CPT code 21465: Open treatment of mandibular condylar fracture
CPT code 21465 covers open treatment of a mandibular condylar fracture. Medicare pays $723.80 in 2026, and there is no closed condyle code.
HCPCS code J1800: Propranolol HCl injection billing guide
J1800 bills per 1 mg of propranolol. Get the unit count, the NDC, and the JW or JZ modifier right and most denials never happen.
Bulk billing in 2026: What the incentive changes mean for your practice
Verified July 2026 incentive amounts by location tier, plus the private fee your practice needs to beat full bulk billing.
ICD-10 Code O61.1: Failed instrumental induction of labor
ICD-10 Code O61.1: definition and billable status ICD-10 Code O61.1 is defined in the ICD-10-CM tabular list as “Failed instrumental induction of labor.” It is a billable, specific code valid for reimbursement claim submission. The 2026 edition took effect on October 1, 2025 and runs through September 30, 2026, per CMS annual ICD-10-CM update schedules. […]
Medicare billing for practices: Models, claiming channels and compliance
Medicare pays bulk bill claims in 2-3 working days. Every claiming channel, the three billing models, and the rules that bite.
Billing privileges under the Medicare Australia Act 1973 (Cth): What the Ahpra question actually means
The Ahpra question asks whether your Medicare billing privileges were withdrawn or restricted. For most practitioners the answer is no.
How to get a Medicare provider number (And how long it really takes)
A new practitioner’s start date and their first billable appointment are rarely the same day. Services Australia issues the Medicare provider number, and no service at your address attracts a Medicare benefit until that number exists. Most applications now go through Health Professional Online Services, or HPOS, with a Provider Digital Access account. Some still […]
MBS item numbers explained (+ a cheat sheet for your front desk)
An MBS item number identifies a Medicare service, its rules, and its fee. Here’s how they work, plus a cheat sheet by scenario.
Medicare Consent to Release form: Free template
Download your free Medicare Consent to Release form This is the CMS form that authorizes release of Medicare claim and entitlement records to a named representative. It covers beneficiary details, representative details, the scope of release, and the expiration date. Download template The Medicare Consent to Release (CTR) form authorizes CMS to release a beneficiary’s […]
TLC Medical Certification Form
Download your free TLC medical certification form A print-ready copy of the one-page NYC form. It captures the applicant name, the exam date, the fit or not-fit determination, and the physician’s signature, license number, and contact details. Download template The TLC medical certification form is the document the New York City Taxi and Limousine Commission […]