Modifier -73 — CPT guidelines state that the physician may cancel a surgical or diagnostic procedure subsequent to the patient’s surgical preparation (including sedation when provided, and being taken ...

Medical billing and medical coding are crucial aspects of the medical revenue landscape. Both jobs ensure health care providers get paid for their services. Medical coders read the providers’ ...

2. Under-utilization of -59: It’s not taboo. When the Medicare edits (NCCI) correct coding modifier indicator (i.e., 1) allows a modifier to indicate a “separate” and “distinct” procedure, users may ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

Q4 2025 Management View CEO Timothy Herbert reported that the key challenge for the business is the coding of the Inspire V procedure, explaining, "we received clarification regarding the coding that ...