Coronary Artery Disease (CAD) is one of the most common and serious forms of heart disease. In the medical billing and coding world, accurately documenting and coding CAD is critical for correct reimbursement, tracking patient outcomes, and ensuring compliance with healthcare regulations. The ICD-10 code for CAD serves as a fundamental identifier for healthcare providers […]
Mammography, a vital screening tool in the early detection of breast cancer, is typically billed using CPT codes and HCPCS Level II (G codes). However, the correct use of G codes for mammograms—particularly for Medicare beneficiaries—is often a source of confusion for healthcare providers and billing teams. In this comprehensive guide, we’ll explore: The difference […]
For anyone involved in rehabilitation, physical therapy, or occupational therapy, CPT code 97110 is a crucial identifier. This code represents therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion, and flexibility. But what exactly does that mean, and why is it so important for both […]
Accurate medical billing starts with understanding the appropriate use of each CPT code. One such commonly used code in laboratory and outpatient settings is CPT Code 36415, which refers to the collection of venous blood by venipuncture. While it may appear straightforward, improper use of this code can result in claim denials, delays in reimbursement, […]
Understanding and accurately applying ICD-10 codes for obesity is crucial for healthcare providers. These codes are not just bureaucratic necessities; they are vital for proper billing, public health tracking, and ensuring patients receive appropriate care. This blog post will delve into the nuances of obesity coding, with a particular focus on the commonly encountered codes: […]
Key Takeaways G2211 is an add-on HCPCS code representing visit complexity tied to ongoing, longitudinal patient care. It must be billed with E/M codes (99202–99215) and cannot be billed independently. Medicare reimburses G2211 (approx. $16 nationally), but commercial payer acceptance may vary. Use accurate documentation to demonstrate the longitudinal care relationship. No modifiers are usually […]
One of the most frequently used codes in laboratory testing is CPT Code 80053, which represents the Comprehensive Metabolic Panel (CMP). This panel provides essential information about a patient’s metabolic state and organ function, helping physicians diagnose and manage chronic diseases effectively. For healthcare providers and billing professionals, understanding how to accurately bill for this […]
Anxiety disorders are among the most common mental health conditions worldwide, affecting millions of people. For healthcare professionals, accurately documenting and coding these conditions is crucial for diagnosis, treatment, and billing. The International Classification of Diseases, Tenth Revision (ICD-10), is the system used globally for this purpose. But what exactly is the ICD 10 code […]
Among the numerous Evaluation and Management (E/M) codes, 99204CPT Code holds particular significance for healthcare providers seeing new patients in an office or outpatient setting. Proper use of this code ensures appropriate reimbursement for moderately complex services that require comprehensive documentation and clinical decision-making. This article provides a comprehensive overview of CPT 99204—its definition, time […]
Every Medical service provided, every interaction with a patient, must be accurately translated into a standardized medical code for proper reimbursement and data tracking. Among the vast array of Current Procedural Terminology (CPT) codes, 99214 CPT Code stands out as one of the most frequently utilized for established patient office visits. Understanding its nuances, the […]