Category Archives: Coding

Sleep centers play a critical role in diagnosing and managing conditions like obstructive sleep apnea, insomnia, narcolepsy, and restless leg syndrome. But with rapidly evolving technology and payer rules, proper coding is essential. This guide includes the most relevant Sleep Center CPT codes and modifiers for 2025, including polysomnography (PSG), home sleep apnea tests (HSAT), …

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Pathology plays a critical role in diagnosis and disease monitoring—from tissue biopsies and Pap smears to molecular testing and autopsy services. To ensure timely and accurate reimbursement, labs and providers must stay current with Pathology CPT codes and modifiers for 2025. Common Clinical Pathology Codes CPT CodeDescription 80050General health panel 80053Comprehensive metabolic panel 81001Urinalysis, automated, …

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Hospitalists are the backbone of inpatient care—managing admissions, daily rounds, critical care, discharges, and transitions. With a fast-paced workflow and frequent handoffs, hospitalist billing needs to be precise and well-documented. This guide includes the most commonly used Hospitalist CPT codes and modifiers for 2025, plus ICD-10 codes and billing tips to help prevent denials and …

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Dialysis billing is highly specialized and closely regulated—especially when managing ESRD patients and submitting monthly capitation codes (MCP). Using the correct dialysis CPT codes and modifiers in 2025 helps ensure compliance with CMS rules and secures proper reimbursement for both routine and complex services. Monthly ESRD-Related Services (MCP) CPT CodeDescription 90951ESRD-related services, <2 years, 4+ …

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Radiology billing can get complicated quickly—between global vs. professional components, modality types, and contrast usage. To ensure accurate billing and full reimbursement, radiology practices and imaging centers must stay up to date on CPT codes and modifiers for 2025. This guide outlines the most frequently used Radiology CPT codes, modifiers, and ICD-10 pairings, along with …

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Nephrology is a complex specialty where providers frequently manage chronic kidney disease (CKD), dialysis, hypertension, and transplant care. With frequent rounding, outpatient consults, and care coordination, it’s critical to understand the correct CPT codes and modifiers for nephrology in 2025 to ensure accurate billing and compliance. This guide outlines the most commonly used Nephrology CPT …

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Orthopedic billing is complex due to the wide range of services—from E/M visits and injections to imaging, fracture care, and surgery. To prevent claim denials and ensure full reimbursement, practices must stay current with Orthopedic CPT codes and modifiers for 2025. This guide covers essential orthopedic billing codes, common modifiers, and ICD-10 pairings to help …

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Mental health professionals—whether you’re a psychiatrist, psychologist, therapist, or clinical social worker—must stay on top of the latest CPT codes and modifiers to ensure timely and accurate reimbursement. With growing demand for behavioral health services and evolving telehealth regulations, 2025 CPT coding for mental health comes with both opportunities and challenges. This guide outlines the …

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Family medicine physicians see it all—from newborn wellness checks to chronic disease management, preventive screenings, and mental health counseling. With such a wide scope, it’s essential to use the correct CPT codes and modifiers in 2025 to get reimbursed accurately. Below is a breakdown of the most commonly used CPT codes and modifiers in family …

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Navigating the ever-evolving world of medical billing can be challenging—especially in specialties like endocrinology, where both evaluation and management (E/M) and procedure codes are common. To help practices stay up to date, we’ve compiled the most relevant Endocrinology CPT codes and modifiers for 2025. Whether you’re managing diabetes, thyroid disorders, or hormone imbalances, accurate coding …

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