CPT Codes

Clinical laboratories handle a substantial volume of insurance claims. This applies equally to both in-house laboratories and third-party facilities. Drug quantitative tests are frequently performed in all clinical labs. It is a significant source of revenue, and healthcare providers cannot afford to have their claims denied for these. One of the drug quantitative test codes […]

A simple neck X-ray can be a source of confusion while billing for radiology services, leading to a higher denial rate and a strained revenue cycle. Why? The difference between a single-view, a two-view, or a complete study can change which CPT code to report.  Thus, our billing specialists at MediBillMD decided to empower radiologists

Need all the details, including billing requirements and applicable scenarios, for CPT code 29125? We have all the information you have been searching for! Fractures are among the most common orthopedic problems. Approximately 6.3 million Americans break a bone each year. Are fractures an everyday sight in your practice? You must be an expert at

Physical therapy (PT) evaluations are among the hardest to bill. Why? They require comprehensive documentation and are bound by numerous limitations. Keeping track of these limitations and requirements can be confusing, which leads to claims denials.  A frequently used PT code for face-to-face evaluation is CPT code 97161. In this guide, we have discussed everything

Prostate cancer ranks as the most frequently diagnosed cancer among men in the U.S. Approximately 1 in 8 men will be diagnosed with prostate cancer at some point in their lives. It is also the second most common cause of cancer-related fatalities. However, the death rate can be controlled with early diagnosis. There are various

Billing for chest X-rays, such as CPT code 71045, may seem straightforward. However, there are several factors to consider. Proper billing and documentation are integral to preventing payment delays and denials. This procedural code is vital for diagnosing and monitoring a wide range of conditions, from suspected pneumonia to post-trauma evaluations. Thus, radiologists need to

Precision is everything in the intricate world of medical billing. But have you ever wondered why it is so complex? Because every diagnosis, every procedure, and every piece of equipment has a specific code.  These codes help you tell a story to insurance payers: what you rendered, why you performed it, and how it was

As a medical practitioner, you aim to provide healthcare services and generate income from them. However, earning this income can be challenging, as medical billing relies on complex coding systems that are necessary for reimbursement. Insurance payers obligate healthcare professionals to report their services using specific CPT codes. To make medical billing easier for you,

Do you know how to bill CT scans of the abdomen and pelvic area that require imaging with and without contrast? You might think to simply bill them separately using the distinct codes. But no, doing this will result in denials.  Such comprehensive CT scanning is billed with CPT code 74178. However, many billers don’t

Did you know that nursing homes provide care services to approximately 1.2 million individuals in the USA? This highlights the need for attentive, high-quality care. However, for physicians, this attention extends beyond the patient’s bedside to the complex process of medical billing. How? Since each visit to a nursing facility represents a vital part of