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April 2025 Articles

Apr 30, 2025
In Case You Missed It (RCI Bonus Content):
Know How to Code Surgical Teams Correctly
Know when to use the co-surgeon, assistant-at-surgery, and surgical team modifiers. Over ... Read more
Apr 30, 2025
Otolaryngology Coding:
Take This Advice for Foolproof Rhinoplasty Claims
Let these 2 Medicare LCDs be your guides. If your otolaryngologist performs a rhinoplasty... Read more
Apr 30, 2025
General Surgery Coding:
Test Your Knowledge of Colorectal Procedure Coding
Query the provider before choosing an unspecified code. It's essential to thoroughly exam... Read more
Apr 30, 2025
Neurosurgery Coding:
Remember, Laminectomy Removes the Entire Lamina
Question: What is the difference between a laminectomy and a hemilaminectomy, and which CP... Read more
Apr 30, 2025
Neurosurgery Coding:
Use This Code for Brain Abscess
Question: Encounter notes indicate that a patient suffers from 鈥渆mbolic abscess, parieta... Read more
Apr 30, 2025
Neurosurgery Coding:
Stay on Coding Cutting Edge With SRS, Neuroendoscopy Smarts
See how these techniques have changed neurosurgery. Over the years, we have witnessed rem... Read more
Apr 30, 2025
ICD-10-CM Coding:
Follow These Principles for Coding the Principal Diagnosis
Hint: Use coding conventions as your North Star. While selecting a principal diagnosis so... Read more
Apr 29, 2025
Compliance:
Stay Out of Hot Water by Disposing of PHI Properly
Training seasonal and permanent staff will avoid an audit. As summer approaches, many pra... Read more
Apr 29, 2025
Gastroenterology Coding:
Refresh Your Knowledge of Gallstone Codes
Do you know the appropriate diagnosis codes for gallstones and related procedures? While ... Read more
Apr 29, 2025
Podiatry Coding:
Examine 5 Common Pediatric Podiatry Conditions
Find out what condition feels like stepping on a pebble. Between sports, playing, and gro... Read more
Apr 29, 2025
Cardiology Coding:
Differentiate These New ASCVD Codes
Question: What's the difference between codes G0537 and G0538? I think they became billabl... Read more
Apr 29, 2025
Emergency Department Coding:
Pull Correct FBR Claims Each Time With This Advice
Do you know when an ED E/M becomes an FBR? It's spring again, which means rebirth, regrow... Read more
Apr 29, 2025
General Coding:
Look to Status to Determine POS
Question: One of our providers is a surgeon who sometimes gets called to the hospital or e... Read more
Apr 28, 2025
Medicare Regulations:
Look for These Forms for Credentialing Adjustments
Question: I need to make an adjustment to the credentialing information for one of my prov... Read more
Apr 28, 2025
General Coding:
Navigate New Era of Coding With This Foundation
Hint: Documentation may matter more than ever. While the future of coding may seem scary ... Read more
Apr 28, 2025
Neurology & Pain Management Coding:
Lean on Add-On Code for Multiple RFAs
Question: Encounter notes indicate that the pain management (PM) specialist performed radi... Read more
Apr 28, 2025
Cardiology Coding:
Understand These Differences in Wearable Cardiovascular Devices
Hint: Some devices record continuously, but some need to be activated. Patients who may h... Read more
Apr 28, 2025
Urology Coding:
Query the Provider to Avoid Uroflowmetry Confusion
Question: A uroflowmetry test was conducted in our clinic and the urologist noted, 鈥渓owe... Read more
Apr 25, 2025
Neurology & Pain Management Coding:
Master Brain Anatomy, Symptoms for Simpler Stroke Dx Coding
Do you know how to score a stroke? 鈥淎 stroke is an interruption of the flow of blood to... Read more
Apr 25, 2025
Neurology & Pain Management Coding:
Look for Dominant Element When Choosing ADHD Dx
Question: Encounter notes indicate that the patient suffers from attention deficit hyperac... Read more
Apr 25, 2025
General Coding:
Use PA-Specific Modifier to Report Their Services
