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Category: CPT

CPT Code Head MRI_ Modifiers, Documentation, & Compliance.jpg

CPT Code Head MRI: Modifiers, Documentation, & Compliance

Table of Contents Quick Intro: This blog outlines CPT coding for head MRI’s including key codes, differences with contrast, modifiers, documentation, medical necessity, and modifiers. It also discusses billing

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93922 CPT Code Explained Billing Guidelines, Documentation, and Reimbursement.jpg

93922 CPT Code Explained: Billing Guidelines, Documentation, and Reimbursement

Vascular testing produces some of the most frequently denied claims in outpatient medicine, and the 93922 CPT code sits close to the center of that problem. Many billers treat

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CPT Code for Shingrix Explained Dosage, Billing Rules, and Documentation.jpg

CPT Code for Shingrix Explained: Dosage, Billing Rules, and Documentation

The CPT code for Shingrix is 90750. The American Medical Association defines it as “zoster (shingles) vaccine, (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection.” Coders searching for the shingrix

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90471 CPT Code Explained Proper Use, Billing Rules, and Reimbursement Tips.jpg

90471 CPT Code Explained: Proper Use, Billing Rules, and Reimbursement Tips

Every vaccine visit generates two charges, not one. There is a charge for the vaccine product and a separate charge for the work of putting it into the patient.

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Common EKG CPT Codes and How to Avoid Billing Errors.jpg

Common EKG CPT Codes and How to Avoid Billing Errors

An electrocardiogram is one of the most frequently ordered diagnostic tests in outpatient medicine, and it’s also one of the most commonly miscoded. The confusion rarely comes from the

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CPT 99212 Explained When and How to Use This Low-Level EM Code.jpg

CPT 99212 Explained: Low-Level E/M Billing Guide

Most established patient practices bill 99212 more often than their coders track. The code sits one step above the nurse visit and one step below the everyday 99213, and

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Best Medical Billing Software for Chiropractic Practices 2026

Best Medical Billing Software for Chiropractic Practices in 2026

In the dynamic healthcare environment of 2026, U.S. chiropractic practices continue to navigate complex reimbursement landscapes, including evolving Medicare policies, private payer requirements, and increasing scrutiny on documentation for

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90834 CPT Code Updates_ New Billing Rules Every Practice Should Follow

90834 CPT Code Updates: New Billing Rules Every Practice Should Follow

Quick Intro: The CPT code 90834 has been around for a while, but changes in rules for practices have made it much more difficult to document and bill for

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36415 CPT Code in Medical Billing_ Rules, Modifiers, and Common Errors

36415 CPT Code in Medical Billing: Rules, Modifiers, and Common Errors

Nine dollars and thirty-four cents. That’s roughly what Medicare pays for CPT code 36415 in 2026, and yet this small line item causes a disproportionate share of billing confusion

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CPT 99396 Billing Guide Reimbursement & Insurance Rules

99396 CPT Code: Reimbursement Rates and Insurance Rules

CPT code 99396 covers the routine adult physical, the visit a patient books once a year and thinks of as a checkup. It applies to established patients between 40

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