What is a Guarantor in Medical Billing? A Complete Guide for Healthcare Providers
A patient leaves your office after a procedure. Your front desk staff collected their insurance information, but a few weeks later, you receive a denial. The reason? The claim was sent to the wrong responsible party. This common scenario highlights a critical, yet often misunderstood, element of the revenue cycle: the guarantor. Understanding what a […]
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Understanding CPT Code for Cystolitholapaxy
Cystolitholapaxy is a minimally invasive urological procedure that uses endoscopic fragmentation and evacuation to remove bladder stones. For medical coders and urology practices, selecting the correct CPT code ensures proper reimbursement and compliance with payer requirements. Quick Answer CPT code selection for cystolitholapaxy depends on stone size: Both codes include cystoscopic visualization, stone fragmentation, and […]
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Understanding CPT Code for Olecranon Bursectomy
What Is an Olecranon Bursectomy? The olecranon bursa sits over the bony tip of the elbow and reduces friction between skin and bone. When swelling, pain, or infection persists despite conservative care (aspiration, compression, antibiotics, activity modification), surgeons may remove the bursa through an open bursectomy. Primary CPT® Code You’ll Use Closely Related Scenarios (Choose […]
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Guide to Accurate Coding for Pulmonary Function Tests
Proper coding for pulmonary function tests (PFTs) is vital for healthcare providers to secure accurate reimbursements and maintain compliance in medical billing. PFTs are diagnostic tools that assess lung function, aiding in the diagnosis and management of respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), and pulmonary fibrosis. Each type of PFT requires […]
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Understanding Medicare GA, GX, GY, GZ Modifiers for Accurate Billing
Navigating Medicare billing can be complex, especially when it comes to using modifiers like GA, GX, GY, and GZ. These modifiers play a critical role in ensuring accurate claims processing and reimbursement for healthcare providers. Misusing them can lead to claim denials or compliance issues. This guide clarifies the purpose of each modifier, when to […]
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Complete Guide to Billing CPT 93010 for Cardiology Practices
Navigating the nuances of CPT 93010 can be challenging for medical billing and coding professionals. This detailed guide simplifies the process, equipping you with the knowledge to handle cardiology billing confidently. CPT 93010 refers to the interpretation and reporting of an electrocardiogram (EKG or ECG), a cornerstone of cardiovascular diagnostics. Accurate coding of this procedure […]
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Understanding the ICD-10 Diagnosis Code for Elevated Creatine Kinase (CK)
Elevated creatine kinase (CK), also known as creatine phosphokinase (CPK), is a critical lab marker that can indicate muscle damage, cardiac events, or other medical conditions. For healthcare providers, medical coders, and billing specialists, accurately documenting elevated CK levels using the correct ICD-10 code is essential for patient care and reimbursement. This blog post provides […]
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Understanding the ICD-10 Diagnosis Code for Fractured Plastic Optiview Trocar
In medical coding and surgical practice, accurately documenting complications from surgical tools is critical. One specific issue is the fracture of a plastic Optiview trocar, a device used in minimally invasive surgeries, which may lead to retained fragments or other complications. This blog post provides clear, detailed information on the appropriate ICD-10 diagnosis code for […]
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CPT Codes for Laparoscopic Cholecystectomy
Introduction to CPT Code for Laparoscopic Cholecystectomy CPT code for laparoscopic cholecystectomy refers to the procedural codes used in medical billing to describe the surgical removal of the gallbladder using a minimally invasive laparoscopic technique. These codes are part of the Current Procedural Terminology (CPT) system maintained by the American Medical Association (AMA) and are […]
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CPT Code 62323: Epidural or Subarachnoid Injection
Introduction to CPT Code 62323 CPT code 62323 is a procedural code used in medical billing to describe an injection procedure into the epidural or subarachnoid space of the lumbar or sacral spine, with imaging guidance (e.g., fluoroscopy or CT), typically for diagnostic or therapeutic purposes. This code is part of the Current Procedural Terminology […]
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