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Pediatric Coding:

Don’t Give Up on This Sleep Apnea Case Prematurely

Published on Fri Jun 13, 2025

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Other Articles of

June 2025

ED Coding:
Use These Z Codes Primarily as Primary Diagnoses
Question: I have a rather odd claim in front of me. We are a small [...]

Oncology Coding:
Use This Train of Thought for Coding Monoclonal Antibody Drug Administration
Question: Our team is discussing how to validate the administration code (chemo or non-chemo) for [...]

Path/Lab Coding:
Learn This Lyme Test Lesson
Question: We are currently seeing a greater than normal amount of requests to conduct lab [...]

Orthopedic Coding:
Learn 3 Tips for Optimizing Your Fracture Care Coding Success
Make a cheat sheet for patient billing education. As an orthopedic coder, assigning the correct [...]

General Surgery Coding:
Dissect the Details of Operative Reports
Highlighting procedures from the notes will help you code as you go. Tyler Griffeth’s, MOL, [...]

Pulmonology Coding:
Correctly Report Bronchoscopy Procedures With Multiple Sampling Techniques
Remember to sequence your codes by RVU value. Bronchoscopy procedures are quite common for pulmonology [...]

Ob-Gyn Coding:
Learn 4 Tips to Fix Vulvar Lesion Coding Mistakes Before They Happen
Considering an integumentary code? Avoid making this $178 mistake. Do you know the difference between [...]

Neurosurgery Coding:
Find the Reason for Twist Drill Hole Coding
Question: Encounter notes indicate that the neurosurgeon used a manual twist drill to create a [...]

ICD-10-CM Coding:
Find Answers in These Tricky Transplant Situations
Hint: Check the coding guidance for each transplant-related ICD-10-CM code carefully. Patients who receive organ [...]

Podiatry Coding:
Step Into Foot and Ankle Tendon Transfers 101
Find out what elements factor into code selection. Foot and ankle tendon transfers are surgical procedures [...]

Pediatric Coding:
Don’t Get Burned Coding These Common Summer Health Concerns
With high temps just kicking off, prepare for these fun-in-the-sun encounters. Summer is officially here [...]

Technology & Innovation:
Modify Your Generative AI Model to Enhance Accuracy
Question: I’m worried about our staff members receiving incorrect information from a generative artificial intelligence [...]

Otolaryngology Coding:
Take This Advice, Propel Your DES Placement Understanding
Question: What is the correct coding for endoscopic placement of a PROPEL® drug-eluting stent (DES) [...]

Path/Lab Coding:
Advance Your Understanding of Drug Test Coding, Part 1
Applying the correct code is as easy as understanding the test's purpose. Drug testing makes [...]

Otolaryngology:
Refresh Your Coding Understanding of These Common Pediatric Oral Surgeries
Here’s all the procedure codes you’ll need, with all the Dx codes that go with [...]

Compliance:
Writing Off a Signature Could Cost You
Question: We recently suffered major storms and power outages in my area. All of our office [...]

Anesthesia Coding:
Query for Anatomical Specificity
Question: A provider documented that they performed a popliteal block. I cannot find a CPT® code [...]

Cardiology Coding:
Don’t Forget to Check Excludes1 Notes
Question: A provider diagnosed a 3-week-old patient with an unspecified tachycardia, and I reported R00.0. [...]

Technology & Innovation:
Learn How New Treatments Reach Your Patients – Part 1
Learn the differences between RCTs and NRCTs. New drugs, medical devices, and health advancements are [...]

Neurosurgery Coding:
Perfect Your Coding Skills for Cervical Disc Disorders
Do you know the ins and outs of the M50.- code set? To master coding [...]

Neurology & Pain Management Coding:
ICD-10-CM 2026 Expands MS Coding Options
Also, these neurodevelopmental disorders get new codes. Neurology and neurosurgery coders are going to want [...]

General Surgery Coding:
Nip Lumpectomy Denials With a Z Code
Question: The surgeon performed a breast lumpectomy, but it seems like the only ICD-10-CM codes I’m [...]

Urology Coding:
Spot the Difference Between Incontinence Types
Question: I’m new to coding in a urology office and need to become familiar with [...]

Optometry/Ophthalmology Coding:
Boost Your Understanding of Eye Examination Codes
Apply your code knowledge to real-world scenarios. Ophthalmology and optometry have the distinction of a [...]

Emergency Department Coding:
Know These Differences Between These Office Types
Question: I just started working for a general practice whose physicians see patients in the [...]

Practice Management:
Pocket These Tips for Successful Communication
Hint: Think of language as its own entity, separate from communication. Communication is a basic [...]

