Category: Medical Coding

CAR-T therapy coding

A Deep Dive into CAR-T Therapy Coding and Billing for Medicare

Stay updated with the latest guidelines for reporting products and procedures related to Chimeric Antigen Receptor (CAR) T-cell therapy to ensure accurate CAR-T therapy coding and billing for Medicare patients. Overview of CAR-T Therapy CAR-T is a cutting-edge cell-based gene therapy that modifies a patient’s own T lymphocytes (T-cells) in a lab to express chimeric […]
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claim denials with chiropractic

Preventing Denied E&M Claims with Chiropractic Manipulative Therapy (CMT)

The observed an increasing number of denied Evaluation and Management (E&M) claims (99201-99215) when billed concurrently with chiropractic manipulation procedures, including chiropractic manipulative therapy (CMT), highlighting the potential for increased claim denials with Chiropractic Manipulative Therapy (CMT). Denial Reasons & Misconceptions: Common denial reasons include: “Service billed is included in another procedure billed the same […]
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Pulmonary Hypertension Coding

Pulmonary Hypertension Coding: A Guide to Accurate Documentation

Pulmonary hypertension (PH) is a “frequently identified, highly morbid condition” associated with increased mortality, hospitalizations, and significant financial burden. What steps can you and your provider take to ensure this condition is both documented and coded correctly? Below are four strategies to improve your Pulmonary Hypertension coding practices. 1. Understand Pulmonary Hypertension (PH) The Pulmonary […]
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Dermatology coding

Guide to Dermatology Coding: Skin Lesion Removal Procedures

Proper Dermatology coding for skin lesion removal procedures hinges on understanding key factors such as the type of removal, depth, intent, lesion size, and location. Dermatology coding can seem overwhelming, given the intricacies of selecting the correct codes. Accurate code selection requires careful consideration of procedural details and clinical documentation to ensure compliance and prevent […]
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Acupuncture CPT Codes

Master Acupuncture CPT Codes: Improve Billing & Reimbursement

Acupuncture is a time-honored practice that has gained recognition in modern healthcare systems worldwide. However, for acupuncture providers, navigating the intricate world of Current Procedural Terminology (CPT) codes can be challenging. Accurate coding of acupuncture CPT codes is essential for reimbursement, compliance, and seamless claim processing. This guide dives deep into the nuances of acupuncture […]
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Diabetes Mellitus coding

Understanding the Complexities of Diabetes Mellitus Coding in ICD-10-CM

Diabetes mellitus is a multifaceted condition, and its Diabetes mellitus coding reflects that complexity. This article focuses on the role of medications in diabetes management and highlights the challenges coders face when assigning accurate codes for medication administration and related procedures. Why Is Diabetes Coding So Complex? Diabetes coding requires careful consideration of multiple factors, […]
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Medical Coding Denials

Top Strategies to Prevent Medical Coding Denials

Medical coding denials are a common challenge for healthcare providers and revenue cycle management (RCM) teams. They can disrupt cash flow, delay reimbursements, and increase administrative workloads. Avoiding these denials requires a proactive approach that addresses their root causes, ensures compliance with regulations, and fosters a culture of continuous improvement. In this blog, we’ll explore […]
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ICD 10 code for new year injury

ICD-10 Codes for New Year: Holiday-Related Injuries

The arrival of the New Year brings excitement as people worldwide gear up to welcome 2025 with dazzling celebrations. For many, it’s a time for fireworks, dancing, and toasting to new beginnings. However, for healthcare providers, understanding the relevant ICD-10 codes for New Year is crucial, as treating patients remains uninterrupted, even during the holiday […]
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ICD-10 codes for holiday injuries

ICD-10 Codes for Common Holiday Injuries: A Guide for Healthcare Providers

During the hustle and bustle of the holiday season, it’s easy to get distracted by additional activities, leading to accidents and overlooking everyday safety practices that ensure our well-being. Unfortunately, such incidents can make physicians, emergency care, and urgent care providers busier during this time. Treatments for these injuries, often documented using ICD-10 codes for […]
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