CPT Code 99344: Home Visit for New Patient, Moderate Complexity
Home visit billing trips up even experienced coders. Claims for CPT Code 99344 get denied when practices mix up time thresholds, apply the wrong Place of Service code, or still code to the deleted 99343 two-plus years after it was removed from the CPT schedule. According to the CMS Recovery Audit Program, inappropriate billing of […]
CPT Code 55866: Laparoscopic Radical Prostatectomy Billing Guide
Denied claims for laparoscopic radical prostatectomy rarely come from miscoding the primary procedure. They come from missing a modifier, pairing the code with an unsupported diagnosis, or unknowingly violating an NCCI bundling edit. For urology billers, CPT Code 55866 carries more documentation complexity than most surgical codes in the section, and the stakes are high: […]
CPT Code 99316: Nursing Facility Discharge Day Management
Nursing facility discharge encounters are among the most time-intensive services a clinician performs, yet they remain one of the most frequently underbilled codes in long-term care settings. CPT Code 99316 captures that complexity, covering discharge day management services that exceed 30 minutes of total provider time. Billing it correctly requires understanding the time threshold, the […]
CPT Code 92950: Cardiopulmonary Resuscitation Billing Guide
Most cardiac arrest billing errors occur in the first ten minutes after resuscitation ends. The team has moved on to stabilisation, documentation is an afterthought, and by the time the coder reviews the chart, the CPR episode lacks a start time, an end time, and any mention of whether defibrillation was used. That gap translates […]
CPT Code 58571: Laparoscopic Hysterectomy Billing Guide
OB/GYN practices lose more hysterectomy claims to preventable code selection errors than almost any other surgical category. The distinction between a total laparoscopic hysterectomy and a laparoscopic-assisted vaginal approach sits in operative technique, not diagnosis, and payers audit it closely. CPT code 58571 is one of four closely related TLH codes introduced by the American […]
CPT Code 62323: Lumbar/Sacral Epidural Injection Billing Guide
Epidural steroid injections are among the most frequently billed pain management procedures in the United States, yet CPT code 62323 generates a disproportionate share of claim denials. Practices routinely miscalculate annual frequency limits, omit required imaging documentation, or select the wrong code when the approach is transforaminal rather than interlaminar. Each error delays payment by […]
CPT Code 27299: Unlisted Procedure, Pelvis or Hip Joint
Orthopedic claims for hip preservation and pelvic reconstruction procedures are among the most frequently denied in surgical billing. The core problem: many of these operations are technically complex and clinically well-established, yet no specific Category I CPT code exists for them. That forces coders to reach for CPT Code 27299 – the unlisted procedure, pelvis […]
CPT Code 36465: Non-Compounded Foam Sclerotherapy Guide
Varicose vein claims are among the most frequently denied in outpatient vascular billing. Cosmetic vs. symptomatic distinctions, sclerosant bundling rules, and lateral modifier requirements all create friction between the procedure room and the payer. CPT Code 36465 sits at the center of foam sclerotherapy billing, and getting its descriptor, modifiers, and ICD-10 pairings wrong costs […]
CPT Code 99600: Unlisted Home Visit Service Billing Guide
Claim denials for unlisted procedure codes are rarely random. With CPT Code 99600, the most common rejection point isn’t the code itself – it’s a missing special report, an absent prior authorization, or a modifier applied to the wrong payer. Home health billers spend hours chasing these denials because unlisted codes carry none of the […]
CPT Code 96413: Chemotherapy IV Infusion Billing Guide
Chemotherapy infusion billing is where oncology practices lose the most revenue to preventable claim errors. Time thresholds get miscounted. Add-on codes get omitted. Modifier 59 gets misapplied. According to the American Medical Association (AMA), CPT Code 96413 is one of the most frequently audited codes in the medicine section, precisely because time-based billing depends on […]