The 2026 ICD-10-CM and CPT updates bring hundreds of new, revised, and deleted codes, plus tighter rules for modifier use. These changes impact reimbursement, compliance, and claim accuracy, making ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

Effective medical coding flashcards should replicate exam logic, test modifier application, and mix scenarios to train decision-making. Incorporating visual cues, color-coding, and concise prompts can ...

Jessica Edmiston is manager, coding, for National Medical Billing Services. Q: Concerning screening colonoscopies, our ambulatory surgery center is having no problem using the -PT modifier for ...

2. Under-utilization of -59: It’s not taboo. When the Medicare edits (NCCI) correct coding modifier indicator (i.e., 1) allows a modifier to indicate a “separate” and “distinct” procedure, users may ...