Tag: CPT coding guidelines

CPT Code 45378

CPT Code 45378: Colonoscopy Billing and Coding Guidelines

Introduction Colonoscopy procedures are essential for diagnosing and preventing colorectal diseases, but from a billing perspective, they are also a high-risk area for claim denials and revenue leakage when not coded correctly. For healthcare providers and medical coders, even minor mistakes in applying CPT Code 45378, selecting the correct modifiers, or ensuring proper documentation can […]
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CPT Code Update

2025 CPT Code Updates: Key Changes You Can’t Miss

As the healthcare industry continues to evolve, staying informed about 2025 CPT Code Updates is essential for providers, billing professionals, payers, and healthcare administrators. Each year, the American Medical Association (AMA) releases an updated CPT code set to reflect advances in medical knowledge, technology, and clinical practice. The 2025 CPT Code Updates are crucial to […]
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Modifier 58 Versus 78 – Which Should You Use?

Modifier 58 Versus 78 – Which Should You Use?

Modifier 58 vs Modifier 78:  Modifier 58: Same underlying condition, planned or unplanned additional procedure. Modifier 78: New problem caused by the initial surgery (complication) requiring a return to the OR. Medical Coders often struggle to differentiate between modifier 58 (staged/related procedure) and modifier 78 (unplanned return to OR). Let’s break down the key differences […]
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