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 ...

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 ...

As the medical billing and coding landscape grows increasingly complex, healthcare organizations struggle to keep pace with shifting regulatory guidelines, evolving coding standards, and the ...

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 ...

Accurate, detailed clinical documentation is the foundation for correct medical coding, compliance, and reimbursement. Recent studies show that human-authored notes still outperform AI-generated ones ...

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 ...