Medical Coding Guide - Page 2 of 103

Understanding HCPCS Level II Add-On Code G2211: Key Considerations for Medical Coders

February 4, 2025 by Jitendra M.Sc CPC

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

Correctly Coding Pain from Prosthetics, Implants, and Devices in ICD-10-CM

February 3, 2025 by Jitendra M.Sc CPC

When it comes to coding medical services, the diagnosis plays a critical role in determining whether a service is medically necessary. However, using vague or unclear diagnosis codes can often lead to claim denials. It’s essential to be specific with your diagnosis, especially when it comes to pain. If a clear source of the pain … Read more

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

January 30, 2025 by Jitendra M.Sc CPC

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

Coding guide for CPT 25447 & 25448

January 30, 2025 by Jitendra M.Sc CPC

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

Understanding Common Modifiers in Pain Management Practices

January 27, 2025 by Jitendra M.Sc CPC

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

Mastering Fracture Treatment Coding: A Comprehensive Guide for Accurate ICD-10-CM and CPT Billing

January 22, 2025 by Jitendra M.Sc CPC

For accurate ICD-10-CM and CPT coding of fracture treatments, medical coders should identify the following critical details from the physician’s documentation: Fracture Location and Laterality: Specify the anatomical location (e.g., distal, proximal, mid-shaft) and laterality (if applicable) of the fracture. Common anatomical terms include distal, middle, proximal, mid-shaft, apophyseal, articular, periarticular, and others. Traumatic vs. … Read more

Modifiers 33 and PT: Understanding Their Use in Screening Services

January 21, 2025 by Jitendra M.Sc CPC

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

Modifier GG for Screening and Diagnostic Mammography Coding tips

January 21, 2025 by Jitendra M.Sc CPC

Modifier -GG is used to indicate that both a screening mammography and a diagnostic mammography were performed on the same patient, on the same day. This modifier is added to the diagnostic mammography code to show that the procedure transitioned from a screening to a diagnostic test. Most payers will reimburse both the screening and … Read more

Medical Coding for Hysterectomy Procedures: A Comprehensive Guide

January 20, 2025January 20, 2025 by Jitendra M.Sc CPC

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

Coding Guide for CPT code 25447 & 25448

January 15, 2025 by Jitendra M.Sc CPC

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