When CMS quietly updated the Medically Unlikely Edit (MUE) for CPT 64772 from two to six units for 2026, it didn’t make headlines, but it should have. This change isn’t simply a coding adjustment. It ...

The senator is asking stakeholders with relevant experience and knowledge of CPT coding contracts to respond to a questionnaire.

For years, debate around endoscopic spine surgery centered on whether the technique was ready for broad adoption. Questions about safety, durability, and outcomes dominated discussions among surgeons, ...

Often, a physician will decide to perform a subchondroplasty during arthroscopic joint surgery to treat subchondral bone defects (microfractures). A version of this article was first published April 1 ...

While CPT provides a parenthetical statement under CPT 29827 (Arthroscopy, shoulder, surgical; with rotator cuff repair), when directing the CPT user to report 23412 for mini open rotator cuff repair ...

• Sequence CPT codes on claims from highest to lowest RVUs for those other payors with which your facility is contracted who do not go by payment groupers or with whom your facility does not have a ...

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Medical billing and medical coding are crucial aspects of the medical revenue landscape. Both jobs ensure health care providers get paid for their services. Medical coders read the providers’ ...

Criteria used by payers to determine how to code and support the use of various genomic profiling assays used in oncology. Bruce Feinberg, DO: Before we get to billing, whether it was 50, 150, or 500 ...

WESTPORT, Conn.--(BUSINESS WIRE)--Lumendi--Effective October 1, 2021, the Centers for Medicare & Medicaid Services (CMS) established C9779 as a new Healthcare Common Procedure Coding System (HCPCS) ...

Veronica Beagle is the managing editor for Education at Forbes Advisor. She completed her master’s in English at the University of Hawai‘i at Mānoa. Before coming to Forbes Advisor she worked on ...