CPT Codes

Imagine you filed a claim for a psychotherapy session. However, after a few days, your claim gets rejected by the insurance payer. Reason? Using the wrong CPT code. If this has happened to you, then you are not alone. The same scenario plays out in medical practices across the country every day. Mental and behavioral […]

Before a physical therapist plans a treatment course or provides any physical therapy service to a patient, he analyzes the patient’s physical health. This initial physical evaluation involves various levels, like assessing the range of motion, measuring the strength of multiple muscles and limbs, or testing daily functions.  ​Whenever the physician conducts a moderately complex

Do you know how to bill a simple chest X-ray? Or like other billers, you also get confused between the different codes for this procedure and the documentation requirements? In both cases, let’s update your knowledge. CPT code 71046 is frequently used in radiology practices to bill chest X-rays. However, despite its frequent use, many

When children are in their developmental stages, they may exhibit various disorders. Some of the most common are speech and language disorders. Approximately 7.2% of children in the U.S. aged 3-17 have experienced a disorder related to their voice, speech, or language in the last 12 months.  There are professional therapists and speech-language pathologists (SLPs)

Unsure how to bill physical therapy (PT) re-evaluations? We have got you covered. The line between CPT codes for physical therapy evaluations, re-evaluations, and unlisted codes is not clear. It leads to confusion, billing mistakes, and ultimately claim denials.  That’s why we have created this detailed guide on CPT code 97164, which is a frequently

Not every medical visit is simple. Sometimes multiple services are provided in the same session. This makes billing very complex, and oftentimes, claims end up in denials. Mental health professionals frequently perform psychotherapy and evaluation & management (E/M) in a single session. Yet, many don’t know how to file claims for it properly. That’s why

Worried about payers denying your claims for a particular prostate removal procedure? Use CPT code 52648 if you have performed laser vaporization of the prostate (LVP). We all know that Benign Prostatic Hyperplasia (BPH) is a common issue among older men. Specifically, it affects 70% of the male population aged 60-69 years and 80% of

Urinary tract infections (UTIs) are quite a common condition in elderly patients, diabetic patients, and pregnant women. To diagnose this condition, physicians require a urine culture test. The test helps identify the type and count of bacteria in the urine.  CPT code 87086 is used in medical billing to report this diagnostic test. However, more

Radiology billing is challenging to master. Many experienced billers make mistakes while filing seemingly simple codes. If you have experience working in a radiology lab, you must be aware of the frequency of knee X-rays. Among the most common knee scanning codes is CPT code 73562.  Do you know that CPT 73562 accounts for approximately

Are you constantly getting denials for CPT code 97010? Stop billing it separately! Healthcare providers, especially therapists, often use therapeutic tools to help patients recover from surgeries, injuries, or chronic pain. The specific application of a hot or cold pack is represented by the 97010 CPT code. It seems simple, right? But did you know