Otolaryngology Coding:
Don’t Inflate This Balloon-Dilation Septoplasty Claim
Question: What is the correct way to report an in-office septoplasty by balloon dilation? My [...]

Technology & Innovation:
Treat Heart Failure With an Artificial Replacement
Question: Are any medical devices available to treat patients with critical heart failure while they [...]

Neurology & Pain Management Coding:
Antisocial and Asocial Are Synonymous for This Dx
Question: Encounter notes indicate a patient has an “asocial personality.” Is this the same as [...]

Neurology & Pain Management Coding:
Tilt Table a Must for 95922 Reporting
Question: Could you explain what autonomic nervous system function testing via vasomotor adrenergic innervation is, [...]

Pediatric Coding:
Examine This Encounter Lacking a Diagnosis
Question: Our pediatrician saw a 2-year-old whose father said they had been acting like they didn’t [...]

ICD-10-CM Coding:
Look to Cause When Selecting Dx for Lower Back Pain
Question: A patient came to the office complaining of lower back pain. The physician documented [...]

Urology Coding:
Get Ready for 2026 ICD-10-CM Updates Headed Your Way
Look to the new codes for more specificity on your urology claims. Get ahead of [...]

E/M Coding:
Use These Tips for Educating Clinicians on MDM
Hint: Add examples to your presentation so clinicians can see exactly what you mean. Evaluation [...]

Compliance:
Focus On These Elements to Organize Audit Findings
Make sure you’re comparing apples to apples when calculating accuracy. Communicating the findings of an [...]

General Coding:
Rely on Online Sources to Stay On Top of Updates
Question: I use physical coding books, but have had a few mishaps where a code [...]

Neurosurgery Coding:
Use Specific Paralytic Syndrome Codes When Possible
Question: Encounter notes indicate that a patient suffers from Brown-Sequard syndrome. Should I just report [...]

Optometry/Ophthalmology Coding:
Look to 2026 Codes for Thyroid Orbitopathy Dx Reporting
Question: I have a medical report where the physician diagnosed the patient with thyroid orbitopathy. [...]

Optometry/Ophthalmology Coding:
Get Ready for More Specificity With H01.8
Question: The ophthalmologist diagnosed the patient with right upper eyelid edema due to allergies. What [...]

General Coding:
Try These Alternatives for the ‘Overused’ Modifier 59
Find out how and why to use this modifier the right way every time. Modifier [...]

General Coding:
Define OR for Successful Modifier 78 Use
Question: I work for a surgery practice, and I’ve been using modifier 78 when patients [...]

Cardiology Coding:
Use MI Age to Select Correct Code(s)
Question: I just got a job with a cardiologist’s practice and have learned that the [...]

Emergency Department Coding:
ICD-10-CM 2026: Abdominal Wall, Adverse Effect Dx Codes Coming
Note these new code sets for adverse reaction to dairy/eggs. Coders in emergency departments (EDs) [...]

Podiatry Coding:
Use Code Notes to Populate This DM Foot Ulcer Encounter
Question: I have a report from an encounter with a patient with type 2 diabetes [...]

Podiatry Coding:
Find Out if Aspiration Codes Require Minimum Collections
Question: A patient presented with a soft tissue mass on the left hallux. The provider [...]

Diagnostic Radiology Coding:
Examine the Differences Between Diagnostic Imaging and Radiology
Understand the roles, differences, and importance of diagnosis coding. In healthcare, terms like diagnostic imaging [...]

Oncology Coding:
Make Note of These ICD-10-CM Oncology Revisions for 2026
And take this advice about how to incorporate them. If you were busy and missed [...]

Anesthesia Coding:
Use These Tips for Documentation and Billing of CPT® Code 01996
Hint: You can bill 01996 only once per day. Coders have long struggled with the [...]

ICD-10-CM 2026 Revisions (RCI Bonus Content):
Brace Yourself for ICD-10-CM Changes on the Way
Important coding updates will be here sooner than you think. Beginning Oct. 1, 2025, you’ll [...]

Compliance:
State Law May Require You to Hand Over PHI
Question: If someone from law enforcement is requesting records from our office to investigate a [...]

Medicare Regulations:
Know What’s Coming, According to 2026 SNF PPS Proposed Rule
CMS will try to offset inflation — a bit — with this year’s proposed rate [...]

Pediatric Coding:
Don’t Give Up on This Sleep Apnea Case Prematurely
Question: The pediatrician evaluated a 7-day-old patient who was born prematurely. After assessing the patient’s breathing [...]

Orthopedic Coding:
Define ‘Discrete Structures’ for Shoulder Debridement Procedures
Question: I’m new to orthopedic coding, and I am trying to understand shoulder debridement procedures. [...]

