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Published on Thu Aug 14, 2025

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August 2025

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Smooth Over These Common Skin Conditions
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Orthopedic Coding:
Analyze Arthroscopic Shoulder Surgical Procedure Coding Rules
Don’t report 2 codes when only 1 is needed. Orthopedic procedures on the shoulder can [...]

ICD-10-CM Coding:
Be Agile When Coding Conditions That Might Require PT
One code in ICD-10-CM may be useful to describe several different conditions. If you see [...]

Neurosurgery Coding:
Use Combo Codes to Reduce Dx Coding Burden
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Podiatry Coding:
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General Surgery Coding:
Build Your Understanding of Bariatric Surgery Coding
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Anesthesia Coding:
Check Your Knowledge of Anesthesia Billing Myths
Don’t try to add extra time at the beginning — or the end! Anesthesia can [...]

Anesthesia Coding:
Use These Two Modifiers to Show Anesthesiologist and CRNA Work
Question: We recently had a situation where the anesthesiologist and a certified registered nurse anesthetist [...]

Neurosurgery Coding:
Anesthesia Question Important in This Manipulation Scenario
Question: When the surgeon performs spinal manipulation for a patient, what CPT® code is most [...]

Pulmonology Coding:
Report Pulmonary Hypertension Due to Bronchiectasis
Question: A 75-year-old patient presented to the emergency department (ED) with shortness of breath, fatigue, [...]

Primary Care Coding:
Find Appropriate Z Code for Evaluation Encounters
Question: A patient scheduled an appointment because they needed to have a physical before they [...]

Anesthesia Coding:
Don’t Bill for PCA as Anesthesia Service
Question: A patient was receiving remifentanil as patient-controlled analgesia (PCA) for pain control while in [...]

Otolaryngology Coding:
Don’t Sneeze at This Rhinitis Coding Advice
Question: How do I code allergic vasomotor rhinitis? It seems like there’s a code for allergic [...]

Otolaryngology Coding:
Determine Degree of Drainage in This Parotid Abscess Encounter
Question:Our otolaryngologist admitted a patient with parotitis to the hospital. Three days later, the patient [...]

Technology & Innovation:
Use These 6 Tips to Select Secure Healthcare Vendors
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Technology & Innovation:
Could a Trip to Space Offer a Treatment for Osteoporosis?
Question: I’ve read articles in the past about astronauts returning to Earth, and they’ve lost [...]

Urology Coding:
Report Laparoscopic Pyeloplasty and Cysto Stent Placement Together
Question: A urologist performed a laparoscopic pyeloplasty. They also placed a stent via cystourethroscopy by [...]

Practice Management:
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Pulmonology Coding:
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Optometry/Ophthalmology Coding:
Use This Guide to Code Congenital Eye Conditions Correctly
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Optometry/Ophthalmology Coding:
Use a 7th Character to Identify the Macular Degeneration Stage
Question: I have a report for an ophthalmology visit with a 70-year-old patient who has [...]

Oncology/Hematology Coding:
Code Chemo Complications Quickly and Correctly
Not all negative reactions to antineoplastic medications should be coded as adverse effects. The scenario [...]

Urology Coding:
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Urology Coding:
Is 52260 or 52265 Correct for Cystourethroscopy With MAC?
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Compliance:
Look to These Resources for Compliant Overpayment Recoupment
Question: Is there a specific window in which payers are entitled to recoup any overpayments? [...]

E/M Coding:
Find More Nitty-Gritty Details on Incident-To Requirements
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Diagnostic Radiology Coding:
Consider These 5 Coding Tips to Bolster Your Brain CT Billing
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General Coding:
Know Differences Between Workers’ Comp Types
Question: A patient has come to our practice for an injury sustained during their work [...]

General Coding:
Report State-Supplied Vaccines With This Modifier
Question: Our practice regularly administers vaccines, which are supplied by the state. Do I report [...]

Neurology & Pain Management Coding:
Pay Attention to Alternate Terms for Cerebral Palsy Dx
Question: Encounter notes indicate that the patient suffered from “dystonic CP.” Should I code this [...]

Emergency Department Coding:
Use Specific Codes for These I&D
Question: A 54-year-old patient presents to the emergency department (ED) with a painful, red, and swollen [...]

Emergency Department Coding:
Use This Dx Trio for Burn Patient
Question: A patient presented to the emergency department (ED) for a painful and blistered right [...]

Optometry/Ophthalmology Coding:
Learn How to Report Post-Op Visits Performed at a Different Location
Question: What should we bill for a post-op visit on a surgery performed elsewhere? Normally, [...]

Podiatry Coding:
Calculate Global Periods With Ease
Question: How do I find out the global periods for CPT® codes 28111 and 28810? Minnesota [...]

