Category: Medical Coding

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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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

5 Common Remark Codes For The CO16 Denial

co16 denial code description: The CO-16 denial code is used in medical billing to indicate that a claim has been denied because it lacks necessary information or contains errors. It falls under the category of “Contractual Obligation” (CO) denials, which means the responsibility falls on the provider to fix the issue and resubmit the claim. […]
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ICD-10-CM F01–F99

Guide to ICD-10-CM F01–F99 Mental and Behavioral Disorder Codes

Navigating the world of mental health diagnoses and classifications can be a daunting task, both for healthcare professionals and the general public. Among the most vital tools in this process is the ICD-10-CM, or the International Classification of Diseases, Tenth Revision, Clinical Modification. This coding system, maintained by the Centers for Disease Control and Prevention […]
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10 ICD-10 Compliance Issues

Top 10 Common ICD-10 Compliance Issues in Medical Coding

Introduction ICD-10 compliance is critical for healthcare organizations to ensure accurate billing, minimize claim denials, and maintain regulatory standards. However, many practices face recurring challenges that compromise coding accuracy. In this article, we’ll explore the top 10 common ICD-10 compliance issues in medical coding, their impacts, and practical solutions to help you stay compliant and […]
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ICD-10 Revised Codes

ICD-10 Revised Codes 2026: Complete Guide for Medical Billing, Coding

Introduction In the ever-changing world of healthcare, accurate medical coding is the backbone of successful reimbursement. With the release of ICD-10 revised codes 2026, healthcare providers and revenue cycle management (RCM) teams must stay informed about revised codes to avoid costly billing errors. Each year, ICD-10 updates introduce new, deleted, and revised codes to reflect […]
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