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  • Posts tagged "CPT codes"

Posts tagged "CPT codes"

Common Diseases and Their CPT Codes

June 1, 2025 / admin / Articles, Asthma, Coronary Artery Disease, CPT Codes, Diabetes Mellitus, Epilepsy, Generalized Anxiety Disorder, Hypertension, Lower Back Pain, Major Depressive Disorder, Migraine, Osteoarthritis, Pulmonary Disease, Thyroid Disorders
Medical CPT Codes

An in-depth knowledge of the relationship between common diseases and their associated Current Procedural Terminology (CPT) codes is vital for healthcare providers, billing specialists, and even informed patients. While diseases themselves are typically classified using ICD codes, the procedures used to diagnose and treat these conditions are represented by CPT codes, which are essential for […]

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Asthma, Chronic Obstructive Pulmonary Disease, Coronary Artery Disease, CPT codes, Diabetes Mellitus, Epilepsy, Generalized Anxiety Disorder, Hypertension, Lower Back Pain, Major Depressive Disorder, Migraine, Osteoarthritis, Pulmonary Disease, Thyroid Disorders

Maximize Reimbursement: 2025 Toxicology CPT Codes

April 21, 2025 / admin / 80150, 80185, 80204, 80299, 80305, 80306, 80307, 80308, 80320, 80377, 80379, Articles, CPT, CPT Code Update, CPT Codes, Toxicology Claims, Toxicology CPT Codes, Toxicology Reimbursement
Toxicology Test Reimbursement

Whether in a hospital lab, reference laboratory, or physician office setting, if you’re involved in toxicology testing, you’re well aware that few areas of laboratory medicine face more reimbursement challenges. In 2025, toxicology testing continues to operate in an environment of intense scrutiny, evolving regulations, and shifting payer policies. With strategic knowledge of Current Procedural […]

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80150, 80185, 80204, 80299, 80305, 80306, 80307, 80308, 80320, 80377, 80379, CPT, CPT 2025 Professional Edition, CPT Code Update, CPT codes, Toxicology Claims, Toxicology CPT Codes, Toxicology Reimbursement

Maximize Reimbursement: 2025 Behavioral Health CPT Codes

April 14, 2025 / admin / 90832, 90834, 90837, 96121, 96146, 99484, Articles, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, CPT Code, CPT Code Update, CPT Codes
Behavioral Health Billing Mechanisms

Behavioral health professionals continue to face a complex and evolving landscape of reimbursement challenges. The good news? Strategic knowledge of Current Procedural Terminology (CPT) codes can significantly boost your practice’s financial health while ensuring you’re fairly compensated for the valuable services you provide. Figuring out the nuances of behavioral health coding is no longer optional, […]

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2025 CPT Code Updates, 90832, 90834, 90837, 96121, 96146, 99484, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Behavioral Health CPT-10 Codes, CPT Code, CPT Code Update, CPT codes

AMA Unveils CPT Code Updates for 2025

November 12, 2024 / admin / AI, AMA, AMA Intelligent Platform, Articles, Artificial Intelligence, Code 98975, CPT, CPT & RBRVS 2025 Annual Symposium, CPT Code, CPT Code Update, CPT Codes, CPT Editorial Panel, Remote Therapeutic Monitoring
AMA New CPT Codes for 2025

The American Medical Association (AMA) announced today the release of the Current Procedural Terminology (CPT®) code set for 2025, marking a significant evolution in medical coding that reflects the healthcare industry’s rapid technological advancement and changing clinical practices. The updated code set, which serves as the foundation for medical billing and documentation across the United […]

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AI, AMA, AMA Intelligent Platform, artificial intelligence, Code 98975, CPT, CPT & RBRVS 2025 Annual Symposium, CPT 2025 Professional Edition, CPT Code, CPT Code Update, CPT codes, CPT Editorial Panel, Remote Therapeutic Monitoring

Are Medical Billing Codes Universal?

