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CPT Code 85007:Manual Blood Differential — Coding, Billing, and Documentation Guide
Know exactly when a manual blood differential is separately reportable and when it’s already bundled.
5 days ago


CPT Code 85025: Complete Blood Count (CBC) With Automated Differential — Coding, Billing, and Documentation Guide
A 2026 guide to CPT code 85025 (CBC with automated differential): what the test includes, how it differs from CPT 85027 and 85007, documentation essentials, and common laboratory billing mistakes to avoid.
5 days ago


CPT Code 85027:Complete Blood Count (CBC) Without Differential — Coding, Billing & Documentation Guide
Avoid common NCCI mistakes and denials with this practical walkthrough of order, documentation, and claim review.
7 days ago


Pediatrics vs. OB/GYN Billing in 2026–2027: Key Coding, Claims & RCM Differences
Pediatric practices adapt to 2026’s new standalone immunization counseling codes while OB/GYN faces the biggest maternity-coding overhaul in decades (effective Jan 1, 2027). Compare coding, claims, denials, A/R, and RCM differences — plus readiness checks for both specialties.
Oct 9


Dry Eye Billing in 2026: CPT Codes, Documentation & Revenue Leakage for Optometry Practices
Dry-eye claims don't fail because of a bad CPT code they fail because documentation, coverage and claim construction never lined up behind it. This 2026 guide walks optometry billing teams through CPT 68761, 83861 and 83516, where payer rules diverge, the ten places dry-eye revenue quietly leaks, and a self-check framework to catch problems before they become denials.
Oct 7


CPT 80061: Complete Guide to Lipid Panel Billing, Coding, Documentation & Reimbursement in 2026
Should the claim carry 80061 or the three component codes? This 2026 guide covers panel-vs-component rules, medical necessity, Medicare screening vs diagnostic coverage, the CLFS, and a pre-submission checklist.
Sep 22


CPT 96374: Complete Guide to IV Push Billing, Coding, Documentation & Reimbursement in 2026
Not sure when CPT 96374 is the right IV push code? This 2026 guide covers initial-service sequencing, 96374 vs 96375 vs 96376, documentation, modifiers, NCCI edits, and a checklist to run before you submit.
Sep 21


CPT 96372: IM & Subcutaneous Injection Billing, Coding, Documentation & Reimbursement in 2026
CPT 96372 looks like the simplest injection code in outpatient billing -- until the drug line is missing, the wrong code family gets used, or a modifier 25 gets added out of habit. This guide breaks down the administration-vs-drug distinction, supervision rules, NCCI review, and denial prevention for 2026.
Sep 21


CPT 91110: Complete Guide to Capsule Endoscopy, Billing, Coding & Documentation in 2026
Capsule endoscopy claims can look straightforward and still stall a thin interpretation, an unclear component split, or a missed authorization is often enough. This 2026 guide breaks down CPT 91110 versus 91111 and 91112, the documentation a claim actually needs, when Medicare and commercial payers diverge, and a claim-readiness checklist GI billing teams can run before every submission.
Sep 17


CPT 45398: Colonoscopy with Band Ligation, Billing, Coding & Documentation in 2026
Not the same as submucosal injection (45381). Clear coding, documentation checklists, NCCI guidance, and denial prevention for gastroenterology practices.
Sep 17


CPT 91065: Complete Guide to Hydrogen Breath Testing, Billing, Coding & Documentation in 2026
Hydrogen breath testing and CPT 91065 look simple on paper until documentation, substrate protocol, Medicare's NCD 100.5 coverage rules, and payer-specific edits all have to line up before a claim goes out. This 2026 guide walks GI billing teams through the code, the documentation it requires, when Medicare actually covers it, common denial triggers, and a claim-readiness checklist to run before every submission.
Sep 17


CPT 91035: Esophageal pH Monitoring, Billing, Coding & Documentation in 2026
CPT 91035 covers wireless esophageal pH monitoring -- but it's easily confused with catheter-based 91034, and the code bundles analysis and interpretation in a way that affects date of service. This guide breaks down the code comparisons, documentation requirements, authorization and edit checks, and a full procedure-to-payment workflow for GI billing in 2026.
Sep 16


CPT 91122 Deleted in 2026: What Changed, New Anorectal Manometry Coding & Billing Guide
CPT 91122 was deleted effective January 1, 2026, along with 91120 -- replaced by new codes 91124 and 91125. This guide covers what changed and why, how the new codes differ, the five places a deleted code hides in your workflow, documentation requirements, and how to prevent transition-related claim problems.
Sep 16


Urology Supplies Billing & Coding: Essential Guidelines for Accurate Claims, Documentation & Reimbursement in 2026
A supply claim can look simple until missing documentation or the wrong code triggers a denial. This guide covers CPT vs. HCPCS, medical necessity, common pitfalls, and a practical audit checklist.
Sep 2


CPT 51784: Complete Guide to Pelvic Floor EMG Billing, Coding & Reimbursement in 2026
CPT 51784 covers non-needle EMG of the anal or urethral sphincter but it lives in a coding gray zone between standalone diagnostic testing, full urodynamics workups, and biofeedback sessions where it may not be separately payable. This guide walks urology billing teams through documentation requirements, common denial triggers, a common-mistakes table, a claim-to-follow-up workflow diagram, and the specific verification steps to take before assuming reimbursement.
Sep 2


Urology Billing Trends in 2026: Innovations, Coding Changes & RCM Strategies Practices Need to Know
New CPT families, federal prior auth rules, and AI tools are reshaping urology revenue cycles. Here’s what practices must act on this year.
Sep 2


CPT 52441: 2026 Guide to Billing Permanent Adjustable Transprostatic Implant Placement
It describes cystourethroscopic insertion of a permanent adjustable transprostatic implant (prostatic urethral lift) for BPH. Learn correct coding with 52442, documentation requirements, and how to prevent denials.
Sep 1


CPT 55700 Is Gone: Your 2026 Guide to Prostate Biopsy Billing & Coding
CPT 55700 no longer exists for 2026 dates of service it’s been replaced by eleven new prostate biopsy codes. Learn the 55705–55715 family, documentation requirements, common denial triggers, and a pre-submission checklist.
Sep 1


CPT 52442: Complete Guide to Billing, Coding & Documentation for Additional Transprostatic Implants in 2026
Learn how to correctly report CPT 52442 with base code 52441, meet documentation requirements, avoid common denials, and keep multi-implant claims clean.
Aug 31


CPT 52597: Complete Guide to Transurethral Robotic-Assisted Waterjet Resection of the Prostate in 2026
This guide covers what changed, documentation payers expect, common coding mistakes, and a quick self-check for your urology billing workflow.
Aug 31
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