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 ...

If the surgeon leaves the incision of a simple or single abscess removal open to drain on its own, CPT 10060 should be used. If there is need to place a drain or pack to allow for continuous drainage ...

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, ...

Value-focused patient care is transforming medical practice. As rising healthcare costs in the United States challenge the widely used fee-for-service architecture, innovative, patient-centered care ...

The service must be performed for a condition unrelated to the scheduled visit and must be a new condition that requires further evaluation. Q: Is it appropriate to report an E/M code for visit ...

Codes 46221, 46945 and 46946 are for coding internal hemorrhoidectomy procedures. CPT 46221 is for rubber band ligation and CPT 46945/46 are using other than rubber band ligation. Codes 46945/46 have ...

Often, a physician will decide to perform a subchondroplasty during arthroscopic joint surgery to treat subchondral bone defects (microfractures). A version of this article was first published April 1 ...

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

This guide was reviewed by a Business News Daily editor to ensure it provides comprehensive and accurate information to aid your buying decision. The United States Bureau of Labor Statistics predicts ...

Stifel described the situation as taking a “merry-go-round” effect in the reimbursement environment “for the worse.” ・RBC ...