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 ...
AMA resources on the CPT code set help build coding proficiency, provide guidance and facilitate reliable communication for patient care. Even the most experienced medical coders can have ...
The American Medical Association's (AMA's) 2020 update of the Current Procedural Terminology (CPT) code set — involving almost 400 code changes — reflects a continued expansion of medicine beyond the ...
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, ...
Gloria Miller, CPC, CPMA, CPPM, former vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. shares which CPT codes to use. Q: What CPT codes and modifiers would be used ...
The senator is asking stakeholders with relevant experience and knowledge of CPT coding contracts to respond to a questionnaire.
"As we all know, Medicare rules do not always follow CPT directives. The same is true in this case," write Jonathan Rubenstein, MD, and Mark Painter. To help answer this question, we should first ...
"Documentation must support the existence and treatment of a separate stone," write Jonathan Rubenstein, MD, and Mark Painter. I have providers who believe they should be allowed to report CPT 52352 ...