun 04, 2026
Neurosurgery Coding:
Get Specifics Before Coding This X-Ray
Question: The neurosurgeon performed a lumbosacral X-ray for a patient who had lumbar spin...
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Jun 04, 2026
General Coding:
Choose Wisely Between Related POS and CPT® Codes
Question: We know how we should bill when a patient is taken out of their skilled nursing ...
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Jun 03, 2026
General Surgery Coding:
Know When to Report a ‘Separate Procedure’
Question: Our surgeon placed an anal seton to treat a fistula, and they also performed an ...
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Jun 03, 2026
Otolaryngology Coding:
Denied by AI? Here’s How to Fight Back
Check out these 2 examples for future documentation improvements. You already know artifi...
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Jun 03, 2026
Gastroenterology Coding:
Review This Post-Surgery Ulcer Scenario
Question: After a laparoscopic gastrojejunostomy, the patient returned a few weeks la...
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Jun 02, 2026
ICD-10-CM Coding:
Don’t Take Verbal Query Response as Part of Medical Record
Question: A patient presents for a regular appointment with the pulmonologist for a follow...
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Jun 02, 2026
Compliance:
Tread Carefully With Patient Images and Personal Devices
Question: A provider takes a clinical photo of a patient's forearm rash on a personal smar...
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Jun 02, 2026
Path/Lab Coding:
Mind This Modifier for Multiple Slide Submissions
Question: We have an in-house lab, and when we bill out 87210, we charge for 2 units: one ...
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Jun 01, 2026
Ob-Gyn Coding:
Recognize the Universal Rule for Sequencing Diagnosis Codes
Question: I read “Use This Advice for Dx Sequencing for a Viability Ultrasound in an AMA...
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Jun 01, 2026
Practice Management:
Give Scheduling Staff Guidelines for Different Types of Visits
Question: What are tips for onboarding front-desk and scheduling staff regarding the diffe...
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Jun 01, 2026
Practice Management:
Consider A Business Case for Patient Navigator Program
Question: I would like to implement a patient navigation program, but leadership is worrie...
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