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Medical Coding (ICD-10, CPT, & Modifiers)
Plain-English guides to ICD-10, CPT and HCPCS coding, modifiers, and the payer rules that decide whether a claim pays. Written for practice managers, coders and billers.
102 guides
Radiology CPT Codes: How They Are Organized and Billed
A plain-English map of the radiology CPT codes (the 70000 series): how they are grouped, what modifiers 26 and TC split, and the CMS bundling rules that trip up imaging...
Understanding Psychotherapy Billing: A Comprehensive Guide to CPT Codes 90834 and 90837
Learn about CPT codes 90834 and 90837 for psychotherapy billing to maximize reimbursements and improve compliance.
Pre-Op ICD-10 Codes: Z01.81x, Pre-Op Labs and Billing Rules
Pre-op ICD-10 codes sit in subcategory Z01.81. Here is what each code means, how to code pre-op labs, and which global surgery and Medicare rules to check before you bill.
Oncology CPT Codes: Chemo, Infusion and Radiation Billing
A plain-language map of the oncology CPT codes a billing team deals with, and the Medicare bundling and drug waste rules that decide whether the claim pays.
Telehealth Modifiers: 95, 93, GT, GQ, FQ and FR Explained
Telehealth modifiers tell a payer how a visit was delivered. Here is what 95, 93, GT, GQ, FQ and FR mean, where POS 02 and 10 fit, and what to...
Neck Pain ICD-10 Code: M54.2 and Related Cervical Codes
M54.2 is the ICD-10-CM code for neck pain. Learn when a cervical disc, radiculopathy or injury code replaces it, and how to avoid Excludes1 and 7th-character errors.
Understanding Modifiers for Telehealth and Telemedicine
Discover essential modifiers for telehealth billing, ensuring accurate claims and optimal reimbursement. Stay compliant with our expert guide
Modifier 25 vs 59: When to Use Each, Plus XE, XS, XP and XU
One modifier separates a same-day visit from a procedure. The other separates two procedures. Here is how to pick, which X modifier to use instead of 59, and what the...
Understanding Modifier 95 in Telehealth Billing
Discover how Modifier 95 enhances telehealth billing accuracy, ensuring timely reimbursements and compliance.
Modifier 91: Repeat Lab Test Billing Rules and Examples
Modifier 91 marks a medically necessary repeat lab test on the same day. Here is when it fits, when it does not, and how to build the claim.
Modifier 79: When It Applies and How It Differs From 78
Modifier 79 marks an unrelated procedure by the same provider inside a global period. Learn the three tests, how it differs from 78, 58 and 24, and what the record...
Understanding Modifier 59: Essential Insights for Healthcare Providers
Learn how to use Modifier 59 correctly to enhance billing accuracy, prevent claim denials, and boost revenue in your healthcare practice.
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