CPT Code 99245: High-complexity office consultation billing guide
CPT Code 99245 is the highest-level office or other outpatient consultation code, reported for a new or established patient whose encounter involves high-complexity medical decision making or 55 minutes or more of total time on the date of service. Commercial payers recognize it, but Medicare has not reimbursed it since 2010 and requires a crosswalk […]
CPT Code 97760: Orthotic Management and Training Billing Guide
CPT Code 97760 is a time-based code that bills the initial orthotic management and training encounter — the assessment, fitting, and patient training for an orthotic device applied to the upper extremity, lower extremity, and/or trunk, reported in 15-minute units. It applies to the initial encounter only; CPT 97763 covers every subsequent orthotic and prosthetic […]
CPT code 55700: Prostate biopsy, 2026 deletion, and replacement codes
CPT code 55700 (Biopsy, prostate; needle or punch, single or multiple, any approach) was a prostate biopsy code deleted effective January 1, 2026. The American Medical Association replaced it with an expanded family of eleven codes (55705-55715) that sort prostate biopsy claims by approach, imaging guidance, and lesion targeting. This guide covers the historical 55700 […]
CPT code 11055: Paring or cutting of a benign hyperkeratotic lesion
CPT code 11055 is a billable procedure code for paring or cutting of a single benign hyperkeratotic lesion, such as one corn or callus, using a scalpel or curette. It is one of the most frequently billed skin procedure codes in podiatry and dermatology, and one of the most frequently denied when the lesion count, […]
CPT Code 91320: COVID-19 vaccine billing guide
CPT Code 91320 is the vaccine product code for the Pfizer-BioNTech COVID-19 mRNA-LNP vaccine, 30 mcg/0.3 mL, tris-sucrose formulation, for intramuscular use in patients 12 years and older. It became effective September 11, 2023, replacing the retired 91300-series codes. Vaccine billing workflows require exact formulation matching between the product administered and the CPT code billed, […]
CPT code 76700: Complete abdominal ultrasound billing guide
CPT code 76700 describes an ultrasound examination of the abdomen, complete – and “complete” has a precise clinical meaning under the American Medical Association’s CPT code set. It falls within the AMA code range 76700-76776, covering diagnostic ultrasound procedures of the abdomen and retroperitoneum. Real-time imaging with image documentation is required – static B-mode scanning […]
CPT code 99305: initial nursing facility care
CPT code 99305: definition and clinical description Most nursing facility billing denials trace back to a single problem: documentation that doesn’t support the code selected. CPT code 99305 is one of the most audited codes in the initial nursing facility care family, and getting the level wrong in either direction costs practices real money. The […]
CPT code 00752: Anesthesia for ventral hernia repair
CPT code 00752: definition, clinical description, and code placement Hernia repairs in the upper abdomen rank among the most common general surgery procedures in the United States, yet anesthesia billing for these cases trips up even experienced coders. Selecting the wrong code, misapplying a modifier, or submitting without adequate documentation are the three fastest routes […]
CPT code 25393: Osteoplasty, radius and ulna lengthening
CPT code 25393: definition and clinical description Orthopedic billing errors on forearm reconstruction cases often trace back to one documentation gap: failing to prove both bones were operated on. According to the American Medical Association’s CPT code set, CPT code 25393 specifically describes osteoplasty of the radius AND ulna with lengthening using autograft. The “AND” […]
CPT Code 00640: Anesthesia for spine manipulation procedures
Spine manipulation under anesthesia is one of the more frequently questioned procedures in anesthesia billing. Payers disagree on coverage, documentation requirements differ by jurisdiction, and the code itself received updated descriptions on January 1, 2026. Getting CPT Code 00640 right the first time means knowing exactly what the code covers, how base units are calculated, […]