Documentation Requirements for Neurosurgery CPT Codes
Neurosurgery practices face nearly double the 5-10% average across other medical specialties, with an 18% claim denial rate. The primary reason isn’t incorrect Neurosurgery CPT codes or lack of medical necessity, but inadequate documentation. When operative reports miss critical details about procedures performed, or when medical records fail to justify why surgery was necessary, insurance […]
Understanding DME HCPCS Codes: The Key to Accurate Medical Equipment Billing
When you hear the term DME HCPCS Codes, it refers to a standardized set of codes used to describe durable medical equipment (DME), supplies, and non‑physician services for billing and insurance claims. The acronym HCPCS stands for Centers for Medicare & Medicaid Services (CMS)’ Healthcare Common Procedure Coding System. The “DME” part indicates that these […]
Complete Guide for CPT Code 97598 Wound Care Billing
Wound care billing confuses even experienced coders. CPT code 97598 sits at the center of this complexity. Understanding how to use this code correctly protects your practice’s revenue and prevents claim denials. This guide explains everything you need to know about CPT 97598 in clear, practical terms. What CPT Code 97598 Actually Means CPT code […]
How to Accurately Code Major Depressive Disorder ICD 10
Major Depressive Disorder is one of the most common mental health diagnoses in healthcare. Getting the ICD-10 code right matters for billing, compliance, and accurate patient records. Accurate coding of major depressive disorder ICD 10 is crucial for proper billing and compliance. This guide explains how to choose the correct code every time. The Structure […]
Pediatric CPT Codes Breakdown by Age Groups
Age-specific errors in pediatric CPT codes cost practices thousands monthly, yet they’re completely preventable once you know the exact cutoffs. Bill a five-year-old’s checkup with an infant code, and watch your claim get rejected within 48 hours. Use 99382 instead of 99383 for that same visit, and you’ve just underbilled by $30. Pediatric billing and […]
Common Wound Care CPT Codes With Documentation Requirements
If you’ve ever stared at a wound care claim, wondering which code to use, or worse, had one denied because you picked the wrong one, you’re in the right place. Wound care CPT codes confuse even experienced coders with surface area calculations and depth-based rules, which results in coding errors. With the probability of errors […]
CPT Code 93306: Clinical, Documentation & Billing Guide
Echocardiography brings in solid revenue for cardiology practices. It also brings claim denials when documentation falls short. CPT code 93306 accounts for a big chunk of these claims. Get it wrong, and you’re either fighting denials or leaving money on the table. The transthoracic echocardiogram CPT code requires four imaging components: two-dimensional real-time imaging, M-mode […]
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; […]