Medical coding

In the 2026 CPT update, Category III code 0042T for cerebral perfusion analysis has been deleted and replaced by two new Category I codes: 70472 and 70473. These codes support critical applications like…

Medical coders must accurately report hydration therapy and injection administration using specific CPT codes, ensuring compliance with time-based rules and documentation standards. Hydration Services 96360: Intravenous infusion, hydration; initial, 31…

Definition of "With Contrast" The phrase "with contrast" applies only to contrast material administered intravascularly, intra-articularly, or intrathecally. Oral or rectal contrast administration alone does not qualify as a "with contrast" study. CMS Policy on…

Medicare Claims Processing Manual (Chapter 17, §40) mandates JW and JZ modifiers for separately payable Part B drugs/biologicals from single-use vials/packages to track administered vs. discarded amounts.​ Modifier Definitions Modifier…

Unlock the power of minimally invasive vascular imaging with CPT 73706: Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing. This code captures a sophisticated…

NCCI Procedure-to-Procedure (PTP) edits include a modifier indicator (0, 1, or 9) that determines whether NCCI-associated modifiers can bypass the edit for separate payment of both code pairs. Indicator Meanings…

Medicare's Medically Unlikely Edits (MUE) tables include a column specifying one of three MUE Adjudication Indicators (MAIs) for each HCPCS/CPT code. These numeric values—1, 2, or 3—dictate how claims exceeding…