CPT Code 71271: Low-dose CT lung cancer screening
Missed eligibility documentation is the top reason CPT Code 71271 claims get denied. Medicare’s lung cancer screening benefit has strict requirements: age, smoking history, symptom status, and a completed shared decision-making visit must all be confirmed before you submit. Skip any one of them and the claim comes back unpaid. This reference guide covers what […]
CPT Code 27130: Total hip arthroplasty billing guide
CPT code 27130 is one of the highest-value codes in orthopedic billing, and payer scrutiny matches that value. Incomplete documentation, missing laterality modifiers, and ICD-10 codes that don’t match the payer’s current coverage criteria drive most claim denials for this procedure. This guide covers the official code description, current Medicare reimbursement data, applicable modifiers, covered […]
CPT code 00562: Anesthesia for intrathoracic procedures with pump oxygenator
CPT code 00562 is the anesthesia billing code for open-heart procedures performed with a pump oxygenator (cardiopulmonary bypass), in patients age 1 year or older. It covers non-coronary bypass surgery, such as valve repair, and reoperation coronary bypass performed more than one month after the original operation. Claims for this code get denied over missing […]
CPT code 00561: pediatric cardiac anesthesia guide
CPT code 00561 covers anesthesia for intrathoracic procedures involving the heart and great vessels, performed with a pump oxygenator, in patients younger than 1 year old. This guide covers the base units, reimbursement formula, modifiers, fee schedule, and documentation requirements you need to bill CPT code 00561 accurately. This reference is written for anesthesia billing […]
CPT code 99140: Emergency anesthesia billing guide
CPT code 99140 is an add-on code that anesthesia providers append when anesthesia is administered under genuine emergency conditions, adding 2 base units to the primary anesthesia claim. It cannot stand alone: it must always accompany a primary anesthesia procedure code, and “emergency” has a precise clinical and legal definition under AMA CPT guidelines that […]
CPT code 00537: Anesthesia for cardiac electrophysiologic procedures
Anesthesia claims for cardiac procedures get denied more often than almost any other code family. For CPT code 00537, complex modifier rules, a 2022 base unit change many practices missed, and payer-specific rate variation combine to drive up billing risk. Most denials trace back to incorrect modifier selection or miscalculated time units, not clinical documentation […]
CPT Code 76801: First-trimester OB ultrasound billing guide
CPT Code 76801 describes a first-trimester transabdominal ultrasound of the pregnant uterus for a single or first gestation, performed before 14 weeks 0 days gestational age. It’s one of the most frequently miscoded obstetric ultrasound codes: the common errors are billing it for transvaginal exams (76817) or leaving off the 76802 add-on for twin pregnancies. […]
CPT Code 00930: Anesthesia for orchiopexy and male genitalia procedures
CPT Code 00930 is the anesthesia code anesthesiologists and CRNAs bill for orchiopexy, unilateral or bilateral, and open urethral procedures on male patients. It covers the anesthesia service only, not the surgical procedure itself, and requires the correct physical status modifier, medical direction code, and time units on every claim. This reference covers everything billers […]
CPT Code 31051: Sinusotomy, Sphenoid, with Mucosal Stripping or Polyp Removal
CPT code 31051 is a billable code for an open sinusotomy of the sphenoid sinus, with or without biopsy, with mucosal stripping or removal of polyp(s). It sits in a narrow section of the CPT manual, next to its base code 31050, where an open vs. endoscopic distinction and a mucosal-stripping detail create regular billing […]
CPT Code 01782: Anesthesia for vein repair of the upper arm and elbow
CPT Code 01782 is the anesthesia code for phleborrhaphy, the surgical repair of a vein, performed on the upper arm and elbow. It sits in the veins subgroup of the 01710-01782 anesthesia range for this region, alongside 01780, the not-otherwise-specified code for the same vein procedures. This guide covers the official code description, base unit […]