CPT Code 90832: Guide for Billing and Reimbursement
90832 is the code for individual psychotherapy sessions with 30 minutes of face-to-face time with the patient. Understanding this code is key to billing correctly. In this guide we will cover the definition, scope, billing essentials, reimbursement rates and compliance tips for 2025. Quick Facts Definition and Scope of CPT Code 90832 90832 is individual […]
CPT Code 99459: Billing Guidelines and Reimbursement Updates for 2025
CPT code 99459, introduced on January 1, 2024, is an add-on code designated for pelvic examinations performed in conjunction with an Evaluation and Management (E/M) service. This code is specifically designed to account for the practice expenses associated with conducting a pelvic exam, including clinical staff time and necessary supplies. As an add-on code, 99459 […]
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, […]
2025 GI Coding Cheat Sheet: Accurate Reporting and Reimbursement for Esophagogastroduodenoscopy (EGD)
The American Society for Gastrointestinal Endoscopy (ASGE) ensures that gastroenterology practices have effective methods for accurate reporting and fair reimbursement for procedures, tests, and visits. To help healthcare providers handle GI-specific coding, ASGE has created coding cheat sheets. These sheets offer a concise overview, supporting practices in accurate coding and reimbursement for 2025. What is […]
CMS-1500: Where to Indicate Group, Rendering NPI and Rendering Provider Name
Have you ever felt trapped in the cycle of a denied insurance claim? You are not alone; many practitioners have faced challenges in securing fair compensation for their services over the years. Often, this stems from a lack of clear guidance on how to properly fill out and submit claims. The CMS-1500 form, introduced to […]
How to Avoid Delays in MRI Reimbursement with CPT Code 73721
73721 CPT code is used for MRI of lower extremity joints. This code is for non-invasive imaging of the hips, knees, ankles and feet. It’s used to diagnose ligament tears and bone fractures. Proper use of code means proper billing and reimbursement. In this post you’ll learn what it covers, clinical uses and importance of […]
How to Use CPT Code 97530 for Better Reimbursements
CPT Code 97530 is for one-on-one patient contact to improve functional performance. Here’s everything you need to know about CPT Code 97530 including definition, occupational therapy application, documentation and billing tips. What is CPT Code 97530? CPT Code 97530 is for therapeutic activities involving direct one-on-one patient contact to improve functional performance through a therapeutic […]
Maximizing Reimbursement for New Patient Visits: CPT Code 99203
The 99203 code is used for new patient outpatient visits that require a detailed history, exam and low complexity decision making. Proper use of this code will get you paid and avoid claims issues. This article will break down the components, time requirements and common mistakes of the 99203 codes so you can use it […]
Code 99204: Comprehensive Billing Guidelines, Reimbursement, and Best Practices
Billing for CPT code 99204 can be complex, as the billing criteria are required to meet specific requirements to ensure appropriate reimbursement for new patient offices and outpatient visits. The code 99204 is used to conduct comprehensive evaluations for complex medical decision-making based on history, physical examination, and time spent. In this blog, we will […]
What Is an Entity Code in Medical Billing?
Introduction: An entity code is used in medical billing to identify the type of entity billing for the services. Entity codes are used to ensure that the correct entity is being billed and that Medicare and Medicaid are not being billed for the same service. Entity codes can be assigned by the provider, billing office, and the […]
