Is the once-in-a-lifetime procedure rule for CPT code 52601 still valid? Let’s update your knowledge! Benign prostatic hyperplasia (BPH) is a common condition among aging men, affecting 5 to 6% of men between ages 40 to 64 and 29 to 33% of those older than 65. While transurethral resection of the prostate (TURP) is the […]
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What do you know about laterality modifiers? You cannot skip these modifiers if you have performed a procedure on one of the paired body parts, such as eyes, ears, arms, legs, and even organs. We all know that medical billing isn’t just about submitting timely claims. It is also about specifying everything. RT and LT
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Medical coding can feel overwhelming, right? Hundreds of codes, tons of modifiers, and payer guidelines that change all the time. It’s enough to make any pulmonology practice struggle to stay in the black. But if you’re looking for a reliable resource on CPT code 94010, you’ve landed in the right spot. This guide dives deep
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Medical coding can feel like an intricate maze, right? Lots of twists and turns, especially if you are not a certified professional coder (CPC). And let’s face it, for small practices, hiring an in-house coder is not always budget-friendly. So, many healthcare providers end up tackling coding and billing themselves. Thus, we have created a
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Tenosynovitis, or swelling and inflammation of the tendon sheaths, is one of the most common orthopedic conditions in the USA. Out of every 100 people, two or three experience it due to constant strain on the fingers, wrist, and forearm. Another study suggests that women are 2.6 times more likely to be diagnosed with the
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Can you confidently use the correct E/M code to report your service? Many practices lose revenue because of simple coding mistakes. The primary reason? Evaluation and management services are cognitive, involving intangible processes and different levels of decision-making. Hence, many providers either under or overbill these services. If you are in the same boat, don’t
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Have you ever billed an anesthesia service that required more effort? Most minor procedures typically need local anesthesia. However, some cases don’t go as planned and end up requiring general anesthesia services. So, how do you handle this unusual complication? The answer is obviously through a modifier. Modifier 23 is often applied in such cases.
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Looking for billing and reimbursement tips for CPT code 20610? We can help you with that! CPT code 20610 may seem like any other code, but it is quite popular in rheumatology and orthopedics. The primary reason? It represents a widely used procedure for treating joint pain, including bursitis. Did you know that over 30,000
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How do you inform a payer about the patient being fully responsible for all the charges? Through the GY modifier! You can communicate any situation with a specific modifier. These codes are the key to avoiding complicated issues or conflicts. So, what exactly is the role of modifier GY? This two-character code indicates that a
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Dermatology medical billing is known for its intricacy due to various factors. First, it has a vast array of procedures, from routine skin checkups to complex cosmetic treatments to surgical procedures. Besides, coding is complex because you have to distinguish between medically necessary treatments and non-reimbursable cosmetic procedures. Even if we limit our talk to
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