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Medical coding

Posted inModifier Medical coding

Understanding medically unlikely edits : Maintain accurate and safe healthcare practices

The Centers for Medicare & Medicaid Services (CMS) established Medically Unlikely Edits (MUE) as a mechanism to restrict the frequency with which a specific service may be billed by a…
Posted by Jitendra M.Sc CPC June 30, 2025
Posted inMedical coding ICD 10

Insights into the First Quarter 2025 ICD-10-CM Coding Clinic Updates

The Coding Clinic, issued by the American Hospital Association (AHA), serves as the definitive reference for updates and clarifications concerning ICD-10-CM and ICD-10-PCS coding. Released on March 17, the first…
Posted by Jitendra M.Sc CPC June 16, 2025
Posted inMedical coding

Unlocking Preventive Care: How to Code ACA-Covered Services with Confidence in 2025

Historically, many patients have only sought medical attention when experiencing illness. However, modern healthcare initiatives, particularly under the Affordable Care Act (ACA), emphasize preventive care and early detection services as…
Posted by Jitendra M.Sc CPC May 14, 2025
Posted inMedical coding

Major ICD-10-CM Updates Proposed for 2026: 487 New Codes, Key Changes to Injury and Chronic Ulcer Reporting

CMS Proposes Significant ICD-10-CM Code Updates in the FY 2026 IPPS Proposed Rule On April 11, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year (FY)…
Posted by Jitendra M.Sc CPC May 14, 2025
Posted inMedical coding

Proper Use of Surgical Modifiers: Co-Surgeon, Assistant-at-Surgery, and Team Surgery

Understanding the appropriate use of surgical modifiers is essential for accurate coding and compliance. Recent audits by the Office of Inspector General (OIG) have revealed significant billing inaccuracies related to…
Posted by Jitendra M.Sc CPC April 21, 2025
Posted inMedical coding

Expert guide on Assigning Diagnosis Codes for Diagnostic Radiology Services

Assigning accurate and complete diagnosis codes for diagnostic radiology studies—such as X-rays, CT scans, MRIs, ultrasounds, and mammograms—can present a unique challenge, even for experienced medical coders. Unlike other clinical…
Posted by Jitendra M.Sc CPC April 13, 2025
Posted inMedical coding

Big ICD-10-PCS Updates Coming Your Way – April 1, 2025

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…
Posted by Jitendra M.Sc CPC March 31, 2025
Posted inMedical coding Surgery

Coding tips for CPT code 38225, 38226, 38227 & 38228

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.…
Posted by Jitendra M.Sc CPC March 30, 2025
Posted inMedical coding Surgery

Coding guide for CPT code 25447 & 25448

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…
Posted by Jitendra M.Sc CPC March 30, 2025
Medical Coding for Hysterectomy Procedures: A Comprehensive Guide
Posted inMedical coding

Medical Coding for Hysterectomy Procedures: A Comprehensive Guide

Overview of Hysterectomy Hysterectomy is the second most common surgical procedure for women in the U.S., following cesarean sections, with approximately 600,000 performed annually. Medical coders must understand the reasons…
Posted by Jitendra M.Sc CPC March 20, 2025

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