CPT Codes Updates for 2024-2025 Influenza Season and Other Vaccines

The American Medical Association (AMA) has updated its CPT code set to include new vaccine codes for the 2024-2025 influenza season, as well as for pneumonia and meningitis. These updates, including one code revision, will be reflected in the CPT 2025 publication, though some changes are already in effect. Influenza Vaccine Code Updates For the … Read more

Modifier 22 for Increased Procedural Services : Understanding and Applying  

Modifier 22, which denotes increased procedural services, is applicable when a procedure exceeds the usual complexity, but its use requires more than just additional effort. Modifier 22 should only be applied in exceptional cases where the physician has significantly deviated from the standard expectations of the procedure. This modifier allows for compensation for unforeseen difficulties … Read more

Benign vs Malignant Lesion Coding guide

What are Benign Lesions Benign lesions are contained, ie, they lack the ability to  invade neighboring tissues, or metastasize. Skin lesions that are considered benign include lipomas, cysts, fibromas, nevi, and some moles. The codes in this series are used to report the excision of benign lesions that  originate in the integumentary system. The actual … Read more

Hypertensive Crisis: Definition, Clinical Presentation, and ICD-10-CM Coding

Definition of Hypertensive Crisis Hypertensive crisis is a severe, rapid elevation of blood pressure characterized by systolic readings of 180 mmHg or higher, or diastolic readings of 120 mmHg or higher. This condition poses a significant risk to vital organs, including the heart, brain, kidneys, and eyes, and can precipitate life-threatening events such as stroke … Read more

Modifier 52: Understanding and Correct Application

Basics of modifier 52 Modifier 52 is employed to indicate a reduction or elimination of a surgical or diagnostic service at the provider’s discretion. Its application is specific to CPT codes representing procedures that have been intentionally curtailed. While often confused with modifier 53 for discontinued services, modifier 52 is distinct in its usage and … Read more

Paresthesia ICD-10 Codes: Diagnose and Code Numbness Accurately

Basic of Paresthesia ICD-10 Code Paresthesia, often described as numbness, tingling, or prickling sensations, can be a bothersome and sometimes alarming symptom. While it can be caused by a variety of factors, accurately diagnosing the underlying condition is crucial for effective treatment. This is where ICD-10 codes come in. R20.2 is the specific ICD-10 code … Read more

Postherpetic Neuralgia ICD-10: Understanding and Coding This Painful Condition

Basics of Postherpetic neuralgia ICD-10 Postherpetic neuralgia (PHN) is a persistent, often debilitating nerve pain condition that can develop after shingles. While shingles itself is caused by the varicella-zoster virus (the same virus that causes chickenpox), PHN occurs when the nerve damage caused by the shingles rash lingers. Postherpetic neuralgia ICD-10 : B02.29 Understanding of … Read more

Pancytopenia ICD-10: Diagnosis and Coding

Pancytopenia: Understanding the ICD-10 Codes Pancytopenia, a condition characterized by a significant decrease in all three types of blood cells – red blood cells, white blood cells, and platelets – is a serious medical condition. Accurate diagnosis and coding of pancytopenia using the International Classification of Diseases, Tenth Revision (ICD-10) is crucial for patient care, … Read more

Testicular Pain ICD-10 Codes Explained: A Guide for Men

Testicular pain can be a frightening experience, leaving men feeling confused and unsure of what to do. While some causes are minor and resolve on their own, others require prompt medical attention. The International Classification of Diseases, Tenth Revision (ICD-10), provides a standardized coding system for diagnoses, including various causes of testicular pain. Let’s explore … Read more

Heart Murmur ICD-10 Codes: Explained for Adults & Children (Newborn, Infant, Pediatric)

A heart murmur is a swooshing or whooshing sound detected during a stethoscope examination. While it can be concerning, not all murmurs are a cause for alarm. The International Classification of Diseases, Tenth Revision (ICD-10), provides a standardized coding system for diagnoses, including different types of heart murmurs. Let’s delve into what these codes mean … Read more

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