A respiratory therapist provides a brief smoking cessation counseling session lasting two minutes during a patient’s outpatient visit. The provider also bills an evaluation and management (E/M) service for the encounter. How should the counseling service be reported, and is it separately billable under codes 99406–99407?
When coding for intravenous infusions that begin outside the observation unit and continue upon the patient’s arrival, what specific documentation elements must be present to ensure compliance and avoid audit risks?
For coding a coronary intravascular lithotripsy (IVL) procedure performed in an outpatient hospital setting, which HCPCS Level II supply code should be reported to ensure eligibility for the OPPS transitional pass-through payment, and how long is this payment expected to be available
There is no way to sugarcoat the difficulty of drainage procedures. That is why expert guidance is paramount when facing these scenarios. When it comes
A cardiologist performs a medically necessary pulmonary artery angiogram in conjunction with a non-congenital heart catheterization procedure. This angiogram is conducted prior to the placement of a pulmonary artery stent. Which add-on code(s) should be reported to accurately capture this service?
Do you have any more tips for reporting the JZ modifier?
What evidence is needed to bill for codes 94667 and 94668?
A laboratory is implementing a new HPV assay that uses in vitro PCR technology to simultaneously test both high-risk pooled and individual results. As of 2025, which CPT® code should be reported for this service, and which Category III code has been deleted in conjunction with this update?
Evaluation and Management (E/M) coding has undergone significant changes in recent years, creating new challenges for medical coders, a real risk to reimbursement, and the
How should codes 94002 and 94003 be applied for hospital-based ventilation management services, and what specific components, such as ventilator setup, routine supplies, and therapist time, should be included in the charges for initial and subsequent days?
When a stop time has not been recorded for the infusion, can an IVP be coded?
How should providers document the use of the 2024 add-on code for Coronary Shockwave Lithotripsy to address payer denials citing “lack of medical necessity” or insufficient documentation, and how can they demonstrate that the procedure is not incidental but a medically necessary addition to PCI?
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