Advanced Search

Revenue Cycle Insider

Medicare Regulations:

Find These Coding Options for Skin Substitutes

Published on Wed Jul 16, 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

July 2025

Anesthesia Coding:
Check With Payers for Modifier 51 Specifics
Question: Can I use modifier 51 on secondary or other additional post-op pain blocks? Delaware [...]

Optometry/Ophthalmology Coding:
Identify Inflammatory Sclera Conditions for Your Claim
Don’t forget to specify laterality with a 6th character. The eye is made up of [...]

General Surgery Coding:
Examine These 5 Skin Biopsy Myths
Learn how to bill multiple biopsies with different techniques. Skin biopsies are simple procedures that [...]

Orthopedic Coding:
Break Down Drug Volume Measurements
Question: How many billing units should I report for 1 cc of 4 mg per [...]

Optometry/Ophthalmology Coding:
Correct This Hyaloid Membrane Detachment Claim
Question: I have an op note that states the surgeon started a posterior vitreous detachment [...]

Orthopedic Coding:
Learn 5 Tips to Strengthen Your Spinal Fusion Coding
Find out how to recognize cage codes. Spinal fusion surgeries can be complicated to code, [...]

Pediatric Coding:
Try Your Hand at These Tick Removal Scenarios
Prepare to see more tick-related visits with summer amping up. As summer reaches its peak, [...]

General Coding:
Fine Tune Your Timely Filing Skills
Knowing the deadlines for each payer is key to success. Timely filing refers to the [...]

Pediatric Coding:
Query to Kick the Confusion in This Conjunctivitis Case
Question: A 7-year-old patient was seen for conjunctivitis, or “pink eye,” in our office recently. [...]

Otolaryngology Coding:
Remove This Code From Your PE Tube Removal Claims
Question: I am trying to find the correct way to code removal of tympanostomy (PE) [...]

Practice Management:
Understand Differences Between MOLST, POLST Forms
Question: Our patients sometimes ask our providers about MOLST or POLST forms during an encounter. [...]

Anesthesia Coding:
Bill Modifier 22 Confidently With These Tips
Hint: Don’t expect consistency across different payers’ policies. Anesthesia coders often improve their coding by [...]

Diagnostic Radiology Coding:
Use a Sprain Code for an ACL Tear
Question: A patient presented to our radiology practice with pain and swelling in the right [...]

E/M Coding:
Remember Necessity and Criteria to Bill Incident-to
See how you can bill more services at 100 percent of the physician fee schedule [...]

RCI Bonus Content:
Get the Answers to All Your Big Beautiful Bill Questions
Stay on top of this major government legislation and know what may lie ahead. By [...]

Neurosurgery Coding:
Use This Total Disc Arthroplasty Guide to Nail Claims
Make sure claim proves medical necessity for TDA. Total disc arthroplasty (TDA), also known as [...]

Primary Care Coding:
Understand Expansive Options for Purpura Dx
Question: I work for primary care providers at a family practice, and one of our [...]

Practice Management:
Look Into EHR Options for Billing Statements
Question: The vendor we used to use to print our paper billing statements just sent [...]

Technology & Innovation:
Identify CCTA Code With AI Analysis in 2026 MPFS Proposed Rule
Question: Will the 2026 Medicare Physician Fee Schedule (MPFS) include reimbursement for artificial intelligence (AI) [...]

Otolaryngology Coding:
Get the Answers to These 3 Frequently Asked Head and Neck Cancer Questions
Learn how to navigate the ICD-10-CM Alphabetic Index and Table of Neoplasms. While they only [...]

Diagnostic Radiology Coding:
Puff Up Your Chest to Confidently Code X-Ray Procedures
Can you report 71101 and 71111 with an AP view? The upper body is home [...]

Neurology & Pain Management Coding:
Know Alternate Terms for All Types of Schizophrenia
Question: Encounter notes indicate that the physician treated a patient with “hebephrenic schizophrenia.” Which type [...]

Technology & Innovation:
Address Staffing Shortages With Robots
Question: With staffing shortages in healthcare, are there any technological options to help ensure providers [...]

Urology Coding:
Know When to Ask for Urinary Incontinence Clarification
Question: I have an encounter note where the urologist documented the diagnosis as “urinary incontinence.” [...]

Pulmonology Coding:
Learn How to Code a Complete PFT
Question: A 55-year-old patient presented to the pulmonologist with swollen ankles and difficulty breathing. The [...]

Neurosurgery Coding:
Check for Laterality in CPT® Code Descriptors
Question: A patient suffering from “thoracol. Spondylosis, no radiculopathy/myelopathy” reports to the neurosurgeon. They perform [...]