ICD-10-CM Coding:
Look Forward to New Codes for Baked Milk/Egg Tolerance
Question: A physician documented that a patient is allergic to milk and eggs in their [...]

General Surgery Coding:
Free Up This Blocked Artery Procedure
Question: The surgeon treated a patient with a near-complete blockage of the right carotid artery by [...]

Oncology Coding:
Mind Manifestation in This Myelodysplastic Syndrome Situation
Question: The provider documented myelodysplastic syndrome (MDS) and pancytopenia. Under myelodysplastic syndrome in the ICD-10-CM Alphabetic [...]

Pulmonology Coding:
Don’t Overthink a Lower Respiratory Infection Coding Case
Question: What is the code for a viral lower respiratory tract infection? Do I add [...]

Pulmonology Coding:
Learn 3 Different Options to Fix a 31624/31652 Denial
Question: I have a question about a denial we received. The pulmonologist performed a bronchoalveolar [...]

Anesthesia Coding:
Know Which Team Regular Is Considered ‘Clinical’
Question: One of our experienced registered nurses (RNs) regularly serves as an independent observer during [...]

Urology Coding:
Decode This Discontinued Prostate Procedure
Question: The patient was prepped for surgery and put under general anesthesia, after which the urologist [...]

Primary Care Coding:
Understand Primary Care Exception
Question: What’s the criteria for the Centers for Medicare & Medicaid Services (CMS) to recognize [...]

Practice Management:
Look to State Laws for Patient Reimbursement
Question: I’m going through the books at my small, private practice. There are many instances [...]

Primary Care Coding:
Bring Your Measles Coding Up to Speed, Part 1
Don’t overlook the CDC vaccine schedule and your HIPAA practices. If you’ve been paying attention [...]

Orthopedic Coding:
Identify Bilateral and Unilateral OA Knee Codes
Question: A 54-year-old patient presented for a follow-up appointment for their knee pain due to [...]

Path/Lab Coding:
Know the Difference Between These 2 Amplified Probe Codes
Question: When is it appropriate to bill multiple units of 87798 as opposed to billing [...]

Gastroenterology Coding:
Remember to Examine 45330-45347 for Sigmoidoscopy Procedures
Question: Is a flexible sigmoidoscopy incomplete when it is at 30 cm, or is it [...]

Practice Management:
Try Tools for Adjusting Practice Fee Schedules
Question: What resources are available for adjusting the fee schedule for our practice? I used [...]

Diagnostic Radiology Coding:
Code This Cerebral CT Scan Case
Question: A 65-year-old patient presented with memory loss and confusion. The patient’s primary care physician [...]

Medicare Regulations:
Schedule ACP With QHP for Reimbursement
Question: At our practice, registered nurses (RNs) or licensed practical nurses (LPNs) escort patients to [...]

Diagnostic Radiology Coding:
Round Up for Partial A9595 Units
Question: A provider injected a patient with 9.3 millicuries (mCi) of piflufolastat F-18 for a [...]

Gastroenterology Coding:
Find Out the US Imaging Mode for SWE Reporting
Question: I have a gastroenterologist who performed an endoscopic ultrasound (EUS) guided shear wave elastrography [...]

Gastroenterology Coding:
Dig Into Diverticulitis Treatment and Coding Guidelines
Look for bleeding, perforation, or abscess in the notes. Diverticulitis is a painful condition that [...]

E/M Coding:
Track Consultation Code Reimbursement Policies
Question: Providers in my office sometimes perform consultations. We bill these with CPT® codes 99242-99244 [...]

Medicare Regulations:
Confidently Report Resident Care Through End of 2025
Question: Our practice relies on residents to provide some care services. Sometimes we offer patients [...]

E/M Coding:
Fight for Your Right — if the Documentation Supports Your Claim
Question: My billing department billed CPT® code 99214 for an established patient whose encounter lasted [...]

Cardiology Coding:
Find Clarity When Coding IV Drug Infusion During This EP Procedure
No surprise: Supporting documentation is crucial to accurately billing +93623. Electrophysiology (EP) ablation studies may [...]

Primary Care Coding:
Use These Codes to Navigate Reporting Parkinson’s Disease
Question: What’s the difference between Parkinson’s disease and secondary Parkinsonism? The primary care provider I [...]

Ob-Gyn Coding:
3 Visits Over 3 Days: What to Do
Question: I have a provider who would like to see new patients over the course of [...]

Ob-Gyn Coding:
Understand the Difference Between Cystectomy and Cyst Removal
Question: Physician said they performed a “cystectomy” with excision and removal of the cyst, but [...]

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