A single ICD-10 code, a missing modifier or a misclassified procedure intent can shift a colonoscopy from a fully covered preventive service to a medically necessary diagnostic one, which could change ...
Before completing the code change application to propose a new or updated Current Procedural Terminology (CPT®) code, first become familiar with the CPT code set. Review the index of the CPT® ...
The FY 2026 ICD-10-CM Official Guidelines bring significant updates, including detailed rules for coding multiple sites and a major overhaul of HIV coding conventions. Staying compliant means ...
This February, BCBS Michigan shared how it will cut reimbursement by 50% for nonpreventive evaluation/management services with modifier 25 that were billed on the same day as procedure codes with ...
Physicians deserve to be paid for the medical care they provide. Learn more with the AMA about the CPT coding errors to avoid. Government and private insurers’ audits have revealed unfortunate cases ...
Gastroenterology is one of highest volume ambulatory surgery center specialties. Praveen Suthrum, president and co-founder of NextServices, explains five common GI/endoscopy coding and billing ...