Medical Coding Guide - Page 2 of 102

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

CPT code 15011, 15012, 15013, 15014, 15015, 15016, 15017 & 15018 Coding guide

January 15, 2025 by Jitendra M.Sc CPC

CPT code 15011, 15012, 15013, 15014, 15015 & 15016 Coding guide

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

A Comprehensive Overview of Debridement Procedures and Coding

January 13, 2025January 13, 2025 by Jitendra M.Sc CPC

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

Proper Code Selection for Incision and Drainage (I&D) CPT code Procedures

January 13, 2025 by Jitendra M.Sc CPC

Basic of Incision and Drainage (I&D) CPT code Procedures Accurate code selection for Incision and Drainage (I&D) procedures is essential for proper reimbursement. I&D is a common surgical intervention used to treat infections such as abscesses, cysts, and boils. This procedure involves making an incision in the affected area to allow the drainage of infected … Read more

Pediatric Psychotherapy Coding: Guidelines for Accurate Selection

January 15, 2025January 13, 2025 by Jitendra M.Sc CPC

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

CPT Code 98004-98007: Pro Tips for Precise Coding

January 10, 2025 by Jitendra M.Sc CPC

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