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 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 ...
Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...
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, ...
CPT codes for spine surgery may not always fit circumstances, and in some cases this prompts calls for reforms. One of those codes, CPT 62380 has the attention of some spine surgeons. The code, for ...
The new outpatient CPT modifier 33 is the “most noteworthy” change in CMS’ Outpatient Code Editor Version 12.1, effective April 4, according to an AAPC report. Modifier 33 Preventive services is ...
Two Medicare Administrative Contractors, Noridian and CGS, have removed the use of CPT code 64568 from their billing/coding page for Hypoglossal ...
Current Procedural Terminology, perhaps better known by its abbreviation “CPT,” is the coding system the medical field uses to document healthcare services during a procedure. This system is extensive ...