In 2010, CPT guidelines told coders they should report an incomplete colonoscopy with modifier -52, which is a reduced services modifier, according to Mr. Cadorette. In 2011, those guidelines have ...

Payer policies, surgical technology ,CPT code guidelines, and medical necessity requirements can change at a dizzying rate, presenting a significant challenge to ASC administrators hoping to maintain ...

The first of November we welcomed the publication of the CY 2020 Medicare Physician Fee Schedule (PFS) Final Rule, which clarified coding rules around cognitive function intervention. The same week we ...

The Current Procedural Terminology code for SCODI was originally developed as a glaucoma diagnostic test. Retina diagnosis usage and codes were added to the coverage, and finally, in 2011, anterior ...

This observational study shows that clinical work performed by family physicians correlates poorly with common codes and fees under the existing coding and billing rules. The income disparity between ...