Category Archives: Coding

Psychiatry billing in 2026 reflects one of the most meaningful compliance and reimbursement shifts the specialty has seen in years. Between the long-awaited rate increase, expanded flexibility for crisis care, and shorter remote monitoring thresholds, practices finally have new revenue opportunities. However, strict enforcement of psychotherapy time rules, mandatory drug waste modifiers, and detailed Medical …

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Dermatology billing in 2026 reflects both reimbursement stabilization and structural payment reform. While the Physician Fee Schedule increase benefits E/M-heavy practices, significant technical changes affect acne procedures, skin substitute reimbursement, radiation therapy reporting, and modifier enforcement. If your team is still using last year’s templates, small documentation gaps could translate into preventable denials. This guide …

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Mental health billing in 2026 reflects one of the most transformative years behavioral health providers have seen in recent memory. Expanded Remote Therapeutic Monitoring (RTM), stronger valuation for crisis care, updated drug-waste modifier enforcement, and evolving Medical Decision Making (MDM) standards are all reshaping reimbursement. At the same time, payers are tightening scrutiny around psychotherapy …

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Internal medicine billing spans preventive care, chronic disease management, hospital follow-ups, remote monitoring, and longitudinal care coordination. Few specialties rely more heavily on Evaluation & Management (E/M) services and time-based reimbursement. For 2026, internal medicine enters a long-awaited stabilization year—with meaningful Physician Fee Schedule increases and expanded remote monitoring flexibility. Understanding how these updates affect …

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Pediatric billing in 2026 reflects a major shift toward whole-family, longitudinal, and complexity-driven care. Between new vaccine counseling reimbursement, expanded caregiver training services, updated Medical Decision Making (MDM) recognition, and remote monitoring flexibility, pediatricians now have clearer pathways to capture the full scope of work performed. However, those opportunities also introduce new compliance risks. Accurate …

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Family practice billing in 2026 is no longer limited to traditional office visits. Primary care now encompasses longitudinal care complexity, caregiver training, behavioral health integration, social risk documentation, and flexible remote monitoring models—all of which directly impact reimbursement. As Medical Decision Making (MDM) logic evolves and CMS refines payment recognition for whole-person care, documentation precision …

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Nephrology billing in 2026 reflects a transition year for the specialty. While the Physician Fee Schedule includes a -2.5% efficiency adjustment for many E/M services, the ESRD Prospective Payment System (PPS) base rate has increased. At the same time, new transplant evaluation codes and expanded remote monitoring options are reshaping how nephrologists report complex care. …

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Orthopedic billing in 2026 reflects some of the most meaningful coding shifts in recent years. While total joint arthroplasty and fracture care remain core revenue drivers, the expansion of short-duration Remote Therapeutic Monitoring (RTM), refined sacroiliac joint fusion reporting, and new intramedullary limb-lengthening codes require immediate operational adjustments. If your team is relying on last …

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Dialysis billing in 2026 reflects two major financial shifts: a positive adjustment to the ESRD Prospective Payment System (PPS) base rate and the permanent adoption of virtual direct supervision. At the same time, physician services remain subject to the -2.5% efficiency adjustment applied across much of the Medicare Physician Fee Schedule. These layered changes affect …

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Pathology billing in 2026 reflects a major shift toward precision reporting, artificial intelligence integration, and genome-wide molecular diagnostics. Advances in digital slide analytics, Optical Genome Mapping (OGM), and expanded Proprietary Laboratory Analyses (PLA) codes have created new CPT® pathways that replace older bundled or unlisted reporting methods. If your pathology team is still relying on …

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