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January 2025 Articles

Jan 31, 2025
Orthopedic Coding:
Understand the Complexities of Shoulder Arthroplasty Coding
Know when to report arthroplasty revisions. Patients experiencing pain and stiffness in t... Read more
Jan 31, 2025
Urology Coding:
Code Incontinence Claims With Confidence
Add all relevant codes linked to the diagnosis to avoid denials. Coders must be meticulou... Read more
Jan 31, 2025
Pulmonology Coding:
Prevent a Surfactant Administration Coding Collapse
Can you report 94610 with critical care codes? Find out. Babies who are born prematurely ... Read more
Jan 31, 2025
Pediatric Coding:
Find Differences Between Apnea Types
Question: When I see documentation that says a newborn patient has apnea, is it always sle... Read more
Jan 30, 2025
General Surgery Coding:
Break Down the Differences Between 鈥楨xcision鈥� and 鈥楧estruction鈥�
Question: I have an operative note that states the surgeon 鈥渞emoved鈥� a 1.6 cm basal ce... Read more
Jan 30, 2025
Neurology & Pain Management Coding:
Alter EMG Coding When NCS Occurs
Resort to add-on codes for EMG in certain scenarios. When a patient reports to the neurol... Read more
Jan 30, 2025
Optometry/Ophthalmology Coding:
Are Strabismus Surgery Procedure Codes Bilateral?
Question: I have an operative note detailing an ophthalmologist's strabismus surgical proc... Read more
Jan 30, 2025
Optometry/Ophthalmology Coding:
Learn How to Report Monthly Hydrophilic Lens Renewals
Question: Which code should we use to report monthly toric contact lens replacements? Okl... Read more
Jan 30, 2025
General Surgery Coding:
Skip the Breast Biopsy Codes for an Axillary Lymph Node Biopsy
Question: A patient presented for a superficial axillary lymph node core needle biopsy. Th... Read more
Jan 29, 2025
Medicare Regulations:
Know Obligations in Case of Bankruptcy
Question: Does a medical practice have any obligations to Medicare or Medicare Administrat... Read more
Jan 29, 2025
General Coding:
Stay in Your Lane, Modifiers
Question: I'm new to medical coding and still don't fully understand the role of modifiers... Read more
Jan 29, 2025
Gastroenterology Coding:
Find Out if You Can Report 45380 and 45385 Together
Question: I have the following documentation in an operative note: A single sessile 5 mm ... Read more
Jan 29, 2025
Gastroenterology Coding:
Use an Additional Code for This Chronic Ulcer Case
Question: A patient with a history of moderate alcohol dependence presented for a follow-u... Read more
Jan 29, 2025
Diagnostic Radiology Coding:
Err on the Side of Symptoms When X-rays are Negative
Question: A patient presented to their primary care physician (PCP) with left shoulder pai... Read more
Jan 29, 2025
Neurosurgery Coding:
Put the Pieces Back Together to Accurately Code Skull Fractures, Repairs
It's the small details that make or break an accurate diagnosis. Patients who suffer from... Read more
Jan 28, 2025
Otolaryngology Coding:
Test Your Thyroidectomy Coding Skills With This Quiz
You may have your thyroidectomy work cut out for you. Question 1: What is the difference ... Read more
Jan 28, 2025
Diagnostic Radiology Coding:
Get to the Bottom of This Ankle Fracture Coding Case Study
Find out when 鈥榓nd' means 鈥榦r' in diagnosis coding. Broken bones are one of the most ... Read more
Jan 28, 2025
Diagnostic Radiology Coding:
Learn Which Code to Use for a Bone Fragment Diagnosis
Question: I have a radiology report that documents a 鈥渞edemonstration of the distal ulna... Read more
Jan 28, 2025
Practice Management:
Look for Reasons for Noncoverage Before Providing Services
Question: My practice performed a trigger point injection (TPI) and used ultrasound guidan... Read more
Jan 28, 2025
General Surgery Coding:
Get Answers to Trach Coding FAQs
