How accurately do you capture the severity of upper GI conditions and use the associated codes? Gastroesophageal reflux disease (GERD) is a common gastrointestinal disorder in the US, affecting around 20% of the population. Therefore, the increasing demand for gastroenterologists is understandable. But, with their busy schedules, most doctors find it difficult to manage accurate […]
Ultimate Guide to CPT Code 43235 Read More »
It can be overwhelming to keep track of all the medical coding billing guidelines, such as accurate diagnosis and procedural code selection, appropriate modifier usage, documentation requirements, and whatnot. If you are a healthcare facility or a physician conducting colorectal screening, you may have encountered the modifier PT. But do you know when and how
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Struggling to understand when and how to use the GA modifier correctly? Let us be your guide! It is common knowledge that modifiers are extremely useful for delivering additional information to payers. In simple terms, these two-digit codes help them determine how to reimburse a particular service or procedure. Some modifiers, including modifier GA, are
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Ultrasound is an invaluable imaging tool, providing diagnosis and treatment guidance in various medical specialties. The procedure is considered safe during pregnancy as it does not expose the body to radiation. It offers real-time imaging and dynamic views of structures or organs in motion. Besides, it is painless, and patients experience minimal discomfort. This guide
Ultimate Guide to CPT Code 76830 Read More »
Getting denials for breath testing? You might not be meeting its coding requirements. It is not easy to file multiple claims each day, especially when handling high volumes of patients and clinical emergencies. A simple coding mistake, such as an inappropriate procedure code, can trigger investigations by insurance companies. Coding requires attention, but sometimes, people
Ultimate Guide to CPT Code 91065 Read More »
In medical billing, revenue codes are four-digit standardized numeric codes that provide information about the services, procedures, and products rendered to a patient at a healthcare facility. These codes are added to the hospital bill—UB-04 claim form, also known as the CMS-1450 form—to provide more details about the product or procedure, such as its type
What are Revenue Codes in Medical Billing? Read More »
Welcome to another blog in our series, where we dissect the most searched CPT codes to clear our readers’ coding confusion. In today’s blog, we will discuss CPT code 96372, which is one of the most frequently reported CPT codes at pain management practices, OB/GYN clinics, and outpatient primary care centers. So, let’s dive deep
What is CPT Code 96372? Read More »
Searching for the right code to bill a cardiovascular stress test? We might have the answer! There is no doubt that medical billing is complex. However, the process becomes more challenging for certain specialties like cardiology due to the wide range of treatments and procedures involved. The main problem? Coding, especially when dealing with specialized
Ultimate Guide to CPT Code 93017 Read More »
How do you report a discontinued procedure? With modifier 53! Modifiers are essential for reporting unusual and unique circumstances to payers. A common misconception about these two-digit codes? You can use them randomly to increase reimbursements. In reality, they have specific criteria and only deliver additional details about a service or procedure. Unforeseen circumstances or
Modifier 53 Description, Examples, and Usage Guidelines Read More »
Heart disease is the leading cause of death in the USA. According to the American Heart Association, around 121.5 million adults in the country, or 48% of the population, are living with cardiovascular disease. Hence, it doesn’t come as a surprise that electrocardiography or electrocardiogram is one of the most used diagnostic tests in the
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