HCPCS Level II & CMS Guidelines HCPCS January 2026 Update: Includes 160 new codes and 101 deletions. Notable additions include new J-codes for FDA-approved products and M-codes for telehealth-conducted encounters. CMS Terminology Shift: CMS is beginning to phase out the term “Social Determinants of Health” in favor of “upstream drivers” in certain official descriptors. NCCI […]
Accurate CPT coding plays a critical role in ensuring timely claim approvals and consistent revenue for healthcare providers. CPT codes communicate the services rendered to payers, and even small errors can result in claim rejections, delayed reimbursements, or compliance risks. As payer rules become stricter and automated claim reviews more common, preventing CPT coding errors […]
N30 is a common claim denial remark code indicating that the patient identification information submitted on a healthcare claim is missing, incomplete, or invalid. This includes errors related to member IDs, subscriber numbers, Medicare Beneficiary Identifiers (MBIs), Medicaid IDs, or dependent suffixes. Although N30 denials are administrative in nature, they can significantly disrupt the revenue […]
Respiratory diseases remain one of the most frequently reported conditions in clinical settings, ranging from mild upper respiratory infections to life-threatening respiratory failure. In medical billing and coding, accurate classification of these conditions is critical for proper reimbursement, compliance, and clinical reporting. The ICD-10-CM Chapter J00–J99 covers Diseases of the Respiratory System, providing standardized codes […]
Introduction Accurate medical billing is the backbone of healthcare revenue cycle management (RCM). At the core of this process lies medical coding, which converts clinical documentation into standardized codes used for billing, reporting, analytics, and reimbursement. For decades, healthcare systems around the world have relied on the International Classification of Diseases (ICD) to classify diseases, […]
The Centers for Medicare & Medicaid Services (CMS) will introduce 80 new procedure codes to the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective April 1, 2026. The ICD-10 MS-DRG Grouper continues to assign each inpatient case to an appropriate MS-DRG based on reported diagnosis and procedure codes, along with demographic details […]
Dental billing plays a crucial role in ensuring dental practices receive timely and accurate reimbursement. One of the most important components of dental billing is the correct use of Dental CPT Codes. These standardized codes help translate dental procedures into a universal language understood by insurance payers. Errors in coding can lead to claim denials, […]
Eye and adnexa disorders are among the most frequently reported conditions in ophthalmology, optometry, emergency medicine, and primary care settings. Accurate coding for these conditions is essential not only for clinical documentation but also for timely reimbursements and compliance with payer guidelines. The ICD-10-CM code range H00–H59 is dedicated to Diseases of the Eye and […]
Neurology practices face some of the most complex billing challenges in healthcare. From high-cost injectable drugs and neurostimulator devices to DME, infusion services, and Medicare-specific requirements, accurate HCPCS coding is critical for clean claims and timely reimbursement. Even a minor coding error can trigger denials, audits, or delayed payments. This Neurology HCPCS Codes Cheat Sheet […]
Accurate medical coding is the foundation of successful reimbursement, especially in chiropractic care where services are highly regulated and payer scrutiny is strict. For chiropractors and medical billing companies, understanding and correctly applying chiropractic CPT codes is essential to avoid denials, ensure compliance, and maintain steady revenue flow. This Chiropractic CPT Codes List Guide by […]










