CPT Codes

Picture this scenario: Dr. Smith’s neurosurgery practice just received another denial for a lumbar decompression procedure. The billing team is confused about the denial and can’t find the reason, because they filed everything perfectly. The documentation seemed complete, the procedure was medically necessary, yet the reimbursement never came through. Does this sound familiar to you? […]

Did you know that every 1 in 8 women lives with the chance of developing breast cancer once in their lifetime? And every 1 in 8 men will be diagnosed with prostate cancer once in their lifetime? Both cancers occur, and their growth is fueled because of male and female hormones. For this reason, a

Confused between different Complete Blood Count (CBC) codes? Use CPT code 85027 for a test without an automated differential! CBC is the standard for assessing and diagnosing a wide range of medical conditions, including anemia and infections. CBC is, in fact, so common that healthcare providers perform over 500 million of these tests annually in

According to a report published by the Arkansas Department of Health in 2023, there are about 317 professionals for every 10,000 people. This is actually a healthy figure, and represents the good state of the healthcare sector in the state.  However, since there are many healthcare professionals in the state, the competition among them and

Sometimes, otolaryngologists must employ techniques that go beyond the use of a standard otoscope to ensure accurate diagnosis. When dealing with delicate issues, like a suspected tympanic membrane perforation, microscopic examinations with high magnification are often required.  Undoubtedly, this specialized service is essential for patient care. However, billing for this service is not easy and

Ovarian disorders cause a variety of hormonal and reproductive problems for women. If these issues are identified early, they can be treated and managed. For a pelvic ultrasound, which is primarily used to diagnose such problems in women, radiologists report CPT code 76856. But they can also perform this procedure to diagnose a range of

Have you ever had your angiography claims denied or not result in the reimbursements you expected? CPT code 93454 claims are frequently misunderstood by billers, leading to rejections. This often indicates a failure to follow proper billing guidelines. That’s why we have created this detailed guide on code 93454. We hope that with the help

Can you append modifiers with global code? This blog answers you list of questions regarding this code. Additionally it provides billing and reimbursement gudielines to save you from facing a denial on this code. So lets end the curiosity. There are various CPT codes that the physicians may use to bill their specific services during

Are you facing claim denials for intravenous infusions? Don’t worry, you are not alone. Infusion claims often confuse billers due to their intricate billing requirements and guidelines. One frequently used code is CPT code 96367. That is why we have created this detailed guide. By the end of this guide, you will have all the

Can’t identify the root cause for repeated endometrial ablation denials? Maybe it is because you are not using the right code. Looking at the recent trends, there has been a significant decline in the annual number of endometrial ablations. However, endometrectomy remains a common treatment for heavy periods. In fact, healthcare providers still perform approximately