Question: A physician assistant (PA) assisted one of our surgeons during a surgery. The pr... Read more
Apr 25, 2025
Anesthesia Coding:
Don鈥檛 Count on Billing Inactive Interval Time
Question: A patient had surgery for cataract extraction and required monitored anesthesia ... Read more
Apr 25, 2025
Medicare Regulations:
Find Clarity on Global Surgery Inclusion
Question: A patient who's a Medicare beneficiary had surgery. They were in a lot of pain a... Read more
Apr 24, 2025
Compliance:
Sharing Credentials May Mean Breaking the Law
Question: We recently signed on a new physician at our practice and they're only contracte... Read more
Apr 24, 2025
Podiatry Coding:
Evaluate This EDL Tendon Transfer Case
Question: I am new to podiatry coding and need help reporting this procedure. The surgeon ... Read more
Apr 24, 2025
E/M Coding:
Understand What Services Are Included in Debridement Procedure
Question: A patient comes in for a wound debridement appointment every week. According to ... Read more
Apr 24, 2025
Podiatry Coding:
Find Out if Osteotomies Are Included in a Subtalar Joint Fusion
Question: The podiatrist performed a subtalar joint fusion with rigid internal fixation, a... Read more
Apr 24, 2025
Practice Management:
Find Relief for Challenging Patient Situations
Modulating your own body language and tone can go a long way in de-escalating tension. Re... Read more
Apr 23, 2025
Urology Coding:
Break Through These FAQs of Kidney Stone Coding
Lasering in on the location can help you choose the correct code. Coding for stones in a ... Read more
Apr 23, 2025
Gastroenterology Coding:
Learn How to Code High-Risk Screening Colonoscopies
Question: We had a Medicare patient come in for a colorectal cancer screening. What consti... Read more
Apr 23, 2025
Oncology/Hematology Coding:
Get to the Point With This GIST Coding Guidance
Question: What is a gastrointestinal stromal tumor (GIST), and how is it coded? New Jerse... Read more
Apr 22, 2025
Oncology/Hematology Coding:
Understand TNM Staging to Improve Dx Specificity
Let provider ocumentation guide you to the correct number of codes. As an oncology coder,... Read more
Apr 22, 2025
Cardiology Coding:
Know What to Report for This Pacemaker Procedure
Question: What's the best code to report a procedure involving a right ventricular permane... Read more
Apr 22, 2025
Gastroenterology Coding:
Pinpoint the Correct Pancolitis Ulcerative Colitis Code
Question: I have a colonoscopy report where the physician describes the findings as: 鈥淧... Read more
Apr 21, 2025
General Surgery Coding:
Identify Site for Hernia Repair With Gallbladder Removal
Question: The surgeon performed a laparoscopic gallbladder removal for a 42-year-old ... Read more
Apr 21, 2025
Orthopedic Coding:
Pick the Right Code for Your Pre-Auth Request
Question: I'm seeking a pre-authorization for a surgical procedure, and I need help findin... Read more
Apr 21, 2025
Orthopedic Coding:
Learn When to Report an OR Return Separately
Question: An orthopedic surgeon performed an open fracture treatment of the femoral shaft ... Read more
Apr 17, 2025
Compliance:
Signatures Are Key to Proving Validity
Question: I was told that providers had to sign off on the encounters before creating/subm... Read more
Apr 17, 2025
Optometry/Ophthalmology Coding:
Crack the Code on This Damaged IOL Insertion Case
Question: I have a surgical report in which the surgeon performed cataract surgery. The su... Read more
Apr 17, 2025
Path/Lab Coding:
Understand These 2 LCDs Before Coding This Respiratory Pathogen Panel
Question: What is the correct way to bill for COVID, influenza A and B, and RSV testing? W... Read more
Apr 17, 2025
Primary Care Coding:
Perfect Your Coding When Physicians See Patients in Nursing Homes, Hospice
Plus: Nail down the right SNF visit codes. When your primary care provider sees patients ... Read more
Apr 17, 2025
