For healthcare professionals to maximize medical billing collection, CPT code accuracy is especially important. If internal medicine CPT codes are not reported accurately in the billing process, the claim could be denied or the payment may be delayed. To maximize your collections, it’s therefore important to stay on top of the latest CPT code developments.

Internal Medicine CPT Codes for 2023

Stay informed on the internal medicine CPT code updates for 2023:

• 99201 – evaluation and management codes
• 99211 – office or outpatient visit for the evaluation and management of a new patient
• 99217 – observation care discharge services
• 99221 – initial hospital care
• 99231 – subsequent hospital care

Internal Medicine CPT Modifiers

Modifiers keep medical billing more accurate. Here are the updated internal medicine modifiers for 2023.

• M1209 – at least two orders for high-risk medications from the same drug class
• Q5126 – injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Keeping billing accurate is an essential element of medical collection maximization. If podiatry codes are not accurate, the claims may be denied. The more accurate a claim, the higher the potential collection amount. Therefore, it’s essential to make sure you know the latest CPT codes and their modifiers.

Podiatry CPT Codes for 2023

See the podiatry CPT code updates for 2023:

• 28001 – incision or drainage of bursa on the foot
• 28002 – incision or drainage below the fascia, with or without tendon sheath involvement
• 28003 – removal of sutures and staples not requiring anesthesia
• 76883 – ultrasound of the nerves in the foot

Podiatry CPT Modifiers

Modifier accuracy is also essential to maximize billing claims. Here are the updated podiatry modifiers for 2023.

• TA – left foot, great toe
• T1 – left foot, second digit
• T2 – left foot, third digit
• T3 – left foot, fourth digit
• T4 – left foot, fifth digit
• T5 – right foot, great toe
• T6 – right foot, second digit
• T7 – right foot, third digit
• T8 – right foot, fourth digit
• T9 – right foot, fifth digit
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Stay updated on the CPT codes and modifiers each year to maximize your medical collections. If your endocrinology codes are incorrect, claims may be delayed or denied in the process.

Endocrinology CPT Codes for 2023

Understand the endocrinology CPT code updates for 2023:

• 82000 – blood chemistry tests
• 82947 – blood glucose monitoring
• 83001 – thyroid function tests
• 83036 – hemoglobin A1C testing
• 84481 – parathyroid hormone testing
• 85013 – blood count (CBC) tests
• 85610 – coagulation tests
• 86300 – molecular diagnostic tests
• 96360 – hydration and injection therapy

Endocrinology CPT Modifiers

Having the coinciding modifier with a CPT can improve medical billing accuracy. The better the accuracy, the higher the possible collections.

• 25 – separately identifiable E/M procedure along with a non-E/M service performed by the same physician on the same day of the procedure or other service
• 95 – telemedicine services
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Medical billing is an essential part of the healthcare industry, and it’s especially important that the billing is correct to maximize collections and reduce the risk of claim denials. If your urgent care practice’s codes are inaccurate, you could be missing out on collections or even get flagged for an audit.

Urgent Care CPT Code Ranges for 2023

Here are the updated CPT codes for urgent care in 2023:

• S9083 – facility service fee
• S9088 – billing for medical diagnosis and treatment
• 99202 – medical history exam
• 99214 – established patient’s review and management
• 99213 – enrolled patients who require treatment
• medical history exam
• 99215 – face-to-face appointment

Urgent Care CPT Modifiers

Urgent care CPT codes and modifiers make claims accurate and help maximize collections.

• 25 – significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Accurate CPT codes are essential for sleep center billing. If your claims are inaccurate, claims could be denied or you could trigger audits. To maximize your collections, make sure to stay up-to-date on the latest CPT code ranges and modifiers.

Sleep Center CPT Code Ranges for 2023

These are the updated CPT codes for sleep center services in 2023:

• 95810 – polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
• 95782 – polysomnography attended by a technologist for a patient younger than six years old with 4 or more additional sleep parameters
• 95783 – polysomnography attended by a technologist for a patient younger than six years old with CPAP therapy or bi-level ventilation with 4 or more additional sleep parameters
• 95800 – unattended sleep study with recording, sleep time, and analysis of oxygen saturation, respiratory and heart rate
• 95801 – unattended sleep study with recording and analysis of oxygen saturation, respiratory and minimum heart rate
• 95803 – actigraphy testing with recording, analysis, interpretation, and a report
• 95805 – sleep latency and wakefulness testing
• 95806 – unattended sleep study with recording of heart rate, oxygen saturation, respiratory effort, and respiratory airflow
• 95807 – sleep study attended by a technologist with recording of ECG, heart rate, ventilation, or oxygen saturation
• 95808 – polysomnography attended by a technologist for a patient of any age with 1-3 sleep parameters
• 95810 – polysomnography attended by a technologist for a patient six years old or older with 4 or more additional sleep parameters
• 95811 – polysomnography attended by a technologist for a patient six years old or older with CPAP therapy or bi-level ventilation with 4 or more additional sleep parameters
• 94660 – CPAP initiation and management
• 99202 – new patient office visit level 2
• 99203 – new patient office visit level 3
• 99204 – new patient office visit level 4
• 99205 – new patient office visit level 5
• 99211 – established patient office visit level 1
• 99212 – established patient office visit level 2
• 99213 – established patient office visit level 3
• 99214 – established patient office visit level 4
• 99215 – established patient office visit level 5
• E0485 – prefabricated oral device to reduce collapsibility of upper airway
• E0486 – custom fabricated oral device to reduce collapsibility of upper airway
• E0601 – CPAP device
• E0470 – bi-level pressure respiratory device with backup rate feature
• E0471 – bi-level pressure respiratory device without backup rate feature
• G0398 – unattended home sleep test with type ii portable monitor
• G0399 – unattended home sleep test with type iii portable monitor
• G0499 – unattended home sleep test with type iv portable monitor

Sleep Center CPT Modifiers

To maximize collections, use updated CPT code modifiers to make your claims more specific.

• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Billing accuracy is essential in everyday medical practices. If your pathology practice’s codes are inaccurate, claims may end up being denied. The better the accuracy, the higher the collection rate. To that end, it’s important to be aware of the latest CPT codes and modifiers.

Pathology CPT Code Ranges for 2023

Here are the pathology CPT code updates for 2023:

• 81418 – drug metabolism
• 81441 – inherited bone marrow failure syndromes
• 81449 – targeted genomic sequence analysis panel, solid organ neoplasm
• 81451 – targeted genomic sequence analysis panel
• 81456 – targeted genomic sequence analysis panel, solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes
• 87468 – infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique
• 87469 – infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique
• 87478 – infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique
• 87484 – infectious agent detection by nucleic acid
• 87913 – infectious agent genotype analysis by nucleic acid
• 0285U – oncology, response to radiation
• 0287U – oncology (thyroid), DNA and mRNA
• 0288U – oncology (lung), mRNA, quantitative PCR analysis of 11 genes
• 2091U – psychiatry (mood disorders)
• 0292U – psychiatry (stress disorders)

Pathology CPT Modifiers

Modifiers are an important element in everyday medical billing practices. If modifiers are paired with the correct corresponding CPT codes, billing accuracy will improve and lower the chance of claim denials. Here are the recent updates for pathology modifiers in 2023:

• 26 – professional component
• 24 – surgery or postoperative visit
• 88304 – benign diagnosis
• 88305 – malignant
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

If your dialysis codes are incorrect, you could delay or even miss collections, reducing profits. Inaccuracy in billing could even trigger an audit. Make sure you’re up to date on the latest codes to maximize collections.

Dialysis CPT Code Ranges for 2023

Here are the updated dialysis CPT codes for 2023:

• 90935 – hemodialysis proedures
• 90945 – dialysis procedure other than hemodialysis
• 90951 – end-stage renal disease services
• 90989 – other dialysis procedures
• 90999 – unlisted dialysis procedure, inpatient or outpatient

Dialysis CPT Modifiers

These two modifiers are the updated CPT dialysis codes for 2023:

• 45 – end-stage renal disease
• 81 – hospital-based ERSD provider
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

If your orthopedic codes are not correct, you could be delaying collections, or even missing out on them completely. Staying informed about the latest codes and modifiers will help you maximize your collections and avoid delays.

Orthopedic CPT Code Ranges for 2023

The below includes the updated orthopedic CPT codes for 2023:

• 99140 – anesthesia
• 99201 – evaluation and management
• 69990 – surgical patients
• 79999 – radiology
• 80047 – pathology, labratory
• 90281 – medical
• 11760 – fixing nail beds
• 25215 – removal of proximal-row bones
• 64721 – carpal tunnel release
• 29848 – endoscopic carpal tunnel release

Orthopedic CPT Modifiers

These modifiers are the updated CPT orthopedic codes for 2023:

• -50 – bilateral methods
• -51 – multi-step process
• -52 – fewer services
• -58 – after-care surgery
• -59 – separate methodological service
• -73 – ASC operation halted
• -76 – repetition of service by the same doctor
• -78 – returning to the operating room for related service
• -79 – doctor performs unrelated service during healing process
• -TC – technical element
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

If your nephrology codes are inaccurate there, your claims could be delayed or even denied. This could cause you to miss out on collections or even flag you for an audit. Stay up-to-date on the most recent codes and modifiers.

Nephrology CPT Code Ranges for 2023

The following codes are the updated nephrology CPT codes in 2023:

• 50080 – PRQ nephrolithotomy < 2cm
• 50081 – PRQ nephrolithotomy > 2cm
• 50200 – renal biopsy PRQ trocar/needle
• 50230 – nephrectomy with open rib
• 50240 – nephrectomy partial
• 50250 – open ablation renal mass ultrasound
• 50360 – renal GFR w/out nephrectomy
• 50382 – removal and replacement of internally dwelling ureteral
• 50384 – removal indwelling ureteral
• 50390 – pelvis needle PRQ
• 50630 – ureterolithotomy lower one-third ureter

Nephrology CPT Modifiers

This CPT modifier is the updated ophthalmology codes for 2023:

• 95 – telehealth
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

If your ophthalmology clinic codes are not accurate, you could be missing out on collections. It’s essential to stay up-to-date on the latest codes and modifiers so your claims can be processed as quickly as possible.

Ophthalmology CPT Code Ranges for 2023

The following codes are the latest ophthalmology CPT codes in 2023:

• 66174 – canoloplasty
• 67311 – revise eye muscle, horizontal
• 67314 – revise eye muscle, vertical
• 67320 – revise eye muscle add-on
• 67332 – revise eye muscle add-on
• 67334 – revise eye muscle with suture
• 67350 – optic nerve decompression
• 92060 – orthoptic training
• 92136 – optical coherence biometry
• 92235 – fluoroescein angiography
• 92284 – dark adaptation exam
• 92287 – AS imaging with F

Ophthalmology CPT Modifiers

This CPT modifier is the updated ophthalmology codes for 2023:

• 52 – service performance reduced
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status