December 12, 2025
ICD-10 Codes for Chest Pain: A Complete Billing & Coding Guide
Chest pain is one of those symptoms that walks into every type of clinic primary care, urgent care, cardiology, internal medicine, and especially the ER. And while the clinical side focuses on stabilizing the patient, the billing side faces a very different challenge: accurately and confidently coding chest pain in accordance with payer rules. The […]
December 10, 2025
Mastering CPT Code 99213 When and How to Use It for Established Patient Encounters
CPT 99213 looks simple at first. You see it everywhere. Primary care uses it all day. Urgent care relies on it. Specialists drop it into claims without a second thought. It is the everyday workhorse code for established patient visits. Even then, it still manages to confuse people. Providers wonder whether the visit is at […]
December 7, 2025
ICD-10 Codes for Hyperlipidemia: Diagnosis, Guidelines, Treatment & Billing
Hyperlipidemia commonly referred to as high cholesterol is one of the most prevalent metabolic disorders encountered in primary care and cardiology practices. It plays a central role in cardiovascular risk, contributing to heart attacks, strokes, and peripheral vascular disease if left unmanaged. Despite its prevalence, many providers struggle with proper documentation, coding, and billing, which […]
December 4, 2025
ICD-10 Codes for Anemia: A Complete Billing Guide for Providers
Anemia looks simple on paper low hemoglobin. Prescribe iron maybe order labs. Maybe give an infusion. Done right? Not even close. From a billing standpoint, anemia is one of the most audited, denied, and underpaid diagnoses in outpatient medicine, nephrology, oncology, and infusion services. The reason is simple: Anemia is rarely the “real” diagnosis. It’s […]
November 30, 2025
CPT Code 99214: The Complete Billing & Documentation Guide for 2025
If you’ve billed E/M codes long enough, you already know one thing: 99214 is the backbone of outpatient revenue. It sits right in that sweet spot—complex enough to pay well, but common enough that providers use it every single day. The problem? It’s also one of the most audited, most downgraded, and most misunderstood CPT […]
November 24, 2025
What Is a Revenue Code in Medical Billing?
Medical billing is far more complex than submitting a claim with a CPT code. Behind every hospital or facility bill is a system that categorizes services accurately, assigns charges, and ensures proper reimbursement. One of the most essential tools in this system is the revenue code. If you’ve ever looked at a hospital bill and […]
November 21, 2025
ICD Codes for ADHD: The Complete Guide to F90.9 and Other ADHD Diagnosis Codes
If you’ve ever tried to bill ADHD correctly, you already know the struggle. ADHD itself is easy to diagnose clinically, but picking the right ICD-10 code is where the headaches begin. Every insurer wants clean claims. Every denial feels like a personal attack. And every coder has a moment once a week where they stare […]
November 17, 2025
CPT Code 90471: The Complete Guide to Billing, Documentation, and Reimbursement
Vaccines are the unsung heroes of preventive medicine, keeping millions safe every year. But for clinics and healthcare providers, the administration side—billing, coding, and getting reimbursed properly—can be a real headache. Enter CPT Code 90471, one of the most common codes in immunization billing. Understanding how to use it correctly isn’t just about compliance it’s […]
October 27, 2025
CO-252 Denial Code in Medical Billing: Causes and Solutions
If you’ve been in medical billing long enough, you’ve probably had that frustrating moment — a claim gets denied, you check the EOB, and there it is: CO-252 staring back at you. This one doesn’t say “not covered” or “invalid code.” It says something even more annoying: “An attachment or other documentation is required to […]
October 22, 2025
What Is Modifier 59? A Complete Guide For Healthcare Providers
If you’ve been in healthcare billing for even a short while, you’ve probably seen Modifier 59 pop up — often followed by a denial letter from Medicare or a commercial payer that says something like: “Services bundled per NCCI edits.” Sound familiar? That’s where Modifier 59 steps in — one of the most misunderstood, misused, […]
October 6, 2025
ICD-10 Codes for Wound Care: A Provider Billing Guide
Wound care is one of the busiest areas in healthcare, especially for primary care clinics, wound centers, podiatry practices, and home health agencies. Providers see everything from traumatic cuts to chronic diabetic ulcers that take months to heal. However, while delivering wound care is fairly straightforward, getting paid for it can often be a headache. […]
October 1, 2025
ICD-10 Codes for Skin Tags: An Ultimate Guide
Skin tags may be small and harmless, but when it comes to medical billing , they can cause surprisingly big headaches. Most providers are aware of the prevalence of skin tags—patients request removals every day in primary care and dermatology settings—but not every removal is billable. Payers want to know whether the procedure was medically […]