Primary Care Coding:
Some Specificity Needed for Alcohol Use Reporting
Question: My practitioner recently documented 鈥渙ccasional alcohol use鈥� in the soc... Read more
Apr 17, 2025
Primary Care Coding:
Use the Index to Correctly Code This Ataxia With Stroke Case
Question: During a patient's annual wellness exam, my provider documented 鈥渁taxia with h... Read more
Apr 16, 2025
Optometry/Ophthalmology Coding:
Identify the Code for Eyelid Retraction Injections
Question: A patient presented with complaints of chronic bilateral upper lid cicatricial r... Read more
Apr 16, 2025
E/M Coding:
Use These Strategies to Educate Providers, Part 1
Feel confident that you have knowledge to offer. Coders may have nightmares about the awk... Read more
Apr 16, 2025
Emergency Department Coding:
Check for Guidance Before Reporting Elbow Injection
Question: A 42-year-old patient presented to the emergency department (ED) with left ... Read more
Apr 15, 2025
Emergency Department Coding:
Constant Worry Could Be Generalized Anxiety Disorder
Question: If a patient has a diagnosis of 鈥渙veranxious disorder,鈥� what is the appropri... Read more
Apr 15, 2025
Pulmonology Coding:
Build Your Pulmonary Hypertension Coding Knowledge
Learn what separates the pulmonary hypertension codes. Pulmonary hypertension (PH) can be... Read more
Apr 15, 2025
Technology & Innovation:
Provide In-Home Pediatric Hospital Care
Question: Many families have asked about at-home hospital services for their young childre... Read more
Apr 14, 2025
Diagnostic Radiology Coding:
Risks Are Too High to Gamble With Radiology Revenue
With radiology claims under tighter OIG scrutiny, compliance is always your safest bet. R... Read more
Apr 14, 2025
Diagnostic Radiology Coding:
Solve This Sinus Tract Coding Question
Question: A patient presented to a radiology practice with complaints of chronic sinusitis... Read more
Apr 14, 2025
Medicare Regulations :
Attention: Medicare Patient Appeal Changes Are Here!
Select inpatient to observation patient status changes can be scrutinized now, and even as... Read more
Apr 11, 2025
Practice Management:
Try This Networking Tip to Boost Referrals
Question: I work for a specialty practice, and our providers are hoping to boost their ref... Read more
Apr 11, 2025
Pediatric Coding:
Know the Dos and Don鈥檛s of Type 1 Diabetes Coding
Make sure you add these 2025 ICD-10 code updates to your list. There's a lot of room for ... Read more
Apr 11, 2025
Ob-Gyn Coding:
Knot in the Umbilical Cord: Do You Know What to Do?
Question: We had a patient come in with a knot in the umbilical cord. We are doing non-str... Read more
Apr 10, 2025
Pulmonology Coding:
Are Patients New or Established When a Provider Changes Practices?
Question: I code for a pulmonologist who recently made the move from a private clinic to l... Read more
Apr 10, 2025
Oncology Coding:
Find the Key to This Immunotherapy Encounter
Question: What is the correct primary diagnosis code for Keytruda? Should I use Z51.11&nbs... Read more
Apr 10, 2025
Technology & Innovation:
Use Health Data Statistics to Drive Decisions in Healthcare
Learn how margin of error and CIs affect the interpretation of results. From patient admi... Read more
Apr 09, 2025
Otolaryngology Coding:
Avoid Integumentary Code for This Ear Lesion Removal
Question: Our otolaryngologist excised an ear canal lesion from a patient's left ear. The ... Read more
Apr 09, 2025
Technology & Innovation:
Coordinate With Chatbots to Improve Patient Happiness
Question: Like many healthcare practices, there are times when we see more patients than u... Read more
Apr 09, 2025
Pulmonology Coding:
Report Noninvasive Oxygenation Assessments With a Category III Code
Question: I have a procedure report that lists the service performed as 鈥渘oninvasive ass... Read more
Apr 08, 2025
Diagnostic Radiology Coding:
Can You Report Phone Calls to Discuss Test Results?
