CPT Codes

Colonoscopies are one of the most performed procedures in gastroenterology. At the same time, they are also among the most challenging to bill. Why? Because colonoscopies have numerous types. Each is slightly different from the other. This leads to confusion and ultimately claim denials. CPT code 45330 represents a type of colonoscopy, called sigmoidoscopy. It […]

The number of people with end-stage renal disease (ESRD) grew by 31.3% between 2002 and 2022. But what really adds to the predicament is that billing for ESRD care is complicated. Healthcare providers frequently experience denied claims, delayed reimbursement, and financial loss due to the complex billing and compliance requirements. Let’s not worry, though.  Our

Dealing with denied claims for sacroiliac (SI) joint injections is frustrating. You perform the procedure correctly, document the medical necessity, and yet, the claim gets rejected. The reason is that you are missing minute details that are essential. Don’t worry, we have created this guide to help you understand these details. CPT code 27096 is

Joint injections are one of the most frequently performed procedures in orthopedic practices. It won’t be wrong to call them the “bread-and-butter” procedures. So, practices can’t afford to get their claims denied. Otherwise, they can lose a significant portion of their revenue.  CPT code 20611 represents one such joint injection. However, many billers make mistakes

Did you know that approximately 1 in 5 individuals aged between 65 and 74 have cataracts that affect their vision in the US? That’s not all, over 50% of people older than 80 years either have cataracts or have had surgery to remove them. Ophthalmologists work hard to ensure the eye health of these individuals

Are you treating a patient who cannot perform conventional land-based therapy? In situations where patients experience joint stress while exercising, therapists opt for aquatic therapy for rehabilitation.  But, does Medicare consider it a medical service and reimburse it? Yes, Medicare does reimburse aquatic therapy, given that supporting documents were attached to prove the procedure’s medical

Are you a pain management provider struggling with a higher denial rate on your neurolysis claims? Do not worry! This guide is all about decoding CPT code 64640. From clinical scenarios to applicable modifiers and reimbursement guidelines, we will discuss everything. The outcome? Once you are done reading this guide, you will be able to

Gastroenterology treatments are not only hard to perform, but they are also very challenging to bill. How many times have you finished a long week of complex procedures only to find that your reimbursements don’t reflect the difficult work you actually performed? That’s a common scenario in almost all gastroenterology practices. One such procedure that

Many patients, especially the elderly, sometimes require prolonged treatments, which, if provided at hospitals, only burden the health systems. Therefore, medical attention is delivered to them right in their homes. This is where home health services help both patients and healthcare providers. Often, these services are provided by skilled registered nurses (RNs). CPT code 99602

Imagine you just finished a grueling week in the clinic. You successfully diagnosed your last patient’s cervical pain, performed a precise facet joint injection, and finally provided him the relief he has been seeking for months. You documented the procedure, submitted the claim, and started your new week. However, days later, your claim is denied.