In the complex world of medical billing, HCPCS codes play a critical role in ensuring that healthcare providers are reimbursed correctly for the services they deliver. Among these, HCPCS P Codes are less frequently discussed but are incredibly important for laboratories, pathology services, and healthcare organizations that depend on precise coding for accurate payment. As […]
Intestinal infectious diseases remain one of the most commonly reported medical conditions worldwide, leading to millions of outpatient visits and significant healthcare spending each year. In the ICD-10-CM code range A00–A09, these conditions include cholera, typhoid fever, shigellosis, foodborne illnesses, viral gastroenteritis, and other bacterial, viral, and parasitic infections affecting the digestive tract. Accurate coding […]
Introduction: Accurate coding plays a critical role in ensuring timely and proper reimbursement for cardiology services. One of the most frequently used codes in cardiac rehabilitation billing is CPT Code 93798. This code represents physician-supervised exercise therapy for patients recovering from cardiac events, such as myocardial infarction, coronary bypass surgery, or heart transplantation. In this […]
Key Takeaways: CO 45 = “Charge exceeds fee schedule/maximum allowable or contracted rate.” It usually represents a contractual adjustment, not a billable patient balance. Common causes include outdated fee schedules, incorrect coding, or missing modifiers. Prevention requires accurate contract management, claim scrubbing, and staff training. Partnering with Allzone helps healthcare providers streamline denial management and […]
Introduction In the complex world of healthcare reimbursement, coding accuracy is critical to ensure proper payment and compliance. Among the various code sets used, HCPCS K Codes hold a special place for their role in billing durable medical equipment (DME) and other specific supplies. These codes are often overlooked but play an essential part in […]
In the complex world of healthcare, accuracy in medical coding is not just about compliance—it’s the foundation of timely reimbursements and a healthy revenue cycle. Among the most common patient complaints is hip pain, which often leads to diagnostic evaluations and treatment claims. Properly using the ICD-10 code for right hip pain (M25.551) is crucial […]
Total knee arthroplasty (TKA), also known as total knee replacement, is one of the most commonly performed orthopedic procedures in the United States. With the rising number of patients suffering from osteoarthritis, rheumatoid arthritis, and other degenerative joint diseases, the demand for accurate coding and billing for knee replacement surgeries has never been greater. For […]
Key Takeaways Denial Code CO-15 occurs when authorization or referral information is missing, invalid, or mismatched. Common causes include expired authorizations, incorrect provider details, or billing mismatches. Prevent CO-15 denials through automation, staff training, and proactive verification. Collaborating with a trusted RCM partner like Allzone Management Services can streamline your authorization process and reduce denials […]
Guideline updates: Corresponding to these new codes, ICD-10-CM guidelines also received updates to clarify their use: Obesity class codes: Under subcategory E66.81, coders must assign a fifth character to indicate the severity. Obesity and BMI documentation: BMI codes (Z68.-) should be assigned only when an associated, reportable diagnosis (like obesity or anorexia) is documented. For […]
Introduction Urology is a specialized medical field dealing with disorders of the urinary tract and male reproductive system. From diagnosing kidney stones to performing complex procedures like prostate surgeries, urologists rely heavily on accurate medical coding for reimbursement and compliance. CPT (Current Procedural Terminology) codes play a crucial role in this process — they describe […]










