ICD-10-CM Updates for FY 2025 By CMS

Get ready for some thrilling updates! The ICD-10-CM code set has just been revamped for fiscal year (FY) 2025, and the new changes are live on the Centers for Medicare & Medicaid Services (CMS) website as of July 3. These 2025 ICD-10-CM codes are to be used for resident stays occurring from October 1, 2024, … Read more

2025 CPT codes changes Anticipated for Medical coders

2025 CPT codes changes Anticipated for Medical coders

For the 2025 edition of the Current Procedural Terminology (CPT) code set, several revisions in radiology codes have been proposed. These updates include the introduction of new codes for reporting various procedures such as MRI-monitored transurethral ultrasound ablation of the prostate (TULSA), transcranial Doppler studies, percutaneous radiofrequency (RF) ablation of the thyroid, fascial plane blocks, … Read more

Understanding N704 Remark Code: A Detailed Overview

In the intricate world of healthcare billing, understanding remark codes is essential for providers to effectively manage claims and ensure timely reimbursement. Among these codes, the N704 remark code is significant, often indicating specific reasons for claim adjustments or denials. This article delves into the N704 remark code, exploring its definition, the circumstances leading to … Read more

Understanding N105 Remark Code: A Comprehensive Guide

In the complex landscape of healthcare billing and coding, remark codes play a crucial role in explaining adjustments or denials on claims. Among these, the N105 remark code is particularly important for providers navigating the reimbursement process. This article delves into the N105 remark code, its meaning, applications, implications for billing, and strategies for managing … Read more

Understanding Revenue Code 360: A Comprehensive Guide

Revenue codes are crucial components in the healthcare billing process, serving as standardized numerical identifiers for specific services and items provided to patients. Among these codes, Revenue Code 360 has garnered attention, especially regarding its use in billing for certain inpatient services. This article will explore Revenue Code 360 in detail, examining its billing guidelines, … Read more

Understanding PR27 Denial Code: A Comprehensive Guide

In the intricate world of healthcare billing, understanding denial codes is crucial for providers aiming to maintain their revenue cycle. One such code, the PR27 denial code, can pose challenges for practices seeking timely reimbursements. This article explores the PR27 denial code, including its implications, recommended actions, specific considerations for Blue Cross Blue Shield (BCBS), … Read more

Understanding CPT code 92004: A Comprehensive Guide

In the realm of healthcare coding, CPT codes are vital for documenting medical services and ensuring accurate reimbursement. One such code, CPT 92004, is significant in the field of optometry and ophthalmology. This article delves into the specifics of CPT 92004, its implications, and how it is utilized in practice. CPT 92004 Description CPT 92004 … Read more

CO 252 Denial Code: An In-Depth Analysis

Understanding the intricacies of healthcare billing is essential for providers seeking to maintain their revenue cycles and ensure timely reimbursements. One critical aspect of this process is navigating denial codes, such as CO 252. This article will explore the CO 252 denial code, its implications, and how providers can effectively respond to it. CO 252 … Read more

CPT code 35840 Coded Sample Medical report

PREOPERATIVE DIAGNOSIS: 1. Suspected abdominal wall abscess POSTOPERATIVE DIAGNOSIS: 1. Abdominal wall abscess PROCEDURE: 1. Exploration of abdominal wall post op fluid collection, incidion and drainage of abdominal wall abscess ANESTHESIA: General INDICATION FOR PROCEDURE: This unfortunate 63y.o. lady underwent free flap reconstruction of her left arm wound with an abdominal donor site. She is … Read more

CPT code 32555 coded sample report

Ultrasound guided right thoracentesis Indication: Pleural effusion Findings: Written informed consent was obtained from the patient after  explanation of risks, benefits and alternatives. Limited ultrasound scanning over the back for localization of the right pleural effusion. Overlying skin posteriorly was marked with ultrasound and then sterilely prepped and draped. Local anesthesia with 1% lidocaine. A … Read more

CPT code 32550 coded Sample report

Postoperative Diagnosis: Malignant recurrent pleural effusions Procedure(s): PleurX catheter placement Indications for Procedure: This is a 75 year old female with metastatic lung adenocarcinoma with recurrent malignant pleural effusions. Given patient has required multiple thoracentesis and has symptomatically improved with each one. She was deemed a candidate for PleurX catheter. Estimated Blood Loss: None Procedure … Read more

Coding of breast biopsy, cyst aspiration and Lymph node biopsy

RIGHT BREAST: 10:00 at 7 cm from the nipple: Invasive ductal carcinoma, preliminary histologic grade 3, ductal carcinoma in situ. 9:30, 10 cm from the nipple: Invasive ductal carcinoma, preliminary  histologic grade 3, ductal carcinoma in situ. Right axillary lymph node: Invasive carcinoma, compatible with mammary tumor origin. Additional Findings : None Procedures: Ultrasound guided … Read more

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