Know what separates tracheotomies and tracheostomies. Tracheotomies and tracheostomies ar... Read more
Jan 28, 2025
Optometry/Ophthalmology Coding:
Clarify Your Cataract Extraction Coding Knowledge 鈥� Part 1
Understand reporting of simple, complex, and combined procedures. With age comes wisdom, ... Read more
Jan 27, 2025
Emergency Department Coding:
Documentation Vital to Securing Critical Care Pay
Does your claim include a provider statement? Patients who report to the emergency depart... Read more
Jan 27, 2025
Primary Care Coding:
Understand How SDOH Affects Your Patients 鈥� and Your Bottom Line
Hint: Don't forget comorbidities when you're coding. As the first stop in many healthcare... Read more
Jan 27, 2025
Practice Management:
Don鈥檛 Miss This Patient Privacy Exception
Question: Can I release a patient's balance over the phone or in person to someone other t... Read more
Jan 27, 2025
Primary Care Coding:
Know Your Responsibilities for FMLA Certifications
Question: What information do we need to provide for a patient who's seeking leave through... Read more
Jan 27, 2025
Anesthesia Coding:
Consider Physical Status Exception
Question: A healthy patient with an uncomplicated seven-month pregnancy requires surgery f... Read more
Jan 27, 2025
Gastroenterology Coding:
Learn How to Identify Intestinal Fistula Codes
Know the ins and outs of coding the conditions and treatments. As a gastroenterology code... Read more
Jan 24, 2025
Primary Care Coding:
In Asthma Notes, Know Difference Between Extrinsic and Intrinsic
Question: I work at a family medicine practice and our providers see patients with asthma.... Read more
Jan 24, 2025
Podiatry Coding:
Take the Right Steps to Footwear and Insole Coding Knowledge
Ace this quiz to keep your orthotic and specialty shoe skills sharp! Question 1 scenario:... Read more
Jan 24, 2025
Technology & Innovation:
Direct Your AI Device Development With FDA Guidance
Question: Technology and artificial intelligence (AI) advance incredibly quickly, but... Read more
Jan 23, 2025
Oncology Coding:
Code This Chemo Infusion Administration Scenario
Don't forget to pay attention to 2025 HCPCS deletions and revisions. Coding infusions is ... Read more
Jan 23, 2025
Otolaryngology Coding:
Look to Laterality to Bill Concha Bullosa Services Correctly
Question: What is the CPT脪 code for this? This is all that is documented: 鈥淯sing the 0-... Read more
Jan 23, 2025
Compliance:
Bolster Continuity of Care Through Documentation
Question: I feel like providers are grateful for billers and coders for sorting through so... Read more
Jan 22, 2025
Technology & Innovation:
Monitor Senior Patients in Rural Locations
Question: We have several senior patients who live in rural areas far from our clinic. The... Read more
Jan 22, 2025
Compliance:
Rely on These Resources for CDI Research
Question: Which resources are useful in the daily workflow of clinical documentation integ... Read more
Jan 22, 2025
Cardiology Coding:
Use This Trick to Distinguish Rheumatic From Non-Rheumatic Valve Disease
Question: How do I know when to report a diagnosis code for valve disease that is rheumati... Read more
Jan 21, 2025
Medicare Regulations:
Use an Additional Code for ACP Conversation
Question: My provider is conducting conversations about advance care planning (ACP) during... Read more
Jan 21, 2025
Cardiology Coding:
When Reporting Revascularization, Don鈥檛 Code These Steps Separately
Question: My provider takes really specific notes during revascularization procedures, and... Read more
Jan 21, 2025
Emergency Department Coding:
EMTALA Means No Patient Left Behind
Question: I am relatively new to emergency department (ED) coding, and I've heard a few co... Read more
Jan 20, 2025
Otolaryngology Coding:
Let Documentation Determine Correct Repeat Service Modifier
