CPT Codes

Did you know that the Office of Inspector General (OIG) released an audit report in 2021 for neurostimulator implant surgeries billed to Medicare in 2016 and 2017? This report revealed that the federal program overpaid $636 million in claims during that timeframe. Additionally, 48 out of 106 audited claims lacked documentation supporting the medical necessity. […]

Confused about billing behavioral therapy sessions that involve treatment modifications? It can be puzzling for many billers. That’s why our experts at MediBillMD have created this guide. In this guide, we will discuss CPT code 97155, one of the most used codes in Applied Behavior Analysis (ABA) billing. By the end of this guide, we

We are all aware that CPT codes are essential for medical billing. Today, we will discuss the billing codes for discharge management services. In 1998, two new codes for discharge services were added, along with revisions to the Nursing Facility E/M Services codes. CPT code 99315 is especially used to report the management services provided

Many mothers suffer from postpartum depression (PPD). It is a prevalent and crippling mental illness. PPD is thought to affect 10-20% of women, which makes it a serious public health issue. The physical, emotional, and psychological health of both the mother and the child depends on maternal care throughout this stage. To help these women,

Searching for the right way to report a therapeutic massage? CPT code 97124 can do this job. Massage therapists are in high demand this year as more and more people are turning towards this type of therapy for stress management.  But the real question is, do insurance payers cover every type of massage therapy? The

Removing a lesion or taking cervical biopsies may seem like a simple procedure. However, gynecologists often question themselves when billing for the services. One common code for these procedures is CPT code 57500.  However, it comes with its fair share of confusion, like: Should you bill multiple units for taking different biopsies? Is fulguration bundled

Claim denials are a challenge that every medical professional faces once in their lifetime! But have you ever wondered what the reason for these denials might be? These denials often occur from missing small details in your documents, incorrect modifiers, or incorrect code application.  Hence, we have decided to discuss details about various CPT codes

Chronic Care Management (CCM) services require coordination between physicians, reviewing reports, monitoring the plan of care, and much more. The services are challenging to deliver, but their billing is more demanding. Luckily, things have gotten easier over the past few years. Now, more precise and detailed billing codes for CCM have been added to the

Did you know that 1 in 31 children in the U.S. is diagnosed with autism spectrum disorder (ASD)? Luckily, applied behavior analysis (ABA) therapy has a success rate of approximately 89%. However, billing for ABA therapy sessions is complex, as it involves several factors. Time tracking, detailed session and progress notes, and following the 8-minute

Your acupuncture session with electrical stimulation was longer than the standard 15 minutes? Report the extra time with CPT code 97814. Acupuncture billing may seem simple with only a handful of codes. However, billing mistakes are common in this field. Healthcare providers often pair the wrong CPT codes with their treatment.  It is mainly due