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The Healthcare Common Procedure Coding System (HCPCS) is a standardized coding system used primarily for billing and reporting medical services and supplies in the United States. Within HCPCS, C codes...

Medical billing and coding is a critical part of healthcare revenue cycle management (RCM), ensuring providers are reimbursed accurately for their services. Among the many modifiers used in coding, Modifiers...

What is CO‑197? In medical claims terminology, CO 197 (or “CO‑197”) is a denial adjustment code used by payers to indicate that a claim (or line item) was rejected because...

Prediabetes is a growing health concern affecting millions of Americans, and accurate medical coding plays a crucial role in identifying and managing this condition effectively. For healthcare providers, understanding the...

In today’s evolving healthcare landscape, medical billing compliance is more than just following rules—it’s about safeguarding your organization from costly fines, legal risks, and reputational damage. Non-compliance in billing and...

CPT Code 47563 refers to a laparoscopic cholecystectomy, a minimally invasive surgical procedure to remove the gallbladder. This code is widely used in general surgery and gastroenterology specialties. Accurate usage...

Introduction In medical billing, modifiers play a vital role in explaining the circumstances under which a service or procedure was performed. One such important modifier is Modifier 76, which helps...

Introduction In medical billing, claim rejections and denials are inevitable—but understanding why they occur is the key to fixing them. One of the most important tools for decoding these denials...

In the complex world of medical billing, every claim denial tells a story. Among the most common denial codes faced by healthcare providers is CO-29, which indicates a “Claim denied...

A stroke, or cerebrovascular accident (CVA), occurs when the brain’s blood supply is interrupted or reduced, depriving brain tissue of oxygen and nutrients. Accurate medical coding for stroke is essential...