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 […]
CPT Code 78815: PET/CT Billing, Modifiers & Reimbursement
PET/CT denials are among the costliest in nuclear medicine billing. CPT Code 78815 is one of the most frequently submitted codes for oncologic imaging, yet practices routinely lose reimbursement due to missing documentation, incorrect modifier usage, or misidentified anatomic coverage. Understanding exactly how to bill CPT Code 78815 – from radiopharmaceutical pairing to payer-specific prior […]
CPT Code 25000: Incision of Extensor Tendon Sheath, Wrist
CPT Code 25000: Definition, Clinical Description, and Code Placement Claim denials for CPT Code 25000 often trace back to a single source: documentation that fails to distinguish between an extensor tendon sheath incision and the single-compartment synovectomy coded under CPT 25118. Hand surgery billing teams that treat these codes as interchangeable can expect payer pushback, […]
CPT Code 13101: Complex Repair Trunk, 2.6-7.5 cm
Complex wound repair billing is one of the most contested areas in integumentary system coding. A 3 cm trunk laceration requiring undermining and layered closure will qualify for CPT Code 13101, but the documentation in the operative note is what actually determines whether the claim pays. Payers audit this code regularly because the distinction between […]
CPT Code 80053: Comprehensive Metabolic Panel Billing Guide
CMP claims get denied more often than most lab codes – not because the test isn’t medically necessary, but because documentation doesn’t survive payer scrutiny. A screening ordered at an annual wellness visit without a documented diagnostic indication. A claim bundled with CPT 80048 that triggers an automatic NCCI edit rejection. An ICD-10 code pulled […]