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 ...
The Centers for Medicare and Medicaid Services has updated the list of ICD-9-CM diagnosis codes that do not require either an HCPCS –QR or –Q0 modifier for implantable cardiac device services provided ...
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 ...
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 ...
The use, or misuse, of Current Procedural Terminology code modifiers in physician compensation plans could lead to unintended cash compensation figures, according to an article from Integrated ...
In 2026, medical coding saw two defining changes: the addition of 288 CPT/HCPCS codes that formalize billing for emerging AI and digital health services, and an April ICD-10-CM update that overhauled ...
Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...
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 ...