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 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 […]
Medical Billing for Cardioversion CPT Codes, Documentation & Denial Prevention (2026)
The denial of cardioversion claims is frequent and mainly avoidable. Common errors made during the submission of these claims are incorrectly selecting the appropriate cardioversion CPT code for the procedure, billing without adequate documentation, and not properly applying modifiers when there is a same-day evaluation and management (E&M) visit. The improper billing of this procedure […]
Colposcopy CPT Coding: The Complete OB/GYN’s Guide to Proper Reimbursement
If your medical practice has been experiencing a consistent increase in denied claims or are looking for ways to boost revenue for the cervical health procedures you provide, knowing how to properly code colposcopy CPT codes will greatly help. Misapplication of colposcopy CPT codes, incorrect application of modifiers, and the failure to properly document biopsy […]
What is CPT Code G2211? What Medicare Providers Should Know
The majority of Medicare providers perform thousands of visits that completely qualify for additional reimbursement but they aren’t captured. Such a case is with code G2211 which was created specifically to compensate providers for the complexity of ongoing, longitudinal patient care. It became separately payable in 2024 yet it remains widely misunderstood, incorrectly billed, and […]
CPT Code 99213 Billing & Documentation Guide for Established Patient Visits
CPT Code 99213 is among those CPT Codes that are billed most often in outpatient Evaluation and Management (E/M) services in all physician practices. This code encompasses many follow-up visits with established patients across a variety of medical and behavioral health and specialty settings. Even though it is common practice, there are still a number […]
CPT Code for Anesthesia Simplified: Your Quick-Access Guide
It is vitally important that anesthesia coding is done properly so that appropriate amounts may be collected for services rendered, thus preventing any claims from being denied. To help anesthetists, ambulatory surgery centres, hospital billing departments, and medical coding staff understand the complexities associated with anesthesia CPT codes. This guide will provide you with the basic […]