Question: A patient presented for a dual-energy X-ray absorptiometry (DEXA) scan of their ... Read more
Apr 08, 2025
Otolaryngology Coding:
Understand the Difference Between Caloric Vestibular Tests
Question: In a recent note on a patient who came in for vestibular testing following an ep... Read more
Apr 08, 2025
Path/Lab Coding:
Stay on Top of April Updates for Path/Lab MUEs, Fees, and ICD-10-CM
Plus, see what's in store for PLA changes in July. The second quarter of 2025 is now here... Read more
Apr 07, 2025
Urology Coding:
Purpose of the PSA Test Will Determine Proper Coding
Question: An elderly patient was complaining of frequent urination during their annua... Read more
Apr 07, 2025
Pediatric Coding:
Remember This Nosebleed Treatment Coding Tip
Question: A patient presented bleeding from both nostrils and received treatment. Are nose... Read more
Apr 07, 2025
Practice Management:
Shout About Language Facility
Question: Some of our providers are bilingual or multilingual. How can I let patients and ... Read more
Apr 04, 2025
E/M Coding:
Don鈥檛 Count on Reimbursement for Nonphysician EMR Adjustments
Question: If a clinical staff member or scribe makes entries into a patient's medical reco... Read more
Apr 04, 2025
ICD-10-CM Coding:
Understand 鈥楿nspecified Behavior鈥� Traits for Neoplasm Diagnosis
Question: A patient's medical record says they have cancer of the neck, but the pathologis... Read more
Apr 04, 2025
Anesthesia Coding:
Bust These Reimbursement Myths
Find clarity on how teaching anesthesiologists should be paid. Whoever said knowledge is ... Read more
Apr 03, 2025
Ob-Gyn Coding:
How to Code a Lesion Incision and Removal
Question: I'm struggling with how to code this procedure: From the op note: 2x1 cm mass ... Read more
Apr 03, 2025
General Surgery Coding:
Purpose of Fat Transfer Determines Proper Code Choice
Question: Our general surgeon performed a revision of a reconstructed breast. The surgeon ... Read more
Apr 03, 2025
Pediatric Coding:
Follow These Steps for Coding Cellulitis Encounter
Question: An established 8-year-old patient presents with a slight fever and a red, bliste... Read more
Apr 02, 2025
Optometry/Ophthalmology Coding:
Thrive Under Pressure While Coding Glaucoma Treatments 鈥� Part 2
Find out if traditional or MIGS surgeries are more common. In the first part of this two-... Read more
Apr 02, 2025
Anesthesia Coding:
Account for 鈥楾ime鈥� Based on These Moments
Question: How do I know when to start 鈥渃ounting鈥� for time for anesthesia services? Fl... Read more
Apr 02, 2025
ICD-10-CM Coding:
Take Heed of Patient鈥檚 Fancies
Question: A patient arrived at our emergency department (ED) presenting with pain whi... Read more
Apr 01, 2025
Orthopedic Coding:
Unravel the Complexities of Coding Carpal Tunnel Syndrome 鈥� Part 2
Remember the ICD-10-CM 5th character specifies laterality. Carpal tunnel syndrome (CTS) o... Read more
Apr 01, 2025
Ob-Gyn Coding:
True or False: Adhesiolysis Can Be Separately Reimbursed 鈥� Find Out
The key term is 鈥渆xtensive.鈥� Some medical coders think lysis of adhesions codes are i... Read more
Apr 01, 2025
Path/Lab Coding:
Go the Distance, Understand Specimen Collection Travel Allowance Codes
Question: We are a primary care practice with a traveling phlebotomist and our own lab, an... Read more
Available Years:  2025  2024