Learn How to Code
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
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
It’s important for medical coders to understand the differences between audio-only visits and telephone visits, as they are not the same, despite both being types of telehealth services. Key Differences in the Codes: Audio-only codes are designed for both new and established patients. This means that these codes can be used whether it’s the first … Read more
HCPCS Level II add-on code G2211 recognizes the significant and ongoing relationship between a patient and their physician. It compensates for the additional time and effort involved in managing the complexities of long-term patient care. This includes activities such as patient conversations, development of comprehensive care plans, and collaborative decision-making. This article explores the billing … Read more
Description of CPT code 38225, 38226, 38227 & 38228 We have new CPT codes for Chimeric antigen receptor (CAR-T) therapy in 2025 and it will be used from new year. Below is the coding description for these codes. CPT 38225 – Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood derived T lymphocytes for development … Read more
Basics of CPT code 25447 & 25448 In Musculosketetal, their is one new CPT code added in 2025, CPT code 25448 was added in this section in new year with revision of CPT code 26447. Below is the code description for both the codes. 25447 – Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) 25448 … Read more
In some cases, procedure codes alone do not provide sufficient detail to convey the exact service or procedure performed to the payer. In these situations, Medicare or private insurers may require physicians to append a modifier to the procedure code listed on the claim to clarify the nature of the service. Physicians may use either … Read more
Modifiers 33 and PT are used to inform payers that a service provided was either initiated as or fully performed as a screening. These modifiers are essential when the HCPCS code used does not explicitly describe the service as a screening. Modifier -33 and Medicare Modifier -33 is not recognized by Medicare, which instead requires … Read more