Author name: Addison Barnes

Can’t bill 59400 because you didn’t provide complete antepartum care? You can apply a mini global code, like CPT code 59425. Adequate prenatal care is very important for a healthy, full-term pregnancy. Healthcare providers are now moving from the traditional maternity care, consisting of 12 to 14 in-person visits, towards a more personalized approach.  However, […]

Are you an obstetrician struggling to get paid for antepartum care visits since the patient moved out of the practice or miscarried? If you are billing the global code 59400 that covers everything from prenatal care to labor management and delivery to postpartum care, then the denials are understandable. Because there are mini global service

Did you know that each year, there are 662,000 new cases of cervical cancer, and over 348,000 women die from it globally? Isn’t it alarming? Luckily, colposcopy can help physicians identify patients at higher risk of getting this life-threatening illness.  However, it is essential that healthcare providers who perform this service get paid for it

There are two main ways through which a woman delivers a baby: one is the cesarean approach, and the other is vaginal birth. A vaginal delivery is the most prevalent method of bringing your baby into the world. This is due to its natural process and relatively high safety in most delivery situations. Vaginal births

Do you know that radiculopathy due to lumbar disc herniations is diagnosed in almost 5% of all lower back pain patients? That’s a significant number. Usually, the ailment is treated via conservative treatments. However, it may also require surgery.  In most cases, the performed surgical procedure is billed via CPT code 63030. This makes 63030

When a patient comes to your cardiology practice complaining of unexplained heart palpitations or episodes of dizziness, what’s your next step? For many healthcare providers, the answer involves continuous cardiac monitoring. However, oftentimes, the insurance claims for these monitoring services are denied. Reason? Getting the minor details wrong. CPT code 93225 represents one such procedure.

Yes, separate procedural codes are available for drug administration to ensure transparency and accurate payment against each rendered service. CPT code 96401 is one such code. You must understand its descriptor, applicable modifiers, clinical scenarios, and specific reimbursement guidelines to steer clear of denials and audits. This guide discusses all these for you! Thus, whether

Did the physical therapy evaluation you conducted involve highly complex decisions? You can bill it with CPT code 97163. With approximately 300 million annual therapy sessions, physiotherapists are highly valued in modern healthcare. In short, we know that you are an expert in diagnosing and treating injured or disabled people. But are late payments impacting

Dilation and curettage (D&C) is one of the most frequently performed invasive procedures in the United States. Usually, this procedure is conducted on both pregnant and non-pregnant women. However, CPT code 58120 exclusively deals with non-obstetric D&C for diagnostic and/or therapeutic purposes. In today’s guide, we have attempted to cover every crucial information that you

Just performed a limited obstetric ultrasound? Instead of billing it with a full scan code, use CPT code 76815. Ultrasound scans are effective for monitoring pregnancies. The World Health Organization (WHO), in fact, recommends these tests to all pregnant women before 24 weeks of gestation as a precautionary step.  Therefore, sonography is a fundamental part