October 8, 2024 / admin / Artificial Intelligence, Billing Codes, Billing KPIs, Billing Outcomes, Blockchain, ICD, ICD Codes, ICD-10, ICD-10 to ICD-11, ICD-11, IHTSDO, Non-Universality Coding, SNOMED CT
Female Medical Coder

Medical billing codes are the backbone of healthcare administration worldwide, serving as a standardized way to communicate diagnoses, procedures, and treatments between healthcare providers, insurers, and government agencies. However, the question of whether these codes are truly universal is complex and multifaceted. We dissect the various medical coding systems used globally, their similarities and differences, […]

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billing, CPT, CPT codes, EHR, EMR, Healthcare Billing, ICD-10, ICD-10 coding, ICD-11, IHTSDO, Medical Billing, Non-Universality Coding, outsourced billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPA, SNOMED CT, Systematized Nomenclature of Medicine, Value Based Care

How do CPT® Codes Work?

October 5, 2024 / admin / Articles, Billing Codes, Coding, Coding Accuracy, Coding and Billing, Coding and Documentation, Coding Errors, Coding Intricacies, CPT, CPT Codes, CPT Definitions, Current Procedural Terminology
Medical CPT Codes

Current Procedural Terminology (CPT®) codes are the backbone of medical billing in the United States healthcare system. These standardized codes, maintained by the American Medical Association (AMA), serve as a universal medical language for reporting medical, surgical, and diagnostic procedures and services to entities such as insurance companies, accreditation organizations, and government programs. We go […]

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Billing Codes, Coding, Coding Accuracy, coding and billing, Coding and Documentation, Coding Errors, Coding Intricacies, CPT, CPT codes, CPT definitions, Current Procedural Terminology

Key Mechanisms Used in Behavioral Health Billing

October 1, 2024 / admin / Articles, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Behavioral Health Integration, Billing, CPT, CPT Codes, CPT Definitions, EDI, Electronic Data Interchange, HIPAA
Key Behavioral Health Billing Mechanisms

Behavioral health billing is a complex and crucial aspect of the healthcare industry, specifically focused on mental health and substance abuse services. It involves intricate processes, numerous codes, and strict regulations to ensure accurate reimbursement for services provided while maintaining patient privacy and data security. We research the various mechanisms used in behavioral health billing, […]

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Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Behavioral Health Integration, billing, CPT, CPT codes, CPT definitions, EDI, Electronic Data Interchange, HIPAA

What’s the Difference Between Institutional and Professional Billing?

May 5, 2024 / admin / Articles, Billing, CPT Codes, HCFA-1500, Healthcare Billing, ICD Codes, Institutional Billing, Medical Billing, Medical Billing Lingo, Medical Billing Verbiage, Professional Billing, UB-04, UB-04 Billing
Medical Billing Resources

If you’ve ever stepped foot in a medical facility or had any kind of healthcare service, you’ve likely encountered the wonderful world of medical billing. But have you ever stopped to think about the different billing methods used? Specifically, the distinction between institutional billing and professional billing? No? Well, buckle up because we’re about to […]

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billing, CPT codes, HCFA-1500, HCPCS Codes, Healthcare Billing, ICD Codes, Institutional Billing, Medical Billing, Medical Billing Lingo, Medical Billing Verbiage, Professional Billing, UB-04, UB-04 Billing

Which CPT Codes are Used in Remote Patient Monitoring Billing?

March 30, 2024 / admin / Articles, Biling Codes, Billing, Remote Diagnostics, Remote Patient Monitoring, Remote Patient Monitoring (RPM), Remote Patient Monitoring Billing, Remote Patient Monitoring CPT Codes, RPM, RPM Billing, RPM CPT Codes
CPT Codes Remote Patient Monitoring (RPM)

If you’re a healthcare provider looking to get into remote patient monitoring (RPM), one of the first things you need to understand is how to bill for these services. And that starts with knowing the right CPT codes to use. RPM has been around for a while, but it really took off during the COVID-19 […]

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99091, 99453, 99454, 99457, 99473, 99474, billing, CPT codes, Healthcare Billing, Medical Billing, rcm, Remote Patient Monitoring, Remote Patient Monitoring Billing, Remote Patient Monitoring CPT Codes, Revenue Cycle Management, RPM, RPM Billing, RPM CPT Codes

Which CPT Codes are Used in Breast Cancer Treatment Billing?

