Advanced Search

Revenue Cycle Insider

Compliance:

Use These Tips for DME Compliance

Published on Wed Oct 01, 2025

You’ve reached your limit of free articles. Already a subscriber? Log in.

Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:

Simple explanations of current healthcare regulations and payer programs
Real-world reporting scenarios solved by our expert coders
Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
Instant access to every article ever published in Revenue Cycle Insider
6 annual AAPC-approved CEUs
The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

October 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 “Watchman,” [...]

Compliance Coding:
Don’t Let Vendors Become a Compliance Weak Spot
Do your due diligence on vendor trustworthiness before signing any contracts. Many practices rely on [...]

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 tonsil [...]

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 an 8-year-old patient. [...]

Technology & Innovation:
Learn How Medical Device Manufacturers Receive Reimbursement
Find out what reimbursement pathways are available. Healthcare is full of medical devices both standard [...]

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 [...]

Neurosurgery Coding:
Know Spinal Sections to Master Anatomy
Question: I’m new to neurosurgery coding and the anatomy of the spine is still confusing [...]

Neurosurgery Coding:
Look Out for Dx Codes That Specify ICU
Question: The neurosurgeon performs a procedure that requires mechanical ventilation. After the surgery, the patient [...]

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 provider [...]

Otolaryngology Coding:
Spur Your Understanding of Spasmodic Dysphonia
Know your treatment options and remember how to calculate wastage. Your otolaryngologist might diagnose a [...]

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 [...]

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 emergency [...]

Path/Lab Coding:
Beware Payer Bundling for Multiple STI NAAT Tests
Know when payer policy overrides CPT®, NCCI rules. Consider the following scenario, common to laboratories [...]

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 [...]

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 [...]

Anesthesia Coding:
Follow These Tips When Coding Pediatric Anesthesia Cases
Hint: Payers may define “medically necessary” differently for pediatric patients. They are our favorite little [...]

Gastroenterology Coding:
Should You Report Pain, Bloating, and Constipation Without a Diagnosis?
Question: A patient presented with abdominal pain, constipation, and bloating. The gastroenterologist treated all three [...]

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 optometry can [...]

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 situations where [...]

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. Objectively, coding [...]

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 differences between the [...]

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 [...]

Pulmonology Coding:
Avoid Unspecified Codes When a NOS Diagnosis Is Made
Question: A patient presented to our outpatient pulmonology clinic with wheezing, shortness of breath, and [...]

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 [...]

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 [...]

Oncology/Hematology Coding:
Sequence This Radiation Sequela Scenario Successfully
Question: Our provider recently diagnosed a patient with lymphedema and began treating them for that [...]

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 Medicare [...]

Urology Coding:
Resolve This Genital Inflammation Repair
Question: The urologist performed a surgical procedure where a low inguinal incision was made at the [...]

Orthopedic Coding:
Don’t Stress Over This Dystrophy Case
Question: The practitioner’s notes indicate that they treated a patient who had Horner’s syndrome. What is [...]

ICD-10-CM Coding:
Follow Documentation for Croup Cases
Question: A pediatric patient presents for a barking cough, stridor, and fever. In the documentation, [...]

Anesthesia Coding:
Remember Anesthesia Modifiers Are Only for Anesthesia Practitioners
Question: A certified registered nurse anesthetist (CRNA) administered anesthesia during a laparoscopy but was “supervised” [...]

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 advanced therapeutic [...]

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 provider [...]

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 [...]

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 breast cancer awareness. [...]

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 remove a bone [...]

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. [...]

Pediatric Coding:
Code This Periodic Physical With Additional Services
Question: When an existing patient is scheduled for their periodic physical exam, but the pediatrician addresses [...]

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 [...]

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. [...]

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 [...]

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 [...]

Compliance:
Protect Role Integrity With Policies and Adequate Staffing
Question: I am a certified professional coder (CPC®) and certified professional medical auditor (CPMA®) and [...]

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 [...]

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 [...]

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 [...]

General Surgery Coding:
Identify Specific Mastectomy Type for Simpler Coding
Hint: Look to the C50.- series for most diagnoses. While mastectomy coding may be relatively [...]

Urology Coding:
Refresh Your Knowledge of Foreign Body Removals
Review the CMS guidelines to make sure you’re using 52000 correctly. When a patient presents [...]

Orthopedic Coding:
Add More Detail to Prevent a Downcode
Question: Can someone please help me to understand why my claims with 20680 are always [...]

Podiatry Coding:
Stay Compliant When Reporting Foot Care Claims
Question: When can a provider receive reimbursement for foot care? Our podiatrist performed the service [...]

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 uses some [...]

General Surgery Coding:
Fix This Ulcer Debridement Claim
Question: We submitted a claim for a wound debridement that was denied. The provider documented [...]

Technology & Innovation:
Solidify Best Practices Through Regular Cybersecurity Training
Question: Some staff in our practice think that ongoing cybersecurity training is less beneficial and [...]

General Surgery Coding:
Code This Colon Resection Case
Question: Our surgeon performed a laparoscopic low anterior resection for diverticulitis. They also performed an [...]

Emergency Department Coding:
Remember to Code These Lesion Treatments Separately
Question: Encounter notes indicate that the emergency department (ED) physician shaved a pair of epidermal [...]

Primary Care Coding:
Independent Historian Should Be Clinically Necessary
Question: A patient came to an encounter with their spouse. Although the patient does not [...]

Orthopedic Coding:
Refresh Your Femoral Fracture Know-How
The location, type, and treatment will all determine correct coding choices. Femoral fractures predominantly occur [...]

Neurology & Pain Management Coding:
Look for Disturbances Before Choosing Dementia Dx
Question: Encounter notes indicate a patient is diagnosed with severe vascular dementia. The provider notes [...]

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 who report [...]

Practice Management:
Navigate Exceptions for CLIA Certificate Locations
Question: Our practice has multiple locations, and our providers perform tests that are considered waived [...]

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 and [...]

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 [...]

Ob-Gyn Coding:
Unsuccessful Pessary Fittings? Do This
Question: We’re having a discussion in my office about billing for unsuccessful pessary fittings, and [...]

Cardiology Coding:
Find Codes for This NSTEMI
Question: A patient presents to the emergency department with chest pain pressure and shortness of [...]

Urology Coding:
Count Every Seed in This Marker Placement Scenario
Question: If my urologist performs a fiducial marker placement in the office, how should this be [...]

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 Services (CMS) [...]

Neurology & Pain Management Coding:
Consider Chronic Pain a Condition in Itself
Question: What is the difference between acute pain and chronic pain? Massachusetts Subscriber Answer: This [...]

Diagnostic Radiology Coding:
Differentiate Between Foraminal Stenosis and Neurogenic Claudication
Question: I have a radiology report for a multiplanar, multisequence noncontrast MRI of the lumbar [...]

E/M Coding:
Code This Tick Removal Encounter
Question: How should I code the following encounter? A 12-year-old established patient came to our office [...]

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 [...]

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 [...]

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 become increasingly common [...]

Gastroenterology Coding:
Do This When Coding Dysphagia and Stricture Found During Endoscopy
Question: A patient with a history of gastroesophageal reflux disease (GERD) presented with new-onset dysphagia. [...]

Pediatric Coding:
Practitioner Determines New or Established, Not Location
Question: If our pediatrician discharged a newborn from the hospital and then sees the same [...]

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 pregnancy. [...]

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 [...]

Compliance:
Use These Tips for DME Compliance
Question: I’m a newbie to durable medical equipment (DME) and not exactly sure what we [...]

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 [...]

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 billing a [...]

View All