Optometry/Ophthalmology Coding:
Can You Report 67010 Separately From Cataract Surgery?
Question: I have an op note for a complex cataract surgery where the surgeon performed [...]

Otolaryngology Coding:
Tackle This Tracheitis Coding Conundrum
Question: What is the correct way to code for tracheitis? Maine Subscriber Answer: The answer [...]

Anesthesia Coding:
Don’t ‘Date Range’ Your Anesthesia Claims
Question: The provider I work for performed an anesthesia service for a Medicare beneficiary that [...]

Compliance:
Using AI? Prioritize These Regulations and Rules
Question: Our practice leadership wants to incorporate more artificial intelligence (AI) into our coding workflow. [...]

General Surgery Coding:
Report a Surgical Wound Exam During a High BP Follow-Up
Question: I have a report from a follow-up encounter between a patient and their primary [...]

Neurology & Pain Management Coding:
Know Neurologic Exam Components for Potential Strokes
Question: Encounter notes indicate that a patient presented with stroke-like symptoms, and the neurologist performed [...]

Neurosurgery Coding:
Know Area Where Encephalocele Occurred
Question: Encounter notes indicate that the neurosurgeon treated a newborn patient with an encephalocele. What [...]

ICD-10-CM Coding:
Distinguish ‘Other’ From ‘Unspecified’
Question: I just got my CPC-A credential, and I’ve noticed that a lot of ICD-10-CM [...]

Medicare Regulations Understand Regulations for Hospice Attestation
Question: Does a provider need a particular credential to be able to perform an attestation [...]

Compliance:
Be Wary of Varying Billing Practices Between Payers
Question: Our orthopedic practice sometimes has situations where patients come in with the same issue [...]

Oncology/Hematology Coding:
Know How Social Determinants Affect Oncology Coding
Capture the complexity of cancer care by painting the full patient picture. According to the [...]

Urology Coding:
Learn How to Approach Prostatectomy Coding – Part 2
Does a prostatectomy code require a modifier for a biopsy? In the first article of [...]

Oncology/Hematology Coding:
Make Your Way Through the Malaise of This Coding Muddle
Question: A patient on a course of chemotherapy for lymphoma came in complaining of fatigue. [...]

RCI Bonus Content:
CMS Releases Proposed Rule for 2026 Physician Fee Schedule
Surprise: Get ready for two conversion factors. The Centers for Medicare & Medicaid Services (CMS) [...]

Oncology/Hematology Coding:
Code This ESA Scenario With Ease
Question: We are treating a Medicare patient with Procrit using J0885. The patient has anemia [...]

Practice Management:
Bolster Your Knowledge of Contracts With a Matrix
Use this tool to track contract specifics with each payer. Staying on top of each [...]

Podiatry Coding:
Handle Heel Pain Coding With Ease
This grievance is a top reason for podiatry visits. Heel pain is a very frequent [...]

Orthopedic Coding:
Can You Report Grafts Separately With Rotator Cuff Repairs?
Question: We have an orthopedic surgeon who performs arthroscopic rotator cuff repairs with and without [...]

Emergency Department Coding:
Look for Specifics on Eye FB
Question: If a patient reports to the emergency department (ED) with a foreign body (FB) [...]

Urology Coding:
Understand if Modifier 52 Is Needed for a Unilateral Vasectomy
Question: A patient who had a testicle removed five years prior due to cancer presented [...]

Pulmonology Coding:
Simplify Your Spirometry Claim
Question: I have a report where the pulmonologist performed spirometry, then administered a long-acting bronchodilator [...]

Medicare Regulations:
Find These Coding Options for Skin Substitutes
Question: My provider does wound care for patients, including Medicare beneficiaries, with skin substitutes. What [...]

General Surgery Coding:
Add G89.18 to Your Surgical Claims for Post-Op Pain Management
Question: I code surgical procedures for an outpatient facility. I have an operative note that [...]

Gastroenterology Coding:
Recognize the Correct Foreign Body Removal Code
Question: A physician used a flexible sigmoidoscopy to remove a foreign body from a patient’s [...]

Emergency Department Coding:
Remember These Clues for Manipulation Question
Question: A patient reported with an anterior displaced fracture of the sternal end of the [...]

Gastroenterology Coding:
Distinguish Between Modifier XS and 59 Use for Separate Procedures
Question: I have a report that documents one of our gastroenterologists performed a screening colonoscopy [...]

ICD-10-CM Coding:
Check Out ICD-10-CM Coding Guideline Updates for FY 2026
New updates affect specific conditions and some bigger-picture coding conventions. The U.S. Department of Health [...]