March 2, 2024 / admin / Articles, Billing, Breast Cancer, Breast Cancer Billing, Breast Cancer Care, Breast Cancer Coding, Breast Cancer CPT Codes, Coding, Coding and Billing, CPT, CPT Codes, CPT Definitions, Medical Billing, Medical Billing and Coding
Breast Cancer CPT Codes

Breast cancer is one of the most common cancers among women in the United States, with about 1 in 8 women developing invasive breast cancer over their lifetime. As breast cancer incidence has increased over the past several decades, advances in screening, diagnosis, and treatment have also greatly improved. Breast cancer death rates have fallen […]

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billing, Biomarker Billing, Breast Cancer, Breast Cancer Billing, Breast Cancer Care, Breast Cancer CPT Codes, Breast MRI Billing, Breast Ultrasound Billing, Cancer Billing, Cancer Screening Billing, Chemotherapy Billing, Coding, CPT codes, healthcare, Healthcare Billing, Mammography Billing, Medical, Medical Billing, Medical Billing and Coding, medical coding, rcm, Revenue Cycle, Revenue Cycle Management

Unveiling Some of the Key CPT Codes in Medical Coding

February 20, 2024 / admin / Allergy Testing Billing, Articles, Behavioral Health Billing, Chiropractic Billing, Coding, DME Billing, Genetic Testing Billing, Hospital Billing, Hospitalist Billing, Lab Billing, Medical Billing, Medical Coding, Pharmacogenetics Billing, Skilled Nursing Billing, Telehealth Billing, Toxicology Billing
White Female Medical Billing Outsourced

In the intricate world of medical billing and coding, understanding Common Procedural Terminology (CPT) codes is paramount. These codes act as a universal language, facilitating seamless communication between healthcare providers and insurance entities. Let’s delve into the realm of CPT codes, exploring their significance and shedding light on the most commonly used ones. Decoding CPT […]

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Allergy Testing Billing, Behavioral Health Billing, billing, Coding, COVID-19 billing, CPT codes, DME Billing, Family Practice Billing, genetic testing billing, Healthcare Billing, Medical Billing, medical coding, Medical Reimbursement, Occupational Therapy Billing, outsourced billing, PT Billing, Revenue Cycle Management, revenue cycle optimization, speech therapy billing, toxicology billing

Billing for COVID-19 Testing: An In-Depth Use Case Explaining CPT Codes, Payer Policies, and Revenue Cycle Optimization

February 19, 2024 / admin / Articles, Billing, Coding, Coding and Billing, Corona Virus, Corona Virus Testing Billing, Coronavirus, Coronavirus Testing, Coronavirus Testing Billing, COVID, COVID Testing Billing, COVID-19, COVID-19 Billing, COVID-19 Test Billing, CPT Codes, Revenue Cycle Management, Revenue Cycle Optimization, SARS-CoV-2 Billing
COVID-19 variant test billing

Diagnostic testing for COVID-19 has become a cornerstone of pandemic response for healthcare providers. However, rolling out testing services presents immense challenges around reimbursement and revenue cycle management. This definitive use case walks through COVID-19 testing billing and coding procedures in 2022 step-by-step, using examples to illustrate how to optimize claims submission and payment across […]

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0224U, 87426, 87635, billing, Covid, COVID billing, COVID Test Billing, COVID testing billing, COVID Tests, COVID-19, COVID-19 Test Billing, COVID-19 testing, CPT codes, Medical, Medical Billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, SARS-CoV-2, SARS-CoV-2 Billing

Which CPT Codes are used in Telestroke and Teleneurology Billing?