Question: Five days after draining a peritonsillar abscess, our otolaryngologist had ... Read more
Jan 20, 2025
Urology Coding:
Avoid Coding Surgeon-Induced Injuries
Question: A patient was scheduled to receive a penile prosthesis. However, because of a ur... Read more
Jan 20, 2025
Emergency Department Coding:
Keep SCAT5 Coding in E/M Realm
Question: Encounter notes indicate that a patient presented to the emergency department (E... Read more
Jan 17, 2025
E/M Coding:
Focus on Date for Problems Addressed, Unaddressed
Question: When I'm looking at a patient's medical record, how do I know whether the provid... Read more
Jan 17, 2025
Path/Lab Coding:
Note This MUE to Bill Antibody Stains Correctly
Question: Our lab is having issues billing for 88341, 88342, and 88360. Fairly regularly, ... Read more
Jan 17, 2025
ICD-10-CM Coding:
Code This Slippery Subsequent Scenario
Question: A patient came to our office after visiting the emergency department (ED) w... Read more
Jan 16, 2025
ICD-10-CM Coding:
Refresh Your Knowledge on Diagnosis Coding for Substance Abuse and Behavioral Health
Do you know how to accurately use the F10.- to F19.- code range? The 10th edition of the ... Read more
Jan 16, 2025
Pediatric Coding:
Code Umbilical Granuloma Scenario With Confidence
Question: Our pediatrician saw a 6-day-old baby for the first time and diagnosed an umbili... Read more
Jan 16, 2025
Neurosurgery Coding:
Aspirin Use Could Lead to This Condition in Younger Patients
Question: A 15-year-old patient reports to the neurosurgeon's practice with complaints of ... Read more
Jan 15, 2025
E/M Coding:
Keep These Tips in Mind When Leveling Time
Question: Which aspects of a provider's services count for time when leveling evaluation a... Read more
Jan 15, 2025
Pediatric Coding:
Identify These Common Rashes in Pediatric Patients
Hint: Some rashes may be specific to newborns. Pediatric rashes can develop for various r... Read more
Jan 15, 2025
Oncology/Hematology Coding:
Don鈥檛 Get Left in the Dark by Dx Documentation
Question: One of our physicians is not putting diagnoses on their on-treatment visit (OTV)... Read more
Jan 14, 2025
Podiatry Coding:
Avoid This Metatarsal Modifier Mishap
Question: What is the correct laterality modifier to bill with 28122? I first billed ... Read more
Jan 14, 2025
Anesthesia Coding:
Dive Deep Into Anesthesia Modifier Hows and Whys
Hint: Modifiers can show payers which anesthesia professional performed a service. Gettin... Read more
Jan 14, 2025
General Coding:
Look to G0317 for Nursing Facility Prolonged Service Codes
Hint: Time spent on services the day before and after the visit may count. Sometimes seei... Read more
Jan 13, 2025
Oncology/Hematology Coding:
Look to History When Coding This Breast Symmetry Encounter
Question: In 2019, a patient had a bilateral mastectomy and bilateral breast reconstructio... Read more
Jan 13, 2025
Urology Coding:
Traverse This Transvaginal Procedure
Question: My urologist recorded a laparoscopic transvaginal correction of a urinary b... Read more
Jan 13, 2025
Podiatry Coding:
Code This Ruptured Achilles Repair
Question: The surgeon's notes indicate that a patient was seen due to a ruptured righ... Read more
Jan 10, 2025
Path/Lab Coding:
Get a Quick Look at These 2025 Path/Lab NCCI, MUEs, and PLA Code Updates
Don't miss these two increases to Medicare MUEs. Want to get your 2025 off to a good star... Read more
Jan 10, 2025
General Coding:
Understand When to Append Modifier 62
Question: I'm new to coding. When is it appropriate to append modifier 62? RCI Subsc... Read more
Jan 10, 2025
Path/Lab Coding:
Be Direct, Bill for Both These Bilirubin Tests
Question: If our lab performs both a total bilirubin and a direct bilirubin test, can we r... Read more
Jan 09, 2025
ICD-10-CM Coding:
How Do I Determine the Duration for Acute vs. Chronic Conditions?
