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Oncology/Hematology Coding:

Understand MDM Definitions for Chronic Conditions

Published on Thu Jan 08, 2026

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January 2026

Otolaryngology Coding:
Know When Unspecified Is an Appropriate Classification
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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 [...]

Primary Care Coding:
Note Place of Service Before Coding Incident-to
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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 been [...]

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 [...]

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 patient [...]

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. [...]

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 [...]

Orthopedic Coding:
Use This Guide to Tackle Your Tendon Injection Claims
Remember to prove medical necessity. Providing therapeutic injections to tendons or ligaments are services that [...]

Neurosurgery Coding:
Separate Shunt Surgery From Neuroendoscopy
Question: The neurosurgeon created a ventriculo-peritoneal shunt to drain a buildup of cerebrospinal fluid (CSF) [...]

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 both [...]

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 [...]

General Coding:
List Procedure by RVU, Not Cost
Question: When I’m reporting multiple procedures on a claim, which should I list first? And [...]

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 (RNs) counsel [...]

Practice Management:
Try These Tips to Ease Pain Points in Your Revenue Cycle
Making decisions around patient convenience can be a fruitful investment. Incorporating certain technologies into your [...]

Technology & Innovation:
Provide Patients With Presbyopia Relief
Question: Our practice sees several middle-aged patients who experience a decline in their ability to [...]

Urology Coding:
Test Your Skills With These Pediatric Urology Coding Scenarios
Tip: Remember to add supplementary testing codes when needed. Pediatric urology procedures and visits are [...]

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 visits [...]

Diagnostic Radiology Coding:
Imagine Coding Achilles Imaging Scenarios With Ease
Method is key to correctly coding these Achilles procedures. When a patient experiences an injury [...]

General Coding:
Lean on Multiple Choice for Query Gold Standard
Question: Which is the “safest” type of written query format: open-ended, multiple choice, or yes/no? [...]

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 excised [...]

Optometry/Ophthalmology Coding:
Hook The Correct Code for Lens Subluxation
Question: A patient presented to urgent care following an injury during a boxing training session. [...]

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 [...]

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 [...]

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 [...]

Neurosurgery Coding:
Remember External Cause Code With Concussion Dx
Question: A patient reports to the neurosurgeon with symptoms of headache, dizziness, and difficulty concentrating. [...]

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 [...]

Practice Management:
Work Through Backlogs via Specific Goals
Question: I just joined a practice and am shocked by the backlog of claims that [...]

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? [...]

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 non-QP providers. The [...]

Medicare Regulations:
Know Actual ‘Housebound’ Definition
Question: The providers I work for see a lot of elderly Medicare beneficiaries who rarely [...]

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 [...]

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 department (ED) [...]

ICD-10-CM Coding:
Choosing the Correct Code for Documented Endometriosis
Question: My provider documented “endometriosis with chronic pelvic pain” after performing a diagnostic laparoscopy. The [...]

Anesthesia Coding:
Find CPT® and ASA Crosswalk Solutions for Discectomy Coding
Question: How should I code anesthesia services for a discectomy? Oklahoma Subscriber Answer: For a [...]

ICD-10-CM Coding:
Code Acute Appendicitis Without Peritonitis Like This
Question: A surgeon documents “acute appendicitis” and explicitly states that the patient does not have [...]

Compliance:
Know Difference Between Documentation Amendment and Addendum
Question: Why can’t a provider “unsign” a medical record, and then go back in and [...]

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 to [...]

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 than [...]

Diagnostic Radiology Coding:
Don’t Get Squeezed for Missing This Modifier
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General Surgery Coding:
Learn How to Correctly Report Unlisted Procedures
Plus, avoid common unlisted procedure billing errors. Unlisted CPT® codes are found within the Category [...]

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 inflammatory bowel [...]

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 the [...]

Pulmonology Coding:
Recognize These Codes for Remote Pulse Ox Monitoring
Question: Our pulmonology practice just started offering remote physiological monitoring (RPM) for our patients. Can [...]

Pulmonology Coding:
Pinpoint the Difference Between Pulmonary Hypertension and Heart Failure
Question: Is pulmonary hypertension considered a type of heart failure? Florida Subscriber Answer: No, pulmonary [...]

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 performs nosebleed [...]

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 tricky because [...]

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 depend [...]

Path/Lab Coding:
Modify Your Understanding of QW Use
Question: I am still confused about when to append modifier QW to a lab test. [...]

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 [...]

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 use [...]

Path/Lab Coding:
Consult This 88323 Advice
Question: When our pathologist receives material from another physician for slide preparation and interpretation, should [...]

Compliance:
Use These Strategies to Align Your CDI and Coding Teams
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Pediatric Coding:
Unravel This Ringworm Encounter
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Emergency Department Coding:
Know When to Roll ECG Interpretation Into E/M
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Pediatric Coding:
Use These New Immunization Counseling Codes in Your Practice
When vaccine visits result in refusal, these codes will still result in reimbursement. Beginning January [...]

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 [...]

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 Radiation [...]

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 mammography, especially [...]

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 [...]

Technology & Innovation:
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Pediatric Coding:
Correctly Code These Separate but Equal Encounters
Question: A parent came in with their twin children, who were showing signs of having [...]

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 [...]

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 stent [...]

Ob-Gyn Coding:
Report Perimenopause With Precision Using the N95.- Codes
Know when to report perimenopause and when to report symptoms. Perimenopause is a transitional phase [...]

Ob-Gyn Coding:
Avoid P Codes for Breastfeeding Counseling
Question: A patient who had problems breastfeeding their newborn came to see our ob-gyn. What [...]

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 a frequently [...]

Oncology/Hematology Coding:
Understand MDM Definitions for Chronic Conditions
Question: We are treating a patient with chronic lymphocytic leukemia (CLL). The condition is not [...]

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, electrophysiology (EP), [...]

Cardiology Coding:
Reporting 93246: What Documentation Is Necessary?
Question: I’m preparing to submit a claim with 93246, but I want to make sure [...]

Diagnostic Radiology Coding:
Beware of Included Services Causing Denials
Question: I am relatively new to coding and recently had a claim denied. One of [...]

Urology Coding:
Code This Combo Repair Procedure
Question: What is the appropriate procedure coding for an escutcheonectomy in conjunction with a scrotoplasty and [...]

Cardiology Coding:
Do I Need a Modifier for 93010?
Question: After a patient undergoes cardiac surgery and is discharged, the cardiologist performs a postoperative electrocardiogram (ECG) [...]

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 trunk. [...]

Neurology & Pain Management Coding:
Dig Deep for Drug Dependence Dx
Question: If a patient suffers from clonazepam (Klonopin) dependence with withdrawal, what is the appropriate [...]

Primary Care Coding:
Find the Solution to This Fungal Case
Question: A patient came in stating they noticed a gradual thickening and discoloration of their [...]

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 [...]

Anesthesia Coding:
Use This Process for FBR Anesthesia Coding
Question: How do I code the anesthesia service for a foreign body removal in the [...]

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 behind a “velvet [...]

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