Modifiers (usually 2-digits) are added to the main procedure code to signify that the procedure has been altered by a distinct factor. Modifiers are accepted by most payors. Modifiers can increase or ...
Significant reimbursement losses are inevitable when epidural and tendon sheath injection procedures are reported incorrectly. Improper reporting is often due to a lack of understanding of the ...
On December 1, 2025, the Centers for Medicare & Medicaid Services (“CMS”) published its annual update to the Designated Health Services (DHS) code list (“DHS List”). A 30-day comment period for the ...
Major updates to CPT, ICD-10, and HCPCS code sets for 2026 introduce hundreds of new codes, revised guidelines, and procedural restructuring that will alter medical documentation, billing, and ...
As of January 1, 2026, the medical coding landscape has undergone its most significant transformation in years, with the AMA releasing 418 CPT changes and CMS finalizing updated ICD-10-CM guidelines ...
The update added HCPCS Level II codes to the list, effective for Medicare claims with dates of service on or after January 1. CMS recently added a half dozen codes to the list of services that may be ...
Why was the creation of a new audio-only modifier necessary? Several reasons: data collection, policy implementation, health care equity, widespread need, and service specificity. Prior to the ...
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