Question: I'm new to coding and am having trouble finding information as to when I sh... Read more
Jan 09, 2025
Neurology & Pain Management Coding:
Ask Doc for Sleep Apnea Details
Question: When a patient suffers from sleep apnea, how do I choose the correct ICD-10-CM c... Read more
Jan 09, 2025
Neurosurgery Coding:
Craniotomy Isn鈥檛 Always Separately Reportable With Skull Insertions
Question: The surgeon inserted a skull-mounted cranial neurostimulator pulse generator in ... Read more
Jan 08, 2025
Neurology & Pain Management Coding:
Note These IQ Level Ranges for Intellectual Disability Dx
Question: The neurologist treats a patient with an intellectual disability. Encounter note... Read more
Jan 08, 2025
Medicare Regulations:
Pocket These Tips for Categorizing Medicare and VA Claims Correctly
Don't let confusion about where to submit a government payer claim derail your reimburseme... Read more
Jan 08, 2025
Cardiology Coding:
Identify 3 Common Devices Your Cardiologist May Use
Hint: ICDs treat ventricular tachycardia. Sharon Jane Oliver, CPC, CDEO, CPMA, CRC, discu... Read more
Jan 07, 2025
Ob-Gyn Coding:
Master Medicare鈥檚 鈥楥arve Out鈥� Rule
This modifier tells Medicare that the service isn't covered. If you need to estimate what... Read more
Jan 07, 2025
Orthopedic Coding:
Finger or Fingers? It Doesn鈥檛 Matter With This Dx
Question: If a patient has stress fractures in multiple fingers, would you report an ICD-1... Read more
Jan 07, 2025
Pulmonology Coding:
Break Down the Established Patient Definition
Question: We bill for a multispecialty clinic, which has a cardiothoracic surgeon, a cardi... Read more
Jan 06, 2025
Anesthesia Coding:
Find Out if Epidural Catheter Placement Timing Matters
Question: If an epidural catheter is inserted with the intention of providing postoperativ... Read more
Jan 06, 2025
Technology & Innovation in Healthcare:
Deliver Healthcare to Patients in Other Countries Via Telehealth
Remember to obtain consent. Telehealth's popularity in recent years has allowed healthcar... Read more
Jan 06, 2025
Orthopedic Coding:
Consider Alternate Terms For This Synovitis Dx
Question: Encounter notes indicate that the surgeon treated a patient with 鈥渟ynovitis, t... Read more
Jan 03, 2025
Ob-Gyn Coding:
Rh-Negative Status: What Dx Code Should I Use?
Question: What is the most accurate diagnosis code for Rh-negative status during pregnancy... Read more
Jan 03, 2025
Pulmonology Coding:
Report Nebulizer Demonstration and Treatment Together
Question: A pulmonologist performed a nebulizer treatment for a patient's asthma and demon... Read more
Jan 03, 2025
Ob-Gyn Coding:
Untangle Modifiers 25, 57 With This Advice
Question: My ob-gyn decided a patient needed surgery, but I'm confused whether to report m... Read more
Jan 02, 2025
E/M Coding:
Understand the Importance of History Documentation for E/M Coding
Remember the eight components of HPI when you're looking at documentation. Since the eval... Read more
Jan 02, 2025
Compliance:
Know Your Rights and Responsibilities in Possible Healthcare Fraud Cases
Honesty really is the best policy. Government enforcement efforts under the False Claims ... Read more
Jan 02, 2025
Practice Management:
Negotiate Your Payer Contracts With Confidence
Think about why your practice deserves a raise. 鈥淢ost people will take 鈥榥o' for an an... Read more
Available Years:  2025  2024