Medical Coding Guide - Learn How to Code

FREE CEUs for AAPC and AHIMA for Medical coders – Don’t Miss it!

August 19, 2024August 23, 2024 Jitendra M.Sc CPC

Today I am going to share some important information for getting FREE CEUs for AAPC and AHIMA certified medical coders. Yes, CEUs are very important at the end of the year to retain your certification from AAPC and AHIMA. If you do not submit CEUs on time, you certification can be cancelled or discontinued. So let us check where we can get FREE CEUs for AHIMA and AAPC. Follow below steps one by one. Step 1 Visit the below link and get the login page of this website. https://education.intellisiq.com You…

ICD-10-CM Updates for FY 2025 By CMS

August 11, 2024August 15, 2024 Jitendra M.Sc CPC

Get ready for some thrilling updates! The ICD-10-CM code set has just been revamped for fiscal year (FY) 2025, and the new changes are live on the Centers for Medicare & Medicaid Services (CMS) website as of July 3. These 2025 ICD-10-CM codes are to be used for resident stays occurring from October 1, 2024, through September 30, 2025. The update includes 252 new codes, 36 code deletions, and 13 code revisions. Mark your calendars—these updates take effect on October 1 and bring a whirlwind of new codes, deletions, and…

2025 CPT codes changes Anticipated for Medical coders

August 9, 2024August 15, 2024 Jitendra M.Sc CPC

For the 2025 edition of the Current Procedural Terminology (CPT) code set, several revisions in radiology codes have been proposed. These updates include the introduction of new codes for reporting various procedures such as MRI-monitored transurethral ultrasound ablation of the prostate (TULSA), transcranial Doppler studies, percutaneous radiofrequency (RF) ablation of the thyroid, fascial plane blocks, and magnetic resonance (MR) examination safety procedures. Additionally, the MRI-guided high-intensity focused ultrasound (MRgFUS) will transition from Category III to Category I. A new subsection dedicated to Telemedicine Services will be introduced within the Evaluation…

Understanding Denial Code 173: When Prescriptions Hold the Key to Coverage

September 20, 2024 Jitendra M.Sc CPC

What is Denial Code 173 Denial code 173 signifies that a service or equipment was not ordered by a physician. This indicates that the healthcare provider submitted a claim for services or equipment that were not requested or approved by a doctor, leading the insurance company to deny the claim. Common Causes of CARC 173 (denial code 173) The typical reasons for code 173 are: 1. Inadequate documentation: The service or equipment may be unprescribed by a physician due to insufficient records. This could involve missing or partial medical documents,…

Pregnancy ICD-10 Coding Made Easy: Expert Tips for Coders

September 16, 2024September 16, 2024 Jitendra M.Sc CPC

Pregnancy codes are slightly difficult to code in ICD-10 coding. This chapter has all the codes for the complication occurring during pregnancy or it the postpartum period. Just to see today how we can improve our coding skills in diagnosis coding by just following the ICD-10 coding guidelines. So let us checkout first the range of codes using in coding pregnancy complication and what are the things to remember while using these codes. Now let us see the below image first. As you can see in the above image the…

Vasectomy CPT Code Unveiled: Master the Art of Coding”

September 16, 2024September 16, 2024 Jitendra M.Sc CPC

Basics of Vasectomy CPT code A vasectomy is a surgical procedure used as a method of male contraception. During the procedure, the vas deferens—the tubes that carry sperm from the testicles to the urethra—are cut, sealed, or otherwise blocked. This prevents sperm from mixing with semen that is ejaculated from the penis, effectively preventing pregnancy. It’s generally considered a permanent form of birth control, although reversals are sometimes possible. CPT code 55250 is used generally to report Vasectomy CPT code in medical coding. Description of Vasectomy CPT code In this…

CPT code 99484 coding tips for medical coders

September 11, 2024September 11, 2024 Jitendra M.Sc CPC

Basics of CPT code 99484 General behavioral health integration care management services are provided by clinical staff, under the direct supervision of a qualified clinician, to a patient with a diagnosed behavioral health condition, including substance use issues, requiring care management services for a minimum of 20 minutes (either face-to-face or non-face-to-face) per calendar month. Specific elements of a treatment plan must be provided and documented for CPT code 99484, including an initial assessment or follow-up monitoring involving the use of validated rating scales; behavioral health care planning relating to…

Understanding Colonoscopy Types and Coding in Outpatient Settings

September 5, 2024September 5, 2024 Jitendra M.Sc CPC

Accurate coding for colonoscopies in outpatient settings hinges on a clear understanding of the different procedure types. Coders must differentiate between screening and therapeutic colonoscopies to ensure correct code selection and compliance with coding guidelines. Types of Colonoscopies 1. Diagnostic Colonoscopy Definition: Often referred to as a screening colonoscopy, a diagnostic colonoscopy is a preventative measure aimed at colorectal cancer prevention. Criteria: This procedure is typically performed on individuals who: – Are 50 years of age or older – Are asymptomatic – Have no prior abnormal test results – Have…

NEW ICD-10 CM codes for 2025 for medical coders

August 30, 2024September 1, 2024 Jitendra M.Sc CPC

Below are the chapterwise new ICD-10 codes for 2025 which will be effective to use from 1st october 2024. I have already shared the new neoplasm codes for 2025 in previous post. Do checkout that also. Chapter 4 Endocrine, nutritional and metabolic diseases (E00-E89) E10A Type 1 diabetes mellitus, presymptomatic E10A0 Type 1 diabetes mellitus, presymptomatic, unspecified E10A1 Type 1 diabetes mellitus, presymptomatic, Stage 1 E10A2 Type 1 diabetes mellitus, presymptomatic, Stage 2 Type 1 diabetes mellitus, presymptomatic, Stage 2 E16A1 Hypoglycemia level 1 E16A2 Hypoglycemia level…

New Neoplasm ICD-10 codes for 2025

August 30, 2024September 1, 2024 Jitendra M.Sc CPC

In 2025, their are many new ICD 10 codes in Chapter 2 neoplasm. Yes, their will be separate ICD-10 CM codes for neoplasm in remission phase. Remission means that the signs and symptoms of your cancer are reduced. Remission can be partial or complete. In a complete remission, all signs and symptoms of cancer have disappeared. If you remain in complete remission for 5 years or more, some doctors may say that you are cured. So we will be having lot of new ICD-10 codes in Neoplasm chapter which will be…

Find the 10 & 90 days Global Period CPT codes & services included in this period

August 23, 2024August 28, 2024 Jitendra M.Sc CPC

Global period is very important since many small services can be included in this period. But, many medical coders still don’t know how to find the global period of any CPT code. Procedure codes can have 0, 10 & 90 days global period. Depending of the global period of the CPT code, the medical coders have to use some specific modifiers as well which help in proper billing of the claim. Their are some modifiers which are used in the postoperative period those also we will see in this post.…

How to find out 26/TC modifier Supporting CPT codes

August 17, 2024August 21, 2024 Jitendra M.Sc CPC

Since we are coding different facilities with so many CPT codes, we have to use modifiers also along with CPT codes. This modifier alter the payment service and which helps in the proper payment for the procedure performed by the physician. Similarly today we are going to find out which CPT codes can be assigned 26 and TC modifier based on which we can go ahead and assign these modifier to the respective CPT codes to get the final payment for the physician. But most of the times the physician…