A craniotomy is the surgical removal of part of the bone (called a bone flap) - from the skull to access/expose the brain. The section of bone - called the bone flap - is removed using specialized tools. The procedure is performed to gain access to the location where...
What are the Changes to Prolonged Services Coding in 2023?
Prolonged services are direct (face-to-face) services provided by a physician or other qualified health professionals that require unit/floor time beyond the usual services in either the inpatient or outpatient setting. A major change in the CY2023 Final Rule that has...
Radiology Coding Audit Tips
Radiology imaging volume has expanded considerably. Radiology coding is an essential element of routine workflow such as ordering tests, scheduling, billing, and image interpretation. With the wide variety of imaging techniques, medical coding services are a practical...
How to Document and Code Arterial Embolization
Vascular surgery is performed using a traditional surgical approach and a minimally invasive catheter-based endovascular approach. Arterial embolization is a minimally-invasive procedure that blocks arterial blood flow to a tumor or an abnormal area of tissue,...
Medical Coding and Documentation Guidelines for Pneumonia
A leading cause of death among children and the elderly, pneumonia is an infection that can affect one or both lungs. Caused by bacteria, viruses, or fungi, this lung infection can inflame the air sacs (alveoli) in one or both lungs. Fluid or pus accumulation in...
How do you Code and Bill for Subdural Hematoma?
Head injury is a matter of serious concern that requires medical attention. A person suffering even a minor head injury may not experience any specific issues in the beginning, but internal bleeding can occur over time, causing serious consequences like brain damage...
What are the Medical Coding and Billing Challenges faced by Hospitalists?
A hospitalist is a physician focused in caring for patients in a hospital environment. While they have the same qualifications and skills as primary care physicians, hospitalists specialize in treating hospitalized patients. They evaluate patients who are admitted,...
2023 Integumentary System CPT Code Changes and Guidelines
The 2023 CPT code set that came into effect on Jan. 1 includes 225 new codes, 75 deletions and 93 revisions. There are three new codes in the integumentary system section, one code revision, and one deleted code. Coders should thoroughly understand these codes and the...
What are the Medicare Physician Payment Policies that will Impact Medical Billing in 2023?
The Medicare Physician Fee Schedule (PFS) final rule released annually by the Centers for Medicare and Medicaid (CMS) updates the standards for physician reimbursement and policies related to health care services. While these updates address Medicare medical billing...
What is Bundling and Unbundling in Medical Coding?
Medical coding is the conversion of healthcare diagnoses, procedures, medical services, and equipment into ICD-10, CPT, and HCPCS codes. Healthcare organizations need to use the appropriate medical codes to describe services provided in claims submitted to commercial...