10-Step Radiology Coding Guidelines to Avoid Denials
Denied imaging claims are rising across the U.S., costing providers both time and money. On average, about 12% of initial claims are denied, when many of these could be avoided. CMS data also shows $31.7 billion in losses tied to documentation and coding errors. The worst is that the new 2025 NCCI bundling rules will […]
Top 12 Denial Codes You Must Know to Prevent Penalties
Did you know that according to AHA, nearly 12% of all medical claims in the U.S. are denied on first submission? But how’d you know why your claim was denied? What was the reason? These rejections are communicated through denial codes, which provide providers with specific reasons why a claim was not paid or reduced. […]
What Are The Most Common CPT Codes in General Surgery and Its Related Specialties
Each year, general surgery accounts for millions of procedures. Hospital-owned facilities alone reported 11.9 million major ambulatory surgeries in 2019. At the same time, claim denials on first submission average nearly 12% across the industry. CPT codes are at the center of this challenge. For surgeons and medical coders, they are not just billing tools; […]
What Are the Most Important OBGYN CPT Codes
OBGYN billing is one of the hardest parts of running a practice. Nearly one-fifth of claims are denied, largely due to coding errors. Every OBGYN CPT code must be accurate. Even a small mistake can delay payment or cause a denial. This not only slows cash flow but also adds stress for providers and staff. […]
5 Major Podiatry CPT Codes Changes in 2025 for Podiatrists
The American Medical Association initiated the important changes to the codes of podiatry CPT in 2025. Podiatrists should no longer bill in the old way, as this puts their claims at risk of denials, delays, and lost revenue. New telemedicine codes, removal of obsolete telephone codes E/M and wound care, and remote monitoring are changing […]
CPT vs HCPCS: Decoding Procedure Differences
Medical coding errors cost the U.S. healthcare system roughly $36 billion annually, with up to 12% of claims containing inaccuracies, a level of loss that puts many practices at risk. With 420 CPT updates in 2025 alone, including 270 new codes, 112 deletions, and 38 revisions, and quarterly HCPCS updates, accurate code selection has never […]
A Complete Guide on CPT Codes for Mental Health 2025
Medical billing for mental health services relies on specific coding to describe the care provided. In the United States, healthcare providers use CPT codes for mental health when filing insurance claims – CPT stands for Current Procedural Terminology, a standardized 5-digit code set maintained by the American Medical Association (AMA). These codes are essentially the […]
CPT Code 90832: 30-Minute Psychotherapy Billing in 2025
CPT Code 90832 represents a specialized billing mechanism for mental health providers conducting shorter therapeutic encounters, yet many practitioners find themselves uncertain about its proper implementation and declining relevance in modern practice. While longer psychotherapy sessions dominate the field, understanding when and how to use code 90832 remains essential for comprehensive billing practices. This detailed […]
CPT Code 99459 Billing Guidelines and Reimbursement Updates for 2025
CPT code 99459 was introduced on January 1, 2024 and is an add-on code for pelvic examination performed with an E/M service. This code is for the practice expense of the pelvic exam including clinical staff time and supplies. As an add-on code 99459 must be reported with a primary E/M code and cannot be […]
A Comprehensive Guide to the 2025 CPT Codes for Genetic Testing
Genetic testing plays a critical role in diagnosing hereditary conditions, guiding treatment decisions, and predicting disease risks. As technology advances, medical billing and coding must keep pace. The 2025 CPT code updates introduce several new genetic testing codes, impacting medical practices, laboratories, and insurance reimbursement. If you handle medical coding, billing, or revenue cycle management, […]