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 […]
Cardiology CPT Codes: The Complete Billing & Reimbursement Guide
Cardiology billing consists of high-value claims as compared to other specialties. Claim denials for cardiology practices pose a serious problem to their revenue cycle process. Not only this, but it is one of the most highly evaluated specialties. So, to prevent revenue leaks, it is essential to submit clean claims to payers. This is a […]
Pediatric Vaccination Billing and Coding: Vaccine Administration CPT Codes 90460 & 90471 Explained
There are a series of rules that govern pediatric vaccinations and their billing. To get optimal payments for vaccinations, it is essential to understand the vaccine administration codes. Our pediatric medical billing services help pediatricians to improve financial outcomes and significantly reduce revenue losses. This article is a comprehensive guide for pediatricians to see how […]
CPT Code 45378: Diagnostic Colonoscopy, Modifiers PT, 33, and 53
CPT code 45378 is to be indicated for a flexible diagnostic colonoscopy performed by a physician. The code is used when the procedure is deemed to be of a diagnostically needed case or screening colonoscopy without any therapeutic intervention, if applicable. In order to correctly report the procedure, there should be outlined certain factors such […]
CPT Code 45378: Diagnostic Colonoscopy Billing and Coding Explained (2026)
A colonoscopy claim can change the moment the scope finds something. Often, a procedure booked as a routine screening can quickly turn into a diagnostic encounter or it may advance to therapeutic when a polyp is removed. Each shift changes the code therefore, it is important to understand how it works to avoid predictable denials. […]
CPT Code 29827: Arthroscopic Rotator Cuff Repair Billing Explained
A rotator cuff repair claim includes more than one procedure code. During an arthroscopic shoulder procedure, a surgeon may repair the torn tendon. During this procedure, he may also address findings such as damaged tissue, labral abnormalities, or even problems in the subacromial space. The way the billers document every little detail directly determines whether […]