Category: Medical Coding

CPT Code Set

AMA Releases 2019 CPT Code Set

There were many code revisions with guidelines, descriptions and instructional note changes.    There six new codes in the Evaluation and Management (E&M) section in CPT. Guidelines were revised for Interprofessional Telephone/Internet/Electronic Health Record Consultations. New codes 99451 and 99152 were added to report assessment and management services.  The codes are based on medical consultative […]
CPT Modifiers 52 and 53 vs. 73 and 74

CPT Modifiers 52 and 53 vs. 73 and 74

Modifier 74 description: Modifier 74 is used in the medical billing and coding field to indicate that a surgical procedure performed in an outpatient setting was terminated due to extenuating circumstances. When this modifier is applied to a billing code, it signifies that the procedure was initiated but discontinued before completion due to reasons beyond […]
5 Common Remark Codes For The CO16 Denial

5 Common Remark Codes For The CO16 Denial

co16 denial code description: The CO16 denial code is used in medical billing to indicate that a claim has been denied because it lacks necessary information or contains errors. It falls under the category of “Contractual Obligation” (CO) denials, which means the responsibility falls on the provider to fix the issue and resubmit the claim. […]