Category: Medical Coding

HCPCS Level II Drug Codes

21 New HCPCS Level II Codes for April

The new codes include drugs for migraines, to initiate blood-clotting in patients on certain coagulants, chronic and hairy cell leukemia, and folic acid for chemotherapy patients. The home health codes help facilitate the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) Pioneer ACO initiative. New HCPCS Level II Codes […]
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Lesion Excision: 5 Steps To Coding Success

Lesion excision coding may seem complex, but reporting excision of benign (CPT Code 11400- CPT Code 11471) and malignant (11600-11646) skin lesions can be mastered in five steps. Step 1: Measure First, Cut Second: When assigning CPT® codes 11400-11646, you must know both the size of the lesion(s) excised and the width of the margins […]
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AMA Releases 2019 CPT Code Set

New code changes number 335. The new current procedural terminology (CPT®) codes have been released with 335 code changes in 2019.  There were many code revisions with guidelines, descriptions and instructional note changes.   Let’s look at the highlights of many new CPT codes for 2019. There six new codes in the Evaluation and Management (E&M) […]
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CPTModifiers 52 and 53 vs. 73 and 74

Modifier 74 description: Modifier 74 is used in the medical billing and coding field to indicate that a surgical procedure performed in an outpatient setting was terminated due to extenuating circumstances. When this modifier is applied to a billing code, it signifies that the procedure was initiated but discontinued before completion due to reasons beyond […]
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14 Things To Know About Medical Coding

Medical coders play a vital role within the revenue cycle process, ensuring that healthcare systems, hospitals, and medical professionals receive appropriate reimbursement for their provided services. Here are 14 key points about medical coding: Medical coding is described by AAPC as the conversion of healthcare diagnoses, procedures, medical services, and equipment into standardized medical alphanumeric […]
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5 Common Remark Codes For The CO16 Denial

How can providers enhance their collection potential? One approach is to minimize denials, although this is often challenging if denials aren’t being analyzed, appropriate protocols for resolution aren’t followed, or adequate training isn’t provided to the collections team. This article aims to offer guidance on tackling a common denial that providers face: the CO16 denial, […]
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ICD-10 Coding Errors, Diagnostic Errors, Payment Reform. Coding Errors

ICD-10 So Far: Frustrations and Hopes

Billing Headaches: Is There a Code for That? Denials become even more of a threat as the finer points of medical coding and billing become overwhelming challenges for many practices. Under ICD-10, the stakes have never been higher. Recent research confirms that ICD-10 as currently implemented is seriously flawed. In 2015, the University of Illinois […]
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