Category: Blog

ENT medical coding

Medical Codes Used in ENT Practices: ICD-10, CPT, HCPCS, and Billing Best Practices

When you visit an Ear, Nose, and Throat (ENT) specialist, your care involves a lot more than an exam and treatment. Behind the scenes, accurate medical coding is critical for insurance reimbursement, patient records, and ongoing care. This blog explores the essential medical codes used in ENT practices, including ICD-10 (diagnosis codes), CPT (procedure codes), and HCPCS (supply/service codes). […]
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Foot Surgery Medical Coding

Medical Codes Used in Foot Surgery Practices: A Complete Guide

When it comes to foot surgery, accurate medical coding is just as essential as skillful surgical technique. Whether you’re a podiatrist, orthopedic surgeon, medical biller, or patient, understanding the medical codes used in foot surgery practices can help ensure correct billing, reduce claim denials, and streamline the healthcare process. This guide explores the most important ICD-10-CM […]
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Facts to Avoid Confusion During Debridement Billing

Facts to Avoid Confusion During Debridement Billing

Debridement is a process that involves the removal of foreign material, as well as tissue that is either devitalized or contaminated, until healthy tissue is revealed. Its primary purpose is to clean the affected area and is often performed concurrently with other orthopedic surgical interventions. In my role as an auditor specializing in orthopedics, I […]
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Demystifying Facility Coding

Demystifying Facility Coding

Modifiers 52: Professional fee-for-service guidelines for modifiers do not apply in the clinical setting. Reduced, Failed, Aborted, Aborted… which one? What are the requirements for using modifiers 52, 73 and 74? These questions are common in the coding center world, and  the answers  never seem to be clear. Confusingly mix up the medical code instructions […]
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End-to-End Revenue Cycle Management: A Comprehensive Guide

End-to-End Revenue Cycle Management: A Comprehensive Guide

End to end RCM (Revenue Cycle Management) encompasses every step in the healthcare payment process, from patient registration to final reimbursement. By adopting a comprehensive RCM approach, healthcare organizations can improve cash flow, minimize errors, and ensure compliance with ever-changing regulations. This blog will explore the components, benefits, and best practices for implementing an end […]
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2026 Lower Extremity Revascularization (LER) Coding Changes

Effective January 1, 2026, the American Medical Association (AMA) has introduced a complete overhaul of the Lower Extremity Revascularization (LER) coding system. The previous code range (37220–37235) has been deleted and replaced by a more granular set of 46 new codes (37254–37299) designed to better reflect modern endovascular techniques and procedural complexity. Key Structural Changes […]
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Accurate ICD-10-CM Codes for Pediatric Eye Care

Accurate ICD-10-CM Codes for Pediatric Eye Care

Accurate ICD-10-CM coding for Pediatric Eye Care becomes straightforward when you know what to look for. With Children’s Eye Health and Safety Month as a timely reminder, it’s an excellent opportunity for pediatric providers to review common eye-related diagnoses seen during vision exams. Here, we’ll guide you through three commonly encountered scenarios in pediatric eye […]
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5 Common Remark Codes For The CO16 Denial

CO16 Denial Code: Causes, Remark Codes, and How to Fix It

In medical billing, claim denials can significantly disrupt revenue cycles, delay reimbursements, and increase administrative workload. One of the most common and often misunderstood denial codes is the CO16 denial code. Understanding what the CO16 denial code means, why it occurs, and how to resolve it efficiently is essential for healthcare providers, medical billers, and […]
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