CPT® 2026 UPDATE OVERVIEW: WHAT’S NEW, REVISED, AND DELETED?
CPT® 2026 UPDATE OVERVIEW: WHAT’S NEW, REVISED, AND DELETED? Introduction: What Is CPT® and Why It Matters CPT® (Current Procedural Terminology) is the foundational classification system for CPT codes in medical coding, maintained by the American Medical Association (AMA). These codes define medical, surgical, and diagnostic services reported across the U.S. healthcare system and form […]
Most Commonly Used CPT Codes in Gastroenterology
Most Commonly Used CPT Codes in Gastroenterology Gastroenterology coding is a complex area of GI medical coding, involving many procedures, frequent audits by payers, and strict documentation requirements. Even a small error in Current Procedural Terminology (CPT) codes for procedures like colonoscopy, esophagogastroduodenoscopy (EGD), or endoscopic retrograde cholangiopancreatography (ERCP) can lead to claim denials, delayed […]
Common Procedure Code Denial Categories and Strategies to fix the AR denials
Common Procedure Code Denial Categories and Strategies to fix the AR denials Missing or Incorrect Modifiers (CO 4 / PR 55): One of the most common medical billing denials, where procedure codes are submitted without required modifiers to indicate laterality (RT/LT), multiple procedures (-51), or distinct services (-59). These errors directly impact medical billing AR […]
Will AI Replace Radiology Coding? Conrad AI’s Role in Automation
Will AI Replace Radiology Coding? Conrad AI’s Role in Automation Introduction: The Future of Radiology Coding in the AI Era In today’s healthcare system, radiology billing and coding plays a crucial role in ensuring providers are reimbursed correctly for diagnostic and interventional imaging services. As medical imaging volumes grow, coding complexity rises — leading many […]
A Comprehensive Overview of Evaluation & Management (E&M) Coding
A Comprehensive Overview of Evaluation & Management (E&M) Coding Introduction: What is E&M Coding? Evaluation & Management (E&M) coding often referred to as evaluation and management codes, represents the structured system used to bill for patient encounters that involve evaluation and management rather than a procedure — e.g. office visits, hospital consultations, telemedicine, or follow-up […]
PAIN MANAGEMENT MADICAL CODING UPDATES
Pain Management Medical Coding Updates Pain management coding in 2025 involves specific guidelines from the AMA CPT manual and the Centres for Medicare & Medicaid Services (CMS), with key changes focusing on new fascial plane block codes, updated chronic pain management (CPM) HCPCS codes, and enhanced telemedicine rules. These updates highly impact pain management coding […]
Fever in Medical Coding Automation: Accurate ICD-10 Codes, AI Automation & Best Practices
Fever in Medical Coding Automation: Accurate ICD-10 Codes, AI Automation & Best Practices Fever is one of the most common clinical symptoms recorded in AI in healthcare, yet it remains one of the most frequently miscoded conditions in medical coding automation. Since they directly affect claim acceptance, reimbursement accuracy, and revenue cycle management (RCM) efficiency, […]
MODIFIER USAGE: BASIC GUIDELINES EVERY MEDICAL BILLER MUST KNOW
MODIFIER USAGE: BASIC GUIDELINES EVERY MEDICAL BILLER MUST KNOW Modifiers play a critical role in accurate medical billing, reducing denials, ensuring maximum reimbursement, and helping payers understand exactly what happened during a patient encounter. Most professionals who work with modifiers in medical billing or medical billing modifiers know how important proper usage is. Even experienced […]
Podiatry Class findings and Q modifiers
Podiatry Class findings and Q modifiers In podiatry billing, the q modifiers for podiatry, including podiatry q modifiers such as Q7, Q8, and Q9, are used to indicate that routine foot care is a medically necessary service, not simply cosmetic care, due to underlying systemic conditions. These are required by Medicare and other payers when […]
TOP EDI REJECTIONS IN MEDICAL BILLING
Top EDI Rejections in Medical Billing Electronic Data Interchange (EDI) rejections are a major bottleneck in medical revenue cycle management. They stop claims before they even reach the payer’s adjudication engine, creating rework, delaying cash flow, and increasing AR days. This guide explains the most common EDI rejections, causes and how EDI rejection in medical […]