General Surgery Coding:
Does 25260 Include Exploration and Closure?
Question: A patient presented with a right forearm laceration. The surgeon extended the laceration to [...]

Compliance:
Know Who Can Record Diagnosis Information
Question: I’m new to coding and am looking over an internal audit at a skilled [...]

Path/Lab Coding:
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ICD-10-CM Coding:
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Question: A patient came in to see a provider due to foot pain. The provider [...]

Orthopedic Coding:
Separate ‘Limited’ From ‘Extensive’ Debridement
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Path/Lab Coding:
Locate Peptic Ulcer Codes Precisely
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Orthopedic Coding:
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Listen to This Ear Condition Coding Advice, Part 1
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E/M Coding:
Include Additional Info When Billing E/M Services by PA or NP
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Diagnostic Radiology Coding:
Is Contrast Required to Report 62290?
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General Surgery Coding:
Focus on Total Lesions Rather Than Laterality for Breast Biopsy Reporting
Question: I have a report that lists the procedure as percutaneous biopsies of lesions of [...]

Technology & Innovation:
Use a 3D Printer to Build a Comfortable and Accurate Prosthesis
Question: Have healthcare researchers examined the benefits and drawbacks of using 3D printers to build [...]

RCI Bonus Content:
Get Up to Speed With These Medicare Digital Mental Health Treatment Codes
Understand this latest advance in behavioral health services. The 2025 Medicare Physician Fee Schedule provides [...]

Cardiology Coding:
Report Counseling for TAVR After BAV Like This
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E/M Coding:
Point Providers to E/M Differences
Question: A provider asked whether they can adjust their evaluation and management (E/M) coding to account [...]

Emergency Department Coding:
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Oncology/Hematology Coding:
Know When to Bill for Hydration Services
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Neurology & Pain Management Coding:
1-Sided Paralysis Highlights Hemiplegic Migraine
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Medicare Regulations:
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ICD-10-CM Coding:
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Primary Care Coding:
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General Coding:
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Path/Lab Coding:
Bill a Test Without a Specimen? Think Again
Question: Our lab just brought on a new client, and a lot of the specimens [...]

Pediatric Coding:
Managing Medication Is Not the Primary Focus
Question: Is there a diagnosis code for medication management? For example, my provider sees patients [...]

Primary Care Coding:
Rely on Descriptor to Evaluate Appropriateness of Code
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Practice Management:
Get Acquainted With CMS Exceptions to Timely Filing
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Diagnostic Radiology Coding:
Does Lidocaine Count for a ‘With Anesthesia’ Procedure?
Question: I have a medical record from an encounter at an outpatient radiology clinic. The [...]

Pediatric Coding:
Correctly Code This Asymptomatic STD Encounter
Question: If a patient is tested for a sexually transmitted disease (STD) but has no signs [...]

Pulmonology Coding:
Use 31629 for TBNA via Bronchoscopy
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Neurosurgery Coding:
Know What Area Neuroplasty Is Treating to Code Correctly
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Compliance:
OIG Finds Most Medicare Outpatient Hospital Payments for Hospice Enrollees Improper
See which issues they discovered and the key element you need to help reduce exposure. [...]

Medicare Regulations:
Find Clarity on Hospice Payment Responsibilities for Medicare Beneficiaries
Question: A beneficiary’s family has agreed that their family member is ready to be put [...]

Ob-Gyn Coding:
Find Out How to Capture Physicals and Birth Control Renewal
Question: My ob-gyn providers see a lot of patients for physical exams, and then they [...]

Cardiology:
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Why knowing who owns the equipment matters to your claim. Tilt table testing is commonly [...]

Podiatry Coding:
Puzzle Out This Podiatry Denial
Question: A patient came in with a large, non-healing wound on their lower leg. The [...]

Gastroenterology Coding:
Know How to Report for Each Polyp Removed
Question: I have a gastroenterologist that wants to bill for each polyp removed. Any advice [...]

Medicare Regulations:
Beware Phishing Attempts Regarding CMS
Question: I am hearing from other providers and even some suppliers that they are receiving [...]

Ob-Gyn Coding:
Master When to Start the Global OB Package
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Gastroenterology Coding:
A Patient Can’t Have Both GERD With and Without Esophagitis
Question: Two of my gastrointestinal (GI) doctors have listed both gastroesophageal reflux disease (GERD) with [...]

Gastroenterology Coding:
Master These 4 Key Steps to Simplify Your Colon Polyp Coding
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Oncology/Hematology Coding:
Look to These Dx for CA 19-9 Immunoassay Necessity
Question: What ICD-10-CM code should I use to prove medical necessity if our provider orders a [...]

Ob-Gyn Coding:
Code Prophylactic Placement of Ureteral Stents
Question: If the ob-gyn placed catheters for identification of the ureters (52005) during a gynecological [...]

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