Category Archives: Medical Coding

Shoulder Surgical

Master CCI Edits For Shoulder Surgical Procedures

Use modifier 59 inappropriately, and it can cause you a “bundle” of problems

To get paid for all you do, you must correctly code each and every procedure performed—which sometimes means unbundling codes using modifier 59 (Distinct procedural service). However, to decide if and when modifier 59 is appropriate, you must do some heavy lifting. Appending modifier 59 More..

Acromioplasty Coding

Don’t Let Acromioplasty Coding Rest Heavy on Your Shoulders

Make sure the documentation supports coding 29826

If you’re running into problems when reporting CPT code 29826 for acromioplasty, you’re not alone. Follow these expert tips to ensure that you’re coding properly and avoid unnecessary claim denials. Crucial: The most important thing to remember when reporting code 29826 is that it’s not More..

2019 CPT Updates

CPT Update: Modifier 25 Holds Hidden Traps for Coders in 2019

Broadening scrutiny of claims involving modifiers will affect a wide variety of specialties

Modifier 25 used to be your friend, but it may soon become your biggest foe when reporting 2019 CPT codes. Now, government and private payers alike are flagging claims involving modifier 25 for denials and severe payment cuts. Get the guidance you need on modifier More..

Spinal Procedures Coding

Realign Your Spinal Procedures Coding Skills for 2019

Conquer your 63030, 63042 and 63047 coding woes with these tips

To do spinal coding right in 2019, you’ve got to get straight on several new techniques, guidelines and procedures that promise to complicate your billing. And you’ve got to do it quick given that payers and regulators are scrutinizing spinal procedures more closely than ever More..

2019 Coding Updates

Perfect Your Procedural Expertise to Cope With 2019 CPT Code Changes

Prep for significant new E/M codes—and update your know-how with ICD-10 coding

If your New Year’s resolution includes giving yourself a professional skills upgrade, there’s no better way than to download new coding know-how from the experts. And that’s more convenient than ever to do: The AudioEducator 2019 Coding Updates Virtual Boot Camp—the most information-packed coding event More..

DME Documentation

‘Dear Physician’: Updates to DME Documentation Requirements Hold You Accountable

CMS documentation guidelines add orthotists, prosthetists to medical record

The Centers for Medicare & Medicaid Services (CMS) recently updated the durable medical equipment (DME) documentation guidelines. And the revisions are significant, as you’ll discover in the latest CMS documentation guidelines webinar presented by coding director Lynn Anderanin. Arguably one of the biggest changes involves More..