Navigating the world of medical billing and coding can be tricky, especially when it comes to modifiers. Getting them right is crucial for accurate reimbursement and compliance. This guide will walk you through two of the most important modifiers: Modifier 51 and Modifier 59. We’ll explain what they are, how to use them, and the […]
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 […]
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, […]
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, […]
H5N8 Avian Influenza Vaccine: The American Medical Association (AMA) has updated the Current Procedural Terminology (CPT) code set to include new codes for vaccines protecting against the H5N8 strain of avian influenza. This update follows a recent global outbreak of avian influenza, particularly the H5N1 strain, which has affected wild birds, poultry, dairy cows, and […]
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: […]
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, […]
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 […]
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 […]