The newsletter outlines key differences between off-the-shelf (OTS), custom fitted, and custom fabricated knee orthoses, which dictate HCPCS coding and billing for these items. Physician and ...

Radiology coding and billing require precision, from capturing complete documentation to applying the right codes and modifiers. With high payer scrutiny and evolving CPT/HCPCS rules, even small ...

The Center for Medicare & Medicaid Services (CMS) issued the display copy of the final Calendar Year 2025 Physician Fee Schedule on November 1, 2024, which included three new Healthcare Common ...

Major updates to CPT, ICD-10, and HCPCS code sets for 2026 introduce hundreds of new codes, revised guidelines, and procedural restructuring that will alter medical documentation, billing, and ...

Note: The words in the CPT description for codes 45383-45385 — “tumor (s), polyp (s), or other lesion (s)” — indicate that only one code may be assigned per colonoscopy. When the above procedures are ...