CPT Code 00851: Anesthesia for tubal ligation billing guide
CPT Code 00851 is the anesthesia code for tubal ligation and transection — intraperitoneal procedures in the lower abdomen, including laparoscopy. It applies whenever an anesthesiologist or CRNA provides anesthesia for surgical sterilization, whether by laparoscopic or open approach. Because sterilization is a federally regulated procedure, 00851 carries documentation and consent rules that ordinary surgical […]
CPT Code 92310: Contact lens fitting billing guide
CPT Code 92310 covers the prescription and fitting of corneal contact lenses for both eyes, except for aphakia, with physician-directed medical supervision of the patient’s adaptation. It is the most frequently used contact lens fitting code in optometric and ophthalmic billing, and also the most frequently miscoded. CPT Code 92310: definition and clinical description The […]
CPT Code 99404: Preventive medicine counseling, 60 minutes
CPT Code 99404: Definition and clinical description Most claim denials for preventive counseling codes come down to one of two problems: insufficient time documentation or using the wrong code entirely. CPT Code 99404 is the highest-level individual preventive medicine counseling code, and it covers face-to-face sessions lasting approximately 60 minutes with an individual patient. The […]
CPT Code 99366: Medical team conference billing guide
CPT Code 99366: Definition and clinical description CPT Code 99366 covers participation by a nonphysician qualified health care professional in a medical team conference with an interdisciplinary team, conducted face-to-face with the patient and/or family, lasting 30 minutes or more. Maintained by the American Medical Association (AMA) as part of the CPT code set, this […]
CPT Code 15272: Skin substitute graft add-on billing guide
CPT Code 15272: Definition and clinical description Skin substitute billing trips up even experienced coders. The 15271-15278 code family requires precise wound measurement, anatomical classification, and correct add-on code sequencing, and errors in any one of those steps produce denials. Claims management software that enforces code pairing rules at the point of entry is the […]
CPT Code 01232: Anesthesia for amputation of femur
CPT Code 01232: Description, base units, and clinical context Most anesthesia claim denials for femur amputation procedures trace back to one of three errors: wrong modifier, missing time documentation, or misclassified code. Surgical practice management teams need a clear reference for CPT Code 01232 before the claim ever leaves the practice. CPT Code 01232 is […]
CPT Code 00924: Anesthesia for undescended testis
Most anesthesia claim denials for male genitalia procedures come down to a single documentation gap: the wrong modifier or a missing ICD-10 pairing. CPT Code 00924 is a 4-base-unit anesthesia code covering undescended testis procedures, yet billers frequently conflate it with adjacent codes in the 00920 range, leading to underpayment or outright rejection. As a […]
CPT Code 95913: Nerve conduction studies, 13 or more
CPT Code 95913: Definition and clinical description CPT Code 95913 is the highest-tier code in the nerve conduction study (NCS) series, covering encounters where 13 or more distinct studies are performed. Getting the study count right before submission is the difference between clean reimbursement and an audit flag. The American Medical Association (AMA) maintains 95913 […]
CPT code 90868: Billing guide for subsequent TMS therapy sessions
CPT code 90868 is the billing code for each subsequent transcranial magnetic stimulation (TMS) treatment session – the delivery and management of a follow-up session after the initial 90867 intake. It is reported once per session across a treatment course that typically runs 20 to 36 sessions. The mental health EMR you use to document […]
CPT code 96374: IV push billing, modifiers, and documentation guide
CPT code 96374 covers the single or initial intravenous push of a therapeutic, prophylactic, or diagnostic substance and sits at the center of injection and infusion billing hierarchies for practices, urgent care centers, and IV therapy providers across the US. This guide covers every component that coders and practice administrators need to bill CPT code […]