CPT Code 99384: Adolescent Preventive Visit for New Patients Ages 12–17
CPT code 99384 is the adolescent well-visit CPT code for a new patient preventive visit at ages 12 through 17. It is the adolescent member of the 99381–99387 preventive medicine CPT codes. These codes are billed by age and patient status instead of by time or medical decision-making. There are two challenges that […]
Nephrology CPT Codes: Complete 2026 Coding and Billing Guide
Three codes that have not been billable since January 1, 2017 still appear in nephrology code lists published this year: 36147, 36148 and 36870. CPT replaced them with the bundled 36901 to 36909 family nine years ago. That is the pattern in nephrology. The codes change less often than the rules around them, and the […]
CPT Code 00142: Base Units, Modifiers & Reimbursement
Cataract surgery is one of the highest-volume procedures in Medicare. When the anesthesia line on a cataract claim is denied, the cause is rarely clinical. It is usually base units, modifiers, or missing medical necessity documentation. CPT code 00142 reports anesthesia for lens surgery. The descriptor is short, the case is fast, and the payment […]
CPT Code 10060: Description, Global Period, and Modifiers
The 10060 CPT code description is “Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single.” The procedure is minor and it has a 10-day global period. In 2026, Medicare pays around $129 for the cpt code 10060 before geographic adjustment. This code is one […]
CPT Code 15004: Surgical Preparation for Skin Graft Sites
CPT code 15004 reports surgical preparation of a skin graft recipient site at eleven named sites, and the site list is where most errors start. Eyelids, mouth, ears and orbits are often left out of published summaries, which is how an eyelid or orbit case gets miscoded. Three questions decide every 15004 claim: where the […]
Pain Management CPT Codes: Complete List, Cheat Sheet and Coding Guidelines
Understanding the use of pain management CPT codes is essential for the billing and coding teams to keep the claim submission process clean. Using the accurate CPT code for pain management is mandatory to streamline reimbursements from payers. The article is a way to end the confusing part of the pain management procedure codes based […]
CPT Code 90686: Influenza Vaccine Billing & Reimbursement Guide
CPT code 90686 represents an intramuscular quadrivalent influenza vaccine. It is preservative free and comes in a 0.5mL pack. A crucial thing to know before you proceed to read the article is that the US moved from quadrivalent to trivalent vaccines. So, the working code of this vaccine is CPT 90656 now. If you are […]
CPT Code 52332: Ureteral Stent Placement Billing & Modifier Guide
CPT code 52332 represents one of the highest-volume urology procedure billed to payers. It is called the indwelling ureteral stent code. Due to its large volume, it is the most scrutinized code for urology specialty practices. What decides the payment for this code? There are two factors responsible. Whether the stent was truly indwelling or […]
CPT Code 91110: Capsule Endoscopy Billing & Reimbursement Guide
CPT Code 91110 is the small bowel capsule code, esophagus through the ileum, with the interpretation of the physician. There are two things that decide whether it will be paid or not. The diagnosis pairing is number one, it proves a prior EGD (upper endoscopy) and colonoscopy. The second thing is whether the claim is […]
ASC Coding Guidelines: Rules, Modifiers, and CMS Updates
ASC medical coding follows different rules from physician coding, even when the surgeon and the ambulatory surgical center report the same CPT code for the same case. The facility has its own payment mechanism and its own modifier rules. It follows its own edits, so a code that is correct on the surgeon’s claim might […]