Category: CPT

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

  Quick Intro: The CPT code 36415 is for routine venipuncture and while it may seem straightforward, it frequently gets denied due to things such as bundling, payer policies,

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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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Echocardiogram CPT Code Modifiers When and How to Use Them

Echocardiogram CPT Code Modifiers: When and How to Use Them

Quick Intro: In order to prevent denials and underpayments, this blog explains how to properly use CPT modifiers when billing echocardiogram services. In addition to common billing errors and

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CPT Code for Nexplanon Updated Coding Rules for OB-GYN Practices

Nexplanon CPT code guide: 11981, 11982, 11983, and every code that belongs on the claim

A Nexplanon claim pulls from three coding systems at once. CPT describes the physician work, HCPCS Level II code J7307 reports the device, and ICD-10-CM supplies the diagnosis. Some

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CPT Code J3301 Billing Guidelines_ Units, Modifiers, and Payer Rules

CPT Code J3301 Billing Guidelines: Units, Modifiers, and Payer Rules

Most claim problems with CPT Code J3301 trace back to three things: someone counted units by the milliliter instead of the milligram, the NDC was missing or formatted wrong,

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Colonoscopy CPT Code Explained Screening vs Diagnostic Billing (2026 Guide)

Colonoscopy CPT Code Explained: Screening vs Diagnostic Billing (2026 Guide)

Colonoscopy is one of the highest-volume procedures in gastroenterology, and it produces a steady stream of avoidable denials. Most of them trace back to a single question a coder

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90791 CPT Code Everything Mental Health Providers Should Know

90791 CPT Code: Everything Mental Health Providers Should Know

Quick Intro: Mental health evaluations are the basis for good behavioral healthcare. CPT code 90791 is very important for making sure that practitioners get paid for the effort, knowledge,

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