A single ICD-10 code, a missing modifier or a misclassified procedure intent can shift a colonoscopy from a fully covered preventive service to a medically necessary diagnostic one, which could change ...
The FY 2026 ICD-10-CM Official Guidelines bring significant updates, including detailed rules for coding multiple sites and a major overhaul of HIV coding conventions. Staying compliant means ...
This February, BCBS Michigan shared how it will cut reimbursement by 50% for nonpreventive evaluation/management services with modifier 25 that were billed on the same day as procedure codes with ...
Physicians deserve to be paid for the medical care they provide. Learn more with the AMA about the CPT coding errors to avoid. Government and private insurers’ audits have revealed unfortunate cases ...
An easy-to-understand issue brief details the correct use of the AMA’s Current Procedure Terminology (CPT ®) code set’s modifier 25, lists payer policies that may impede appropriate payment, and links ...
The following Q&A comes from the Centers for Medicare & Medicaid Services website. Q: Will CMS adjust ambulatory surgical center payment for multiple procedures performed during the same operative ...