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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
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 for hysterectomy and the appropriate coding to ensure accuracy. Reasons for Hysterectomy Common indications include: Endometriosis or uterine fibroids causing pain or bleeding Uterine prolapse … Read more
Basic of CPT code 25447 & 25448 In 2025, we have a new CPT code in Musculoskeletal System in Surgery. New CPT code 25448 is used for intercarpal or carpometacarpal joint arthroplasty with suspension, including transfer or transplant of tendon with interposition, when performed. CPT Code 25447 was editorially revised and is now the parent … Read more
Basics of CPT code 15011, 15012, 15013, 15014, 15015 & 15016 In 2025, their are new CPT codes which includes eight new codes for skin cell suspension autograft (SCSA). This technique includes the harvest and preparation of a liquid solution of skin cells that is applied to a wound site to promote healing. Included are … Read more
Debridement is the surgical removal of foreign material and necrotic or infected tissue from or near a traumatic or infected wound, exposing surrounding healthy tissue to promote healing. The instruments utilized for debridement range from maggots, lasers, and ultrasound to forceps, scissors, scalpels, and other sharp tools capable of selectively removing nonviable tissue. There are … Read more
Basics of CPT code 90832-90838 & CPT code 90846-90847 Selecting the appropriate code for pediatric psychotherapy requires consideration of both the duration of the session and the participants involved. Coding can become particularly complex when parents are involved in therapy, necessitating a distinction between family-based psychotherapy (CPT code 90846, 90847) and individual therapy (CPT code … Read more
Basics of CPT Code 98004, 98005, 98006, 98007 Since we are having new CPT codes for Established patient for Synchronous audio-video visit in 2025, we should be knowing the coding guidelines for these codes. Time is one the key factor to choose the correct code between CPT Code 98004, 98005, 98006, 98007. Below is the … Read more
Basics of CPT Code 98000, 98001, 98002, 98003 We have entered into 2025 and we have many new CPT codes to use in this year. Synchronous audio-video visit codes are added this year and are based on New and Established patient. Also the time plays an important factor to choose the correct CPT code. Below … Read more
The 2025 CPT code set introduces new codes for synchronous audio-only and audio-video visits between patients and physicians or other qualified healthcare professionals (QHPs). These telemedicine services, which involve real-time communication between the patient and provider, are designed for non-face-to-face encounters and are used when appropriate for patient care, with the patient or their family/caregiver … Read more