Tag: Hospital billing

HCPCS C Codes

HCPCS Code Categories: C Codes Overview

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 are a specific category of temporary codes used under the Hospital Outpatient Prospective Payment System (OPPS). These codes are issued by the Centers for Medicare […]
UB-04 Claim Form

Understanding the UB-04 Claim Form (CMS-1450) in Medical Billing

In the complex world of medical billing, accurate documentation is essential for timely reimbursements and claim acceptance. One of the most critical tools in hospital and institutional billing is the UB-04 claim form, also known as the CMS-1450. Whether you’re a healthcare provider, billing professional, or medical coder, understanding this form is crucial for ensuring […]
Navigating E&M Code Changes

Navigating E&M Code Changes

It is expected that the Centers for Medicare & Medicaid Services (CMS) will release a completely revamped version of the evaluation and management (E&M) codes by 2021, particularly for the office visit codes (999201-99205 and 99211-99215). In addition to the changes to the office visit codes, there were significant changes to the 2023 guidelines. These […]
CPT® and HCPCS Newly Added and Revised Codes

CPT® and HCPCS Newly Added and Revised Codes

CPT® codes are effective Jan. 1, 2023. The American Medical Association (AMA) released CPT 2023 on Sept. 12. There are 225 new codes, 75 deletions, and 93 revisions. Most of the changes fall in the Evaluation and Management (E&M) section. The 2023 CPT codes are effective Jan. 1, 2023. The October 2022 release of the […]