CPT Codes

Various sources have reported that the rate of claim denials for pediatric services is one of the highest among all medical specialties. According to the American Academy of Pediatrics (AAP), the average claim denial rate for pediatricians is 13%, whereas the overall denial rate in the healthcare industry is 5-10%.  Unfortunately, many of the claims […]

What do you know about CPT code 93312? This important cardiology code covers a special type of echocardiography. Need some context? A transesophageal echocardiography (TEE) is essential for diagnosing several heart conditions, including blood clots, valve disease, and infections. Hence, healthcare providers perform 1.7 million TEE procedures annually in the U.S. So, we can safely

Want to know the coding and billing requirements for anesthesia given during a planned vaginal delivery? You can use CPT code 01967! Labor analgesia has become increasingly popular throughout the world, including the U.S. Around three-quarters (75%) of American women receive neuraxial anesthesia during labor to manage pain. So, this is a common everyday service

Anesthesia administration is a service used in almost all specialty practices. The reimbursement amounts for anesthetic codes are also high. That’s why healthcare providers cannot afford to get these claims wrong. Otherwise, they can lose a lot of revenue. CPT code 00840 is frequently used in anesthesia billing. However, its reimbursement calculation is complex and

Breast cancer is one of the most common types of cancer among women. However, the survival rate increases if it is detected in the early stages. To assess how advanced a person’s breast cancer is and whether it has metastasized beyond the breast, a stage is assigned at the time of diagnosis. The most effective

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