Category: Medical Coding

HCPCS G-Codes

AUC Program & HCPCS G-Codes: Ensuring Compliance in Medicare Billing

The Centers for Medicare & Medicaid Services (CMS) initiated the educational and operations testing phase of the Appropriate Use Criteria (AUC) program. During this period, Medicare Administrative Contractors (MACs) began accepting AUC-related modifiers and HCPCS G-Codes on claims for advanced diagnostic imaging services provided to Medicare Part B patients. Understanding AUC Program Requirements Under the […]
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FESS coding

FESS Coding: CPT, ICD-10 & Billing Guidelines

Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive procedure performed endoscopically on the nasal and sinus cavities. It is widely used to treat chronic sinusitis and related symptoms, including congestion, persistent drainage, post-nasal drip, headaches, and facial pain. Understanding and applying the correct FESS CPT code is essential because FESS coding can be complex, […]
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Medical coding and billing challenges

Overcoming Medical Coding & Billing Challenges | Allzone

Medical coding and billing are critical components of the healthcare revenue cycle. They ensure that healthcare providers receive proper reimbursement for the services rendered. However, the ever-evolving regulatory landscape, shifting payer policies, and technological advancements present numerous Medical Coding & Billing Challenges. These challenges significantly impact the efficiency and accuracy of the revenue cycle. As […]
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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

what is 12001 cpt code description: CPT code 12001 describes the simple repair of superficial wounds of the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including hands and feet) that are 2.5 cm or less in length. This procedure involves the closure of minor lacerations that do not require layered repair and involve only […]
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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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