Learn How to Code
Today I am going to share some important information for getting FREE CEUs for AAPC and AHIMA certified medical coders. Yes, CEUs are very important at the end of the year to retain your certification from AAPC and AHIMA. If you do not submit CEUs on time, you certification can be cancelled or discontinued. So … Read more
Get ready, medical coders! The April 1, 2025, ICD-10-PCS and MS-DRG grouper updates are packed with changes, and you won’t want to miss out! The Centers for Medicare & Medicaid Services (CMS) has released a ton of new codes, deletions, and updates across multiple sections of the ICD-10-PCS classification system. This is your guide to … Read more
Medical Decision-Making (MDM) can be a complex and confusing process for medical coders. However, by understanding key concepts and following a simplified system, coders can accurately determine the appropriate MDM level for a given case. This article breaks down MDM and its components, providing a clear guide to help coders make more informed decisions. What … Read more
As a medical coder, knowing when and how to use modifiers is crucial to ensuring you’re getting paid properly for services provided. One of the most powerful tools at your disposal, modifiers help you communicate that certain procedures, even within a global surgery period, are distinct and deserve separate payment. This is your secret weapon … Read more
As a medical coder, mastering the language of orthopedics is essential for ensuring your coding is on point—especially when it comes to procedures like arthroplasty and joint replacement. While these terms are often used interchangeably, understanding their subtleties can make a huge difference in accurately translating clinical language into the precise codes used in medical … Read more
Get ready for some important ICD-10-CM updates that are sure to keep you on your toes! While CMS has announced there will be no brand-new ICD-10-CM codes introduced on April 1, 2025, don’t tune out just yet – they’ve released key diagnosis code update files for discharges and patient encounters from April 1 through September … Read more
Vaccine codes, including those for immunizations and related procedures, are frequently updated, especially when new vaccines are introduced or billing requirements change. The American Medical Association (AMA) has updated the CPT code set to reflect these changes for the 2024-2025 period. In addition to updates for the influenza season, two new vaccine codes have been … Read more
Prolonged service codes provide a valuable opportunity for medical practices to earn additional revenue when a clinician spends extra time providing care to a patient. These codes are specifically designed to be used in conjunction with office-based Evaluation and Management (E/M) visits, allowing practices to report extended service time beyond the typical office visit. Here’s … Read more
The conditions of myocardial injury, ischemia, and infarction are critical in cardiology as they greatly influence patient care and the healthcare system. It’s important for medical coders to understand these conditions, including their causes, symptoms, and how to document and code them accurately. This article explains these concepts, focusing on pathophysiology, diagnostic techniques, and coding … Read more
There is a common misconception that CPT® add-on code +43273 for cholangioscopy can only be reported when using a SpyGlass™ scope. After conducting research, I can confirm that this is not accurate, and here’s why. Focus on the Procedural Note Endoscopic retrograde cholangiopancreatography (ERCP) involves both diagnostic and therapeutic approaches, with distinct techniques covered under … Read more
Medical coders often face the challenge of decoding complex surgical reports filled with specialized terminology and detailed procedures. When confronted with a lengthy, intricate report, it can be overwhelming. However, breaking the process into manageable steps helps simplify and organize the task. The following six steps will guide you in transforming a complex surgical procedure … Read more