CPT code 00908: Anesthesia for perineal prostatectomy billing guide
Selecting the wrong anesthesia code for a prostatectomy is one of the most common denial triggers in urological surgery billing. CPT code 00908 covers anesthesia for perineal prostatectomy (open surgical removal of the prostate via the perineum) specifically, and confusing it with the transurethral approach code can result in delayed payment, medical necessity reviews, and […]
CPT Code 73521: Bilateral Hip X-Ray, 2 Views Billing Guide
Bilateral hip X-rays are among the most frequently ordered musculoskeletal studies in orthopaedic and radiology practices, yet selecting the correct code from the 73521-73523 series trips up even experienced coders. CPT code 73521 is specific: two views, bilateral hips, with the pelvis captured when clinically indicated. Bill one view too few or forget to document […]
CPT Code 74018: Radiologic examination, abdomen, 1 view
CPT Code 74018: definition and clinical description Radiology billers lose reimbursement on abdominal X-rays more often than on almost any other plain-film study, mostly because the AMA restructured the code family in 2018 and old habits carried over. CPT Code 74018 is the correct code for a radiologic examination of the abdomen with a single […]
CPT Code 10040: Acne surgery billing guide (2026)
CPT Code 10040: definition and clinical description CPT Code 10040 is the billing code for acne surgery, as defined by the American Medical Association (AMA). The official descriptor reads: Acne surgery (e.g., marsupialization, opening or removal of multiple milia, comedones, cysts, pustules). It sits within the CPT range 10040-10180, which covers incision and drainage procedures […]
CPT Code 13121: Complex repair, scalp, arms and legs
CPT code 13121 refers to complex wound repair on the scalp, arms or legs. Selecting the wrong complexity level or missing the add-on code 13122 can lead to claim denials, underpayment, and potential compliance exposure. This guide covers the code definition, anatomical restrictions, documentation requirements, modifiers and reimbursement context that every biller and clinician needs […]
CPT Code 95811: Polysomnography with CPAP Titration Billing Guide
CPT Code 95811: definition and clinical description Sleep labs and billing teams frequently confuse CPT Code 95811 with its diagnostic-only counterpart, and that confusion costs money. When a patient reaches the CPAP mask during their sleep study, the code changes entirely. CPT Code 95811 describes: Polysomnography; age 6 years or older, sleep staging with 4 […]
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 […]