Category: Medical Coding

Code Updates for Chiropractic Practices

Key 2025 ICD-10 Code Updates for Chiropractic Practices

Selecting a diagnosis code based solely on intuition is not enough. Each diagnosis must be supported by clear clinical rationale, documented in the care plan, and recorded in the patient’s chart notes. Staying informed about Code Updates for Chiropractic Practices ensures accuracy, compliance, and proper reimbursement for services rendered. Coding Best Practices Symptom vs. Diagnosis […]
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Therapy Services Codes

Therapy Services Codes: A Complete Guide to CPT & HCPCS Codes

Therapy services play a vital role in healthcare, helping patients recover from injuries, manage chronic conditions, and improve overall well-being. To ensure accurate billing and reimbursement, healthcare providers must use the correct therapy services codes. These codes, primarily based on the Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), help standardize claims […]
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Wound Repair Coding

Mastering Wound Repair Coding: A Guide to CPT Codes

Accurate coding of dermatological procedures requires a deep understanding of skin anatomy and the ability to extract key details from clinical documentation. Over the past two months, we’ve covered Wound repair coding guidelines for skin tag removal, shaving, and lesion excision. Now, in this final installment, we focus on wound repair (closure) procedures using CPT® […]
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HCPCS codes G9037 and G9038

New MCP Model HCPCS Codes G9037 & G9038

Clinicians participating in the Making Care Primary (MCP) model now have access to two new HCPCS Level II codes, HCPCS Codes G9037 and G9038, introduced in fiscal year (FY) 2024. These codes expand the scope of interprofessional consultation services, allowing primary care providers (PCPs) to bill for time spent collaborating with specialists. The MCP Model: […]
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AI in Medical Coding

AI in Medical Coding: A New Era of Accuracy and Efficiency

Medical coding is the lifeblood of healthcare operations. It forms the crucial bridge between patient care and financial reimbursement, ensuring that healthcare providers are compensated for the services they render. However, the complexity and sheer volume of medical codes, coupled with the ever-evolving regulatory landscape, make accuracy a persistent challenge. This is where the potential […]
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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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