CPT Code 50825: Continent Diversion Billing and Coding Guide
CPT Code 50825: definition and clinical description Most urology claim denials for major reconstructive procedures trace back to two problems: missing operative documentation and misapplied NCCI edits. Claims management software that flags these issues before submission can prevent the cycle of denials and resubmissions that costs billing teams weeks of rework. CPT Code 50825 is […]
CPT Code 54600: Reduction of torsion of testis billing guide
CPT Code 54600: description, clinical context, and billing overview Testicular torsion is a urological emergency. Hours matter, and when a surgeon acts fast, the billing documentation needs to keep pace. The American Medical Association (AMA) maintains CPT Code 54600 as the designated code for this procedure. Accurate coding from the outset reduces claim delays that […]
CPT code 99391: Infant preventive medicine re-evaluation guide
CPT code 99391 covers infant preventive re-evaluations for established patients under 1 year. Learn ICD-10 pairings, modifier 25 rules, and billing workflow tips.
CPT code 99236: Same-day observation billing, MDM, and documentation
CPT code 99236 is an Evaluation and Management (E/M) code maintained by the American Medical Association (AMA) within the Current Procedural Terminology code set. The full official descriptor reads: Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate […]
CPT code 66999: Unlisted procedure, anterior segment of eye
CPT code 66999 bills unlisted anterior segment procedures like MIGS goniopuncture; each claim needs a narrative report and benchmark code.
CPT code 99424: Principal care management billing guide
CPT code 99424 is a billable code that covers the first 30 minutes of principal care management (PCM) services per calendar month, personally performed by a physician or qualified healthcare professional (QHP). It applies to patients with a single high-risk chronic condition expected to last at least three months who need structured management but don’t […]
CPT code 99232: Subsequent hospital inpatient or observation care
CPT code 99232 is a billable code for subsequent hospital inpatient or observation care, per day, requiring a moderate level of medical decision-making (MDM) or at least 35 minutes of total provider time on the date of the encounter. It covers follow-up visits after admission – not the admission or discharge itself – and is […]
CPT code 97158: Group adaptive behavior treatment billing guide
CPT code 97158 is the billing code for group adaptive behavior treatment with protocol modification, delivered by a BCBA or BCaBA to 2 to 8 patients in 15-minute units. It is the analyst-level group code within the applied behavior analysis (ABA) CPT family (97151-97158). CPT code 97158 was introduced on January 1, 2019, as part […]
CPT Code 99490: Chronic care management billing guide
CPT Code 99490: definition and clinical description Claims for CPT Code 99490 get denied more often than almost any other care management code, and the reason is usually the same: practices document the right activities but miscount the time, misidentify who performed the work, or bill for patients who don’t qualify. This guide covers the […]
CPT code 96360: IV hydration billing guide (2026)
Most IV hydration claim denials trace back to one of three mistakes: billing a 30-minute infusion as if it met the 31-minute threshold, reporting 96360 as a concurrent service, or submitting without adequate medical necessity documentation. CPT Code 96360 is one of the more scrutinized codes in the hydration and infusion family, according to the […]