February 17, 2024 / admin / Articles, Billing, Coding and Billing, CPT, CPT Codes, E/M Codes, E/M Coding, HIPAA-compliant Telehealth, Tech-enabled Care Models, Telemetry, Teleneurology, Teleneurology Billing, Teleneurology CPT Codes, Telestroke, Telestroke Billing, Telestroke CPT Codes
Telestroke Telehealth Billing Doctor

Telestroke and teleneurology refer to the use of telehealth to provide acute stroke care and neurological care from a distance. This allows neurologists and stroke specialists to evaluate and manage patients in hospitals or clinics that may not have specialty care available onsite. The use of telehealth and virtual care models in neurology has grown enormously […]

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coding and billing, CPT codes, E/M, E/M codes, E/M services, E/M Visits, HIPAA, HIPAA-compliant Telehealth, Tech-enabled Care Models, Telehealth Billing, Telemedicine, Telemedicine Billing, Telemetry, Teleneurology, Teleneurology Billing, Teleneurology CPT Codes, Telestroke, Telestroke Billing, Telestroke CPT Codes

The Essential Guide to Avoiding Improper Bundling in Medical Billing

February 6, 2024 / admin / Articles, Bundling, Component Codes, Improper Bundling, Medical Billing, Medically Unlikely Edits, Modifier Code, Modifier Codes, Modifiers, MUEs, National Correct Coding Initiative, NCCI, NCCI Edits, Proper Bundling, Unbundling
White Female Medical Billing Outsourced

Improper bundling in medical billing can lead to denied claims, payment delays, audits, fines, and even fraud allegations. As a medical billing professional, it’s crucial to understand how to bundle procedures correctly to ensure proper reimbursement while adhering to CMS guidelines. In this guide, we’ll cover everything you need to know about avoiding improper bundling […]

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Claim Denials, Component Codes, Comprehensive Code, CPT, CPT codes, denied claims, denied medical claims, HCPCS, Medically Unlikely Edits, Modifier Codes, MUEs, National Correct Coding Initiative, NCCI, NCCI Edits, Unbundling

Which CPT Codes are Used in Speech Therapy Billing?

January 19, 2024 / admin / Articles, Billing, Billing Automation, Billing Best Practice, Claim Billing, CPT, CPT Codes, Current Procedural Terminology, Revenue Cycle, Revenue Cycle Management, Speech Therapy, Speech Therapy Billing
Speech Therapy CPT Codes

Speech-language pathology services are critical for evaluating and treating communication disorders, swallowing difficulties, and cognitive-linguistic impairments. However, selecting the proper CPT codes for speech therapy can be complex given the many types of assessments, modalities, and interventions provided. We examine the most frequently used Current Procedural Terminology (CPT) codes that speech therapists report to receive […]

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billing, Common Procedural Terminology (CPT) codes, CPT, CPT codes, Current Procedural Terminology, Medical Billing, Speech Billing, speech therapy billing

Which CPT Codes are Used in Pharmacogenetic (PGx) Testing Billing?

November 14, 2023 / admin / Articles, Billing, Billing Services, Claim Billing, CPT, CPT Codes, Healthcare Billing, Medical, Medical Billing, PGx, PGx Billing, Pharmacogenetics, Pharmacogenetics Billing, Pharmacogenetics CPT Codes
Pharmacogenetic (PGx) Testing Billing

Navigating CPT Coding for Pharmacogenetic (PGx) Testing Reimbursement Pharmacogenetics refers to the study of how genetic variability impacts drug response. Also called pharmacogenomics, PGx testing analyzes a patient’s genetic makeup to predict drug efficacy, optimal dosing, and risk of adverse reactions. As our understanding of genetics has advanced, there has been growing recognition of its […]

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Which CPT Codes are Used in Hospitalist Billing?

August 2, 2023 / admin / Articles, Billing, Billing Revenue, Billing Services, Claim Billing, Claim Data, Claim Denials, CPT Codes, Denial Management, Denied Claims, Denied Medical Claims, Healthcare, Healthcare Billing, HL7, Hospitalist, Hospitalist Billing, Hospitalist Medicine, ICD-10, Medical, Medical Billing
Medical Billing Software White Male User

In the realm of medical billing and coding, precision and accuracy are paramount. Hospitalist billing, a specialized area, relies on specific CPT (Current Procedural Terminology) codes to ensure proper reimbursement for services rendered. These codes serve as a universal language that communicates medical procedures and services to insurance companies. In this comprehensive guide, we’ll delve […]

