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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
Understanding the Complexities of Billing for Diabetes Medications Complexity of Diabetes Coding: Diabetes coding is complex due to several factors: Type of diabetes (Type 1, Type 2, etc.) Etiology of secondary diabetes Diabetic complications Diabetes control status (stable, uncontrolled, progressing, etc.) Medications or insulin treatments, including use of insulin pumps and continuous glucose monitors. Key … Read more
Key Terms: Sleeve Lobectomy VATS (Video Assisted Thoracic Surgery) Lobectomy Lingulectomy Indications / Associated Pathology: Benign Tumor Emphysema Fungal Infection Lung Abscess Lung Cancer Tuberculosis Description: The right lung consists of three lobes: Upper, Middle, and Lower. The left lung has two lobes: Upper and Lower, as it shares space with the heart. The Upper … Read more
Indications / Associated Pathologies: Congenital Anomaly Neck Trauma Respiratory Failure Subcutaneous Emphysema Upper Airway Edema, Foreign Body, or Obstruction Description: Tracheostomy involves creating a stoma (surgical opening) in the neck to bypass the cervical trachea and/or oropharynx, allowing air to pass directly to the distal trachea for respiration. It may be performed on patients requiring … Read more
Key Terms: Decompressive Foraminectomy Foraminal Decompression Indications / Associated Pathologies: Degenerative Joint Disease Spinal Radiculopathy Spinal Myelopathy Spinal Stenosis Synovial Cyst Description: Spinal stenosis may result from degenerative osteoarthritis, osteophyte or bone spur formation, or ligamentum flavum hypertrophy. Decompressive laminectomy involves removing the lamina and enlarging the spinal canal to relieve pressure on the spinal … Read more
Diagnosis and Medical Necessity The diagnosis establishes the medical necessity for the service provided. Major Differences Between ICD-10-CM and CPT Codes is that ICD-10-CM codes and CPT® codes serve different purposes. While CPT codes describe the procedure or service provided, ICD-10-CM codes explain the reason for the service. Accurate selection of diagnosis codes is crucial … Read more
Introduction: The major revisions to the coding guidelines for office/other outpatient evaluation and management (E/M) visits (CPT codes 99202-99205 and 99211-99215) were implemented nearly four years ago. While these updates aimed to streamline the coding process, practices continue to encounter challenges in documentation and reporting. Such confusion can lead to improper coding and potential financial … Read more
Basics of Baclofen Pump Insertion Key Terms: Intrathecal Pump Insertion Trial Intrathecal Catheter Insertion Indications / Associated Pathologies: Baclofen pumps are used to treat muscle spasticity caused by conditions such as: Cerebral Palsy Multiple Sclerosis Spinal Cord Injury Stroke Traumatic Brain Injury Description: The intrathecal Baclofen pump system is designed to treat moderate to severe … Read more
Deep Brain Stimulator (DBS) and Intracranial Responsive Neurostimulator (RNS) Lead Insertion Key Terms: DBS Lead(s) RNS Lead(s) Indications and Associated Pathology: Deep Brain Stimulation (DBS) and Responsive Neurostimulation (RNS) are used to treat various neurological and psychiatric conditions, including: Localization-related (focal) (partial) idiopathic or symptomatic epilepsy Essential tremor Intractable dystonias Meige syndrome Multiple sclerosis Obsessive-compulsive … Read more