For the 2026 ICD-10-CM code updates, you’ll find 16 new “R” codes that offer greater detail for reporting pain and tenderness in the pelvic, perineal, subpubic, abdominal, and flank regions. The existing code R10.2- (Pelvic and perineal pain) will become a parent code. A notable addition is R11.16 (Cannabis hyperemesis syndrome (CHS)), specifically for nausea […]
The difference between a thriving medical facility and one struggling with cash flow often lies in the precision and strategic application of its coding processes. Maximizing reimbursements and strengthening financial health hinges on a proactive approach to medical coding – one that goes beyond simply assigning codes and delves into optimizing every facet of the […]
For physicians, understanding and implementing proper medical coding practices isn’t just about administrative efficiency; it’s the lifeblood of your practice, directly impacting reimbursement, compliance, and ultimately, your financial health. Ignoring or mismanaging medical coding can lead to a cascade of problems: denied claims, delayed payments, audits, and even legal repercussions. On the other hand, mastering […]
Remaining up-to-date is essential in the healthcare industry, but relying solely on current codes isn’t always the best approach. When auditing, handling appeals, or researching code usage for past encounters, a solid grasp of the descriptors and guidelines applicable during the date of service (DOS) can profoundly impact outcomes. Here’s a concise guide on effectively […]
The healthcare industry is no stranger to constant updates, especially when it comes to coding and billing. As medical knowledge advances, disease trends change, and the healthcare landscape evolves, the Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) update the 2024 ICD-10-CM Code set every year Healthcare providers, […]
CMS is proposing new Billing Codes for MRI in the draft 2025 Medicare Physician Fee Schedule to account for the extra work involved in safely performing MRIs on patients with implants or other factors that could pose risks. These additional tasks might involve reviewing a patient’s medical history, researching implant specifics, carefully considering risks and […]
OPD (Chronic Obstructive Pulmonary Disease) is an umbrella term for lung diseases that make breathing difficult. This difficulty arises from blockage or narrowing of the airways. The two most common types are emphysema and chronic bronchitis, which often occur together. Smoking is the leading cause of COPD. While there’s no cure, measures can be taken […]
Medical ICD-10-CM coding accuracy is crucial for efficient healthcare reimbursement. Even minor errors can lead to claim denials, delays, and lost revenue. Here are the top 10 medical coding mistakes to avoid: Accuracy is Key: 1. Don’t Skip the Details: ICD-10-CM codes often require specific details in the fourth and fifth digits. Using truncated codes […]
The ICD-10-CM (International Classification of Diseases, Tenth Revision, and Clinical Modification) is a vital tool for accurately documenting and coding diagnoses in healthcare settings. As the field of mental health coding continues to evolve, it’s essential for clinicians and coders alike to stay updated on the latest guidelines and revisions. The 2024 update to the […]
In this blog, you should know why healthcare providers need to be aware of the medical coding guide. 1. What is Medical Coding? Medical coding is the process of translating medical diagnoses, procedures, and services into universal alphanumeric codes for proper documentation and billing purposes. 2. Importance of Accuracy: Accurate medical coding is crucial for […]