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Volume 39 - Issue 6

Coding Opportunities

Have you ever wondered how procedures are valued? Have you ever thought, “That’s not the right value—we should fix that”? Have you ever asked yourself, “How can I be more involved in my professional...

Volume 39 - Issue 4

Coding Decoded

Welcome to the first “Coding Decoded” column of 2025.  There are 420 updates to CPT-4 including 270 new codes and 112 deletions. It doesn’t take an epidemiologist to see that the population of codes...

Volume 38 - Issue 9

Coding Update: CMS Code G2211

On January 1, 2024, a new CMS code, G2211, was finalized. According to the CMS.gov website, “This add-on code will better recognize the resource costs associated with evaluation and management visits for primary care...

Volume 38 - Issue 6

NCCI Edits

With the April 2024 change that excludes billing a hysteroscopic myomectomy (58561) with an RF ablation of a myoma (58580), now is probably a suitable time to visit the “NCCI edits.”  What is an...

Volume 38 - Issue 4

Simplifying Office Coding

It’s been a couple of years since the new office-based codes were redefined and revalued by the AMA and CMS.  Now that we are all getting more familiar with the criteria, I want to...

Volume 37 - Issue 8

Coding Decoded: Two US Code Updates

Every July, the Centers for Medicare and Medicaid Services (CMS) are mandated by Congress to release the “proposed rule” for the following year physician fee schedule (e.g., 2024 fee schedule proposed rule was released...

volume 36 - issue 9

New Endometriosis ICD Codes for 2023

New Endometriosis ICD codes for 2023 (effective Oct 1, 2022) Previously, the codes for endometriosis were limited. The codes did not specify side, depth of invasion or associated symptoms. As you might imagine, our...
AAGL Coding

Volume 35 - Issue 1

Coding…Decoded Series Continues

The Centers for Medicare and Medicaid Services (CMS) have put out the proposed rule to begin January 1, 2020. The Correct Procedural Terminology (CPT) code set is a living entity and, like any living...

Volume 34 - Issue 2

Telehealth – A New Reality

Telehealth has become the preferred communication to protect patients and providers and allow for healthcare to continue within the current context of essential trips and surgery as well as social distancing.  Telehealth is becoming...
AAGL Coding

Volume 33, Issue 5

Coding…Decoded

The Centers for Medicare and Medicaid Services (CMS) have put out the proposed rule to begin January 1, 2020. The Correct Procedural Terminology (CPT) code set is a living entity and, like any living...