Tag: CPT coding services

Compliance checklist

2025 Compliance Checklist for Coders & Billers

The world of medical billing and coding is not what it used to be—and that’s not necessarily a bad thing. As healthcare continues to evolve into a more digital, value-based, and patient-centric system, the role of coders and billers is more important—and more regulated—than ever. If you’re a coder or biller, you’re not just crunching […]
36415 CPT Code

36415 CPT Code Explained: Billing Guidelines, Usage, and Common Denials

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, […]
CPT Code 83036

Ultimate Guide to CPT Code 83036: Accurate HbA1c Test Billing & Coding

Every CPT (Current Procedural Terminology) code represents a specific medical service or procedure, and understanding their nuances is critical for healthcare providers, billers, and even patients. Among these, CPT code 83036 holds significant importance, primarily associated with the Hemoglobin A1c (HbA1c) test. This comprehensive guide will delve deep into CPT code 83036, explaining its purpose, […]
The-Three-Categories-of-CPT-Codes

The Three Categories of CPT Codes

Current procedural terminology meaning: Current Procedural Terminology or CPT codes are developed by the American Medical Association (AMA) to describe a wide range of healthcare services provided by physicians, hospitals, and other healthcare professionals. These codes are utilized to communicate with other physicians, hospitals, and insurers for claims processing. There are three categories of CPT Codes: […]
AMA Aims to Streamline Prior Authorization Billing with New Codes

AMA Aims to Streamline Prior Authorization Billing with New Codes

New billing codes: Medical experts might consider creating new billing codes for the time doctors and their support staff spends working on prior authorizations. The American Medical Association (AMA) Current Procedural Terminology (CPT) Editorial Board meets May 9-11 in Chicago. On the meeting’s agenda are three potential new CPT codes “for reporting services (physician, QHP, […]
Differences: Preventive vs. Office Visits in Medical Coding & Billing

Differences: Preventive vs. Office Visits in Medical Coding & Billing

Preventive Services Vs Office Visits: It is important to note that Medicare does not cover preventive services in the same manner as commercial payers. Therefore, it is important to know the patient’s policy and insurance coverage. Table A shows a breakdown of the coverage parameters. Understanding the distinction between Preventive Services Vs Office Visits is […]
Coding Changes Impacting

CPT 2024 Coding Changes Impacting General Surgery and Specialties

The American Medical Association (AMA) Current Procedural Phrasing (CPT)* code set is overhauled every year. This year, numerous of the upgrades are time-based codes, which may influence when they may be detailed. This article depicts CPT 2024 Coding Updates that are pertinent to common surgery and related specialties. Hyperthermic Intraperitoneal Chemotherapy in CPT 2024 Coding […]