When CMS quietly updated the Medically Unlikely Edit (MUE) for CPT 64772 from two to six units for 2026, it didn’t make headlines, but it should have. This change isn’t simply a coding adjustment. It ...

For years, debate around endoscopic spine surgery centered on whether the technique was ready for broad adoption. Questions about safety, durability, and outcomes dominated discussions among surgeons, ...

Gloria Miller, CPC, CPMA, CPPM, former vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. shares which CPT codes to use. Q: What CPT codes and modifiers would be used ...

If the surgeon leaves the incision of a simple or single abscess removal open to drain on its own, CPT 10060 should be used. If there is need to place a drain or pack to allow for continuous drainage ...

The AMA has announced revisions to its new family of Category I CPT codes for Remote Therapeutic Monitoring (RTM) Services and the Remote Therapeutic Monitoring Treatment Management Services (RTM-TMS) ...

Often, a physician will decide to perform a subchondroplasty during arthroscopic joint surgery to treat subchondral bone defects (microfractures). A version of this article was first published April 1 ...

Codes 46221, 46945 and 46946 are for coding internal hemorrhoidectomy procedures. CPT 46221 is for rubber band ligation and CPT 46945/46 are using other than rubber band ligation. Codes 46945/46 have ...

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

Stifel described the situation as taking a “merry-go-round” effect in the reimbursement environment “for the worse.” ・RBC ...