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Category: CPT

90834 CPT Code Updates_ New Billing Rules Every Practice Should Follow
by Admin0 CommentsCPT

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

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36415 CPT Code in Medical Billing_ Rules, Modifiers, and Common Errors
by Admin0 CommentsCPT

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
by Admin0 CommentsCPT

99396 CPT Code: Reimbursement Rates and Insurance Rules

Quick Intro: CPT code 99396 plays an important part in billing adult preventive medicine visits for patients 40-64 years old. While commercial insurers tend to reimburse these visits rather

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Echocardiogram CPT Code Modifiers When and How to Use Them
by Admin0 CommentsCPT

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

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CPT Code for Nexplanon Updated Coding Rules for OB-GYN Practices
by Admin0 CommentsCPT

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

Quick Intro: This blog clarifies Nexplanon procedure CPT coding changes in OB-GYN clinics regarding insertion, removal, and removal with reinsertion. It explains coding CPT and HCPCS, aligned with ICD-10

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CPT Code J3301 Billing Guidelines_ Units, Modifiers, and Payer Rules
by Admin0 CommentsCPT

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

  Quick Intro: Coding for Triamcinolone Acetonide injections is done using CPT/HCPCS code J3301. When using J3301 for injections, one must be specific regarding the number of units, documentation,

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Colonoscopy CPT Code Explained Screening vs Diagnostic Billing (2026 Guide)
by Admin0 CommentsCPT

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

1. Introduction A colonoscopy is one of the most effective tests in finding colorectal cancer, which can be prevented through regular testing. In the United States, there are close to

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90791 CPT Code Everything Mental Health Providers Should Know
by Admin0 CommentsCPT

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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96372 CPT Code Billing, Documentation and Reimbursement Tips (1)
by Admin0 CommentsCPT

96372 CPT Code: Billing, Documentation and Reimbursement Tips

 Quick Intro: CPT code 96372 is typically used to reflect therapeutic, preventive, or diagnostic injections delivered in an office or outpatient setting. This code seems easy, but it’s one

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99205 CPT Code Documentation Requirements Under CMS Guidelines (2026 Complete Guide)
by Admin0 CommentsCPT

99205 CPT Code Documentation Requirements Under CMS Guidelines (2026 Complete Guide)

  Quick Intro: For new patients in outpatient and office settings, CPT 99205 is the highest-level Evaluation and Management (E/M) code. According to current CMS and AMA rules, the

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