Articles Ask a Rev Cycle Expert: Modifier 52 for Financial Impact? How much is reimbursement potentially affected when modifier 52 is added to a procedure? Does CMS have a set percentage for the reduction? Learn More
Articles Ask a Rev Cycle Expert: Code for Punch Biopsy of the Tongue? We have a patient who had a punch biopsy of the tongue performed. What is the appropriate code to use for this procedure? We did find 41105 and 41100 in the code book but it states procedure is done by incision. Is a punch method acceptable for these codes? If not, please advise what we should use. Learn More
Articles Ask a Rev Cycle Expert: Special View Chest X-Rays? Special view chest x-rays are coded with CPT 71046 (2 views). What code should be used when patient receives an expiratory view only? Learn More
Articles Ask a Rev Cycle Expert: Infusion/Injections in Observation? A patient was in observation for two days. If the patient is given hydration on Day 1 and an antibiotic infusion on Day 2, how should we report the CPT® codes by date of service? Learn More
Articles Ask a Rev Cycle Expert: Piriformis Muscle Injection? What is the correct Current Procedural Terminology (CPT®) code for an injection into the piriformis muscle? We were looking at codes 20552 versus 64642. Learn More
Articles Ask a Rev Cycle Expert: CPT Code for PICC Line Attempted? What Current Procedural Terminology (CPT®) code would be used if our clinical staff attempted to insert a peripherally inserted central catheter (PICC), but after several attempts was only able to place a midline catheter? Learn More