Podiatry Coding:
Avoid Getting Caught Stuck on This EDL Release
Question: I want a second opinion for coding the following procedure: Extensor digitorum longus (EDL) [...]

Path/Lab Coding:
Advance Your Understanding of Drug Test Coding, Part 2
Make sure you answer the mini quiz at the end. Last month, we looked at [...]

General Coding:
Clarify These Coding Components
Question: How do I look at a code and know if it can be billed [...]

Cardiology Coding:
Don’t Miss This Key Rule on Vascular Families in Cath Coding
Question: If a cardiologist performs catheterizations of the right vertebral artery (third order) and left vertebral artery (second [...]

Cardiology Coding:
Here’s How to Code Orthostatic Hypotension Correctly
Question: My cardiologist documented that the patient has orthostatic hypotension. What’s the correct ICD-10-CM code [...]

Diagnostic Radiology Coding:
Review the Documentation for Symptoms When X-rays Are Normal
Question: If there is no medical reason for the X-ray listed in the clinical documentation [...]

Primary Care Coding:
Use These New Codes for Genetic Susceptibility
Question: Is there a way to report a patient’s genetic predisposition to cancers and other [...]

Path/Lab Coding:
Mark This DOS Advice in Your Claim Calendar
Question: We received a saliva specimen for a genetic screening test that had been stored [...]

Pediatric Coding:
Code This Campfire Injury Correctly
Question: The physician had a 13-year-old patient come in with second-degree burns on their upper back [...]

Pulmonology Coding:
Examine This Comprehensive Guide on Sarcoidosis Treatment and Coding
Find out about the Siltzbach classification system. Sarcoidosis is a condition that develops when a [...]

Technology & Innovation:
Learn How New Treatments Reach Your Patients — Part 2
Examine the FDA’s role in medical device development. Revenue Cycle Insider explored different study types [...]

Gastroenterology Coding:
Understand the Intricacies of GERD Coding
Find out how to report testing procedures for GERD. Gastroesophageal reflux disease (GERD) is considered [...]

ICD-10-CM Coding:
Code Causal Dx, not Just the Context for Encounter
Question: A provider at my practice documented that a patient came in to receive hormone [...]

E/M Coding:
Bill an E/M for This Follow-Up Situation
Question: A provider saw a patient and performed a procedure, which had 0 global days, [...]

Podiatry Coding:
Apply KX Correctly on Your DME Claims
Question: I am relatively new to podiatry coding, and I am trying to determine if [...]

General Coding:
Stress Less About This New Patient Scenario
Question: Can a stress test and a new physical therapy office visit be billed together? [...]

Evaluation and Management:
Don’t Use Prolonged Services Codes for Calls
Question: I’m reading documentation notes and see that a provider had a 40-minute phone call [...]

Path/Lab Coding:
Match This Biopsy Lab With the Right Dx
Question: We are seeing denials when 88305 is billed with certain diagnosis codes, so I’m [...]

Neurology & Pain Management Coding:
Sleep Disorder Coding Requires Nimble ICD-10-CM Navigation
The various sections contain codes for a broad spectrum of conditions. Not all sleep disorders [...]

Medicare Regulations:
Know the Ins and Outs of Medicare Rules Regarding Disasters
Keep an eye out for blanket waivers, which can make associated paperwork less burdensome. It’s [...]

Cardiology Coding:
Navigate When to Code Standard Echocardiograms vs. Congenital With These Tips
Hint: Don’t make your coding selection based on age alone. Echocardiography , also known as [...]

Emergency Department Coding:
Breeze Through 3 Common Summer Presentations With Key Tips
Certain ED complaints are more common when the temperatures rise. The temperature is up, school [...]

Ob-Gyn Coding:
Post-Term Pregnancies Means This Many Weeks
Question: We are seeing patients with post-term pregnancies. What does that mean, and how should I [...]

Ob-Gyn Coding:
Hysterectomy Coding Decoded: Mastering CPT® Nuances for Maximum Reimbursement
Don’t miss common add-ons during hysterectomy procedures. With approximately 600,000 hysterectomies performed each year in [...]

Compliance:
Use This Website to Help Identify Fraud and Stay Compliant
Protect yourself by staying current on government-impersonating scammers. The Office of the Inspector General (OIG) [...]

Primary Care Coding:
Bring Your Measles Coding Up to Speed, Part 2
Here’s what to do when immunizations don’t go forward. In the first part of this [...]

Ob-Gyn Coding:
Gestational Hypertension no Longer Present: What to Do
Question: How do you code for a postpartum follow-up visit for a patient who had gestational [...]

View All