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Category: CPT

Strep Test CPT Code Guide (2026) Billing, Reimbursement & Updates

Strep Test CPT Code Guide (2026): Billing, Reimbursement & Updates

A front-desk medical assistant swabs a child’s throat, the rapid test line turns pink in under ten minutes, and the visit ends with an antibiotic prescription. That five-minute clinical

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Cystoscopy CPT Code Guide 2026 Billing Tips & Updates

Cystoscopy CPT Code Guide 2026: Billing Tips & Updates

The code numbers barely moved on January 1, 2026. The payment behind them did. Every practice that bills a cystoscopy CPT code is now working with two Medicare conversion

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2026 Updates to 99223 CPT Code What Providers Need to Know

CPT code 99223: initial hospital care at the highest complexity level

CPT code 99223 reports the highest-complexity initial hospital inpatient or observation encounter a physician or qualified health care professional can bill on the date of admission. It sits at

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78452 CPT Code Description, Documentation, and Modifier Usage

78452 CPT Code Description, Documentation, and Modifier Use

Nuclear cardiology produces some of the highest-dollar claims a cardiology practice submits, and the 78452 CPT code sits near the center of that revenue. It is also one of

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_How to Bill a DEXA Scan CPT Codes, Modifiers & Reimbursement Tips

How to Bill a DEXA Scan: CPT Codes, Modifiers & Reimbursement Tips

A bone density study is one of the more predictable radiology claims a practice submits, and also one of the easiest to get wrong. The procedure itself rarely changes.

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96372 CPT Code Coverage, Compliance, and Audit Risks

96372 CPT Code: Coverage, Compliance, and Audit Concerns

Table of Contents SUMMARY The CPT code 96372 refers to billing of therapeutic, prophylactic, or diagnostic injections administered subcutaneously or intramuscularly. Medical necessity, thorough reporting, and proper coding of

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CPT Code 36415 Explained Venipuncture Coding, Reimbursement & Modifiers

CPT Code 36415: Venipuncture Coding, Reimbursement & Modifiers

Most billing references still list $3.00 as the Medicare payment for a routine blood draw. That figure has been out of date since January 1, 2023. For calendar year

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ICD-10 Codes for Psoriatic Arthritis Types, Severity & Billing Tips.jpg

Psoriatic arthritis ICD 10: a coder’s guide to L40.5 and its subcategories

Psoriatic arthritis sits in an odd spot in ICD-10-CM. Coders who expect a joint disease to live in the musculoskeletal chapter often go looking in the M00 to M99

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CPT Code 90853 in 2025_ Rules, Reimbursement, and Red Flags.jpg

CPT Code 90853 in 2025: Rules, Reimbursement, and Red Flags

CPT Code 90853 identifies group psychotherapy, excluding multiple-family group psychotherapy. Although several patients participate in the same encounter, billing and documentation must support the service delivered to each person.

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Endocrinology CPT Codes for Diabetes, Thyroid & Hormones.jpg (1)

Endocrinology CPT Codes for Diabetes, Thyroid, and Hormone Disorders

Table of Contents Quick Intro: Endocrine disorders rarely come with clear beginnings or quick endings. For many patients, a diagnosis of diabetes, thyroid disease, or hormonal imbalance marks the

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