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99221, 99231, 99233, 99238, CPT codes, CPT Codes in Hospitalist Billing, healthcare, Healthcare Billing, Hospitalist, Hospitalist Billing, Hospitalist Medical Billing, ICD-10, Medical, Medical Billing, Medical Billing Service

How to Choose the Correct CPT Code

April 21, 2023 / admin / Articles, Biling Codes, Billing, CPT, CPT Codes, Healthcare, Healthcare Billing, Medical, Medical Billing
CPT Codes Options

How to Choose the Correct CPT Code for Your Medical Billing and Coding Services As a medical biller or coder, choosing the correct Current Procedural Terminology (CPT) code is crucial for accurate reimbursement. However, with thousands of codes available, it can be overwhelming to find the right one for your services. We offer a free […]

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billing, Correct CPT Code, CPT, CPT Billing Codes, CPT Code, CPT codes, CPT-10, CPT-10 Codes, healthcare, Healthcare Billing, Medical, Medical Billing

Which CPT Codes are Used in Toxicology Lab Billing?

March 7, 2023 / admin / Articles, Biling Codes, Billing, CPT Codes, Medical Coding, Toxicology Billing, Toxicology Lab Billing, Toxicology Labs
Toxicology Lab Billing

Toxicology testing is the analysis of biological samples, such as urine or blood, to detect the presence of drugs or other substances. The results of these tests can be critical in determining a patient’s treatment plan, medication management, or drug rehabilitation program. Toxicology labs play a crucial role in the diagnosis and treatment of various […]

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CPT, CPT codes, CPT-10, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, toxicology, toxicology billing, Toxicology CPT Codes, toxicology lab billing, toxicology laboratory billing

Which CPT Codes are Used in COVID-19 Billing?

March 5, 2023 / admin / Articles, COVID, COVID Test Kits, COVID Testing Billing, COVID-19, COVID-19 Billing, COVID-19 Test Kit Reimbursement, COVID-19 Testing, COVID-19 Testing Billing
CPT Covid-19 Billing

The COVID-19 pandemic has impacted the world significantly, causing widespread illness, death, and economic disruption. The virus, also known as SARS-CoV-2, primarily spreads through respiratory droplets when an infected person talks, coughs, or sneezes. COVID-19 symptoms range from mild to severe and may include fever, cough, fatigue, body aches, loss of taste or smell, and […]

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billing, Coronavirus, COVID CPT, COVID CPT-10, COVID-19, COVID-19 billing, COVID-19 CPT, COVID-19 testing, COVID-19 Testing Billing, CPT, CPT codes, CPT-10, healthcare, Healthcare Billing, Medical Billing, Medical Billing Service

Which CPT Codes are Used in Behavioral Health Billing?

March 5, 2023 / admin / Articles, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Biling Codes, Billing, CPT, CPT Codes
Behavioral Health Billing Codes

In behavioral health, medical billing is a crucial aspect of providing services to patients. The billing ensures that healthcare providers receive proper payment for the services they provide, and it helps patients understand the costs associated with their care. As the healthcare industry continues to evolve, it is important for behavioral health providers to understand […]

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Behavioral Health, Behavioral Health Billing, Behavioral Health Billing Codes, Behavioral Health Codes, Behavioral Health CPT Codes, Billing Codes, CPT, CPT Billing Codes, CPT codes, CPT-10, CPT-10 Codes, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle Management

What’s the Difference Between (Medical Billing and Credentialing)?

August 7, 2017 / admin / Articles, Billing, Credentialing, Medical Billing, Payer Enrollment, Payor Contracting, Pittsburgh Credentialing
Medical Doctor Costs

Medical Billing and Credentialing Differences Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the […]

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Billing Versus Credentialing, Billing vs Credentialing, CAQH, Coalition for Affordable Quality Healthcare, CPT codes, Cranberry Medical Billing, Cranberry Medical Credentialing, ICD-10, Medical Billing, medical credentialing, physical therapy billing, PT Billing

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Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

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