CPT Codes

Accurately billing for follow-up visits for a nursing home facility is an integral part of a provider’s revenue cycle. But unfortunately, the intricacies surrounding CPT code 99309 may lead to confusion and payment delays. These struggles range from documentation requirements to decision-making level, and time calculation. This guide provides a clear roadmap to the documentation, […]

Billing for preventive care visits can be confusing. There are very few clear guidelines on how to bill specific preventive medicine evaluation and management (E/M) services and their required documentation. One such code is CPT code 99394, which is frequently used in pediatric practices.  Due to limited guidance, many billers make mistakes while filing claims

Billing for well-baby visits, covered under CPT code 99391, is a critical part of ensuring a positive financial performance for your pediatric practice. However, it comes with its fair share of unique challenges. For instance, you must append an appropriate modifier and follow documentation requirements to ensure rightful and timely reimbursement. Without proper knowledge, errors

Acupuncture is a traditional Chinese method for healing or relieving pain, and ranks as the 11th most popular complementary health approach. It is rapidly gaining acceptance in the United States. However, despite the increase in its adoption, most acupuncturists struggle with its billing, especially during CPT coding. Using accurate CPT codes is essential to collect

Undoubtedly, billing for digital breast tomosynthesis (CPT code 77063) can be a significant challenge for many radiology centers and radiologists.  It is an integral procedure when it comes to taking preventive measures for breast cancer. It offers superior accuracy in detecting abnormalities. However, errors while reporting this code can disrupt your practice’s revenue cycle. From

Understanding and reporting therapeutic activities and following their billing and reimbursement guidelines is not an easy feat. The processes demand attention to detail and significant time to avoid potential denials and ensure accurate reimbursements. Some common errors that lead to denials related to CPT code 97530 are the incorrect application of time-based rules, non-compliance with

Do you know that mental health conditions have become a significant healthcare issue in the United States? In just 2022 alone, there were about 59.3 million people in the country with mental illness. This is a point of concern for both the patients and healthcare providers. More patients mean more insurance claims. And a higher

When we talk about medical billing, CPT codes are the first thing that comes to the mind of billers. These codes serve as a medium of communication between billers and the payers. Medical billing uses the language of CPT codes to explain to the payer the procedure the physician performed, so that the appropriate reimbursement

The healthcare industry is striving towards the accuracy of medical procedures and treatments. Ultrasound-guided procedures are also a vital component of modern medicine. How? The technique is precise, accurate, and less intrusive for identifying and treating various musculoskeletal and vascular problems. However, this blog covers the billing of this procedure. CPT code 76942 is used

Do you know how to bill a simple cystourethroscopy procedure correctly? Or like most billers, you get confused between the different variations of this urology procedure? Let’s update your knowledge! CPT code 52000 is a diagnostic code. It is used frequently in urology practices. It can be used to diagnose simple/resistant infections as well as