Excludes1 vs. Excludes2: Why the April 2026 Revisions Matter

Exclusion notes are among the most misunderstood conventions in ICD-10-CM — and the April 1, 2026 update quietly changed several of them in ways that affect everyday code assignment. If…

Comments Off on Excludes1 vs. Excludes2: Why the April 2026 Revisions Matter

Remote Patient Monitoring Gets a Makeover: New RPM Codes for 2026

Remote physiologic monitoring has been one of the fastest-growing service lines in outpatient medicine — and one of the most frustrating to bill. Until this year, the CPT structure assumed…

Comments Off on Remote Patient Monitoring Gets a Makeover: New RPM Codes for 2026

CPT 2026: The Biggest Changes Coders Need to Know

The CPT 2026 code set, effective January 1, 2026, delivered 418 total changes — 288 new codes, 84 deletions, and 46 revisions. That's a lot to absorb, so here's a…

Comments Off on CPT 2026: The Biggest Changes Coders Need to Know

CPT Coding for Use of Operating Microscope (+69990)

CPT code +69990 Microsurgical techniques requiring use of operating microscope is assigned when a surgeon uses an operating/surgical microscope to aid in visualizing small/fine structures in the operating field during…

Comments Off on CPT Coding for Use of Operating Microscope (+69990)

Consideration postponed for new billing codes for prior authorization

Medical experts have put on hold a proposal to create new billing codes for prior authorizations. The American Medical Association’s CPT (current procedural terminology) Editorial Panel was scheduled to meet…

Comments Off on Consideration postponed for new billing codes for prior authorization

Simplify E/M documentation and coding in your private practice

Often called the “language of medicine,” the Current Procedural Terminology (CPT®) code set is always evolving, and one reason for that evolution is to lower the administrative burden for physicians and their…

Comments Off on Simplify E/M documentation and coding in your private practice

How the CPT code set can be used to help advance health equity

Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services that are critical to the communication between multiple stakeholders about the care patients receive. They…

Comments Off on How the CPT code set can be used to help advance health equity

How do AI, VR help doctors deliver care? CPT code tells the tale

One way to assess creativity in medicine is to look at how physicians are incorporating technology such as telehealth, virtual reality (VR) and augmented intelligence (AI), often called artificial intelligence, into…

Comments Off on How do AI, VR help doctors deliver care? CPT code tells the tale

Tips for Preparing for New Coding Changes for 2023

New codes become effective Oct. 1, 2022. With the start of fiscal year (FY) 2023 right around the corner, this is a good time for clinical documentation integrity (CDI) professionals…

Comments Off on Tips for Preparing for New Coding Changes for 2023

AMA Releases 2023 CPT Code Set, Aims to Reduce E/M Coding Burden

The American Medical Association (AMA) has released the Current Procedural Terminology (CPT) code set for 2023, which contains updates that aim to reduce medical coding burden for evaluation and management…

Comments Off on AMA Releases 2023 CPT Code Set, Aims to Reduce E/M Coding Burden