OUR BLOGS

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.

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.

Not the same as submucosal injection (45381). Clear coding, documentation checklists, NCCI guidance, and denial prevention for gastroenterology practices.

A claim edits, and the instinct is to slap on a modifier and resubmit. That instinct is exactly how Modifier 25 and Modifier 59 get misused. This guide breaks down what each modifier actually communicates, when documentation does and doesn't support them, how the XE/XP/XS/XU family fits in, and a practical decision framework for urology billing teams in 2026.

Diagnostic EGD coding rules, documentation checklist, modifiers, medical necessity & reimbursement tips for gastroenterology practices.