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

To get the most out of medical billing claims, accuracy is important. Codes and their modifiers may change, so it’s essential for mental health specialists to ensure that they’re using the most up-to-date codes to improve accuracy and maximize their collections.

Mental Health Code Ranges for 2023

These are the updated CPT codes for mental health practices in 2023:

• 90832 – psychotherapy, 30 minutes
• 90834 – psychotherapy, 45 minutes
• 90837 – psychotherapy, 60 minutes
• 90846 – family or couples psychotherapy, without patient present
• 90847 – family or couples psychotherapy, with patient present
• 90853 – group psychotherapy, not family
• 90791 – psychiatric diagnostic evaluation without medical services
• 90792 – psychiatric diagnostic evaluation with medical services
• 90865 – narcosynthesis
• 90867 – therapeutic transcranial magnetic stimulation, initial
• 90868 – therapeutic transcranial magnetic stimulation, subsequent
• 90870 – electroconvulsive therapy
• 90880 – hynotherapy
• 90882 – environmental manupulation
• 90885 – psychiatric evaluation of records
• 90887 – explanation to family
• 90889 – preparation of psychiatric report
• 90889 – unlisted psychiatric service or procedure
• 90901 – biofeedback training by any modality
• 90911 – EMG/manometry/biofeedback training
• 99201 – new patient office visit, 10 minutes
• 99202 – new patient office visit, 20 minutes
• 99203 – new patient office visit, 30 minutes
• 99204 – new patient office visit, 45 minutes
• 99205 – new patient office visit, 60 minutes
• 99211 – established patients, 5 minutes
• 99212 – established patients, 10 minutes
• 99213 – established patients, 15 minutes
• 99214 – established patients, 25 minutes
• 99215 – established patients, 40 minutes
• 99443 – telephone therapy, limit 3 hours

Mental Health Modifiers

Using modifiers makes CPT codes more accurate so collections from claims are able to increase.

• 95 – synchronous telehealth services
• GT – Medicare synchronous telehealth services
• AJ – licensed clinical social worker
• HJ – employee assistance program visits
• HE – mental health program
• HP – psychologist or doctorate level
• HN – bachelors degree level
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Accuracy in the medical billing world is essential, since if a family medical practice has inaccurate claims, they could be denied. Billing accuracy not only eliminates the risk of delays and denials but also increases the claims a family practice is able to collect.

Family Practice CPT Code Ranges in 2023

Understand the family practice 2023 CPT code changes or updates:

• 99213 – stable chronic condition meeting, 15 minutes
• 99391 – established patient preventative visit, age less than 1
• 99392 – established patient preventative visit, ages 1-4
• 99393 – established patient preventative visit, ages 5-11
• 99394 – established patient preventative visit, ages 12-17
• 99395 – established patient preventative visit, ages 18-39
• 99396 – established patient preventative visit, ages 40-64
• 99397 – established patient preventative visit, ages 65 and over
• 99381 – new patient preventative visit, age less than 1
• 99382 – new patient preventative visit, ages 1-4
• 99383 – new patient preventative visit, ages 5-11
• 99384 – new patient preventative visit, ages 12-17
• 99385 – new patient preventative visit, ages 18-39
• 99386 – new patient preventative visit, ages 40-64
• 99387 – new patient preventative visit, ages 65 and over
• 36415 – blood draw venipuncture
• 80061 – lipid panel blood test
• 80048 – basic metabolic panel blood test
• 83036 – hemoglobin A1C

Family Practice Modifiers

Uses modifiers can improve accuracy in medical billing. When a claim is more accurate, claim denials will not end up occurring. These are the updated 2023 family practice modifiers.

• 27 – multiple same-date outpatient services
• 59 – distinct procedural service
• 91 – repeat lab tests
• XE – separate encounter
• XP – separate practitioner
• XS – separate structure
• XU – separate service
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Medical practice billing and accuracy is important. If your urology practice’s codes are not accurate, claims could be delayed or even denied. The more accurate your codes, the more collections you can receive.

Urology CPT Code Ranges in 2023

See the urology CPT code updates for 2023:

• 50080 – percutaneous nephrolithotomy, up to 2 cm stone in kidney or renal pelvis
• 50081 – percutaneous nephrolithotomy, larger than 2 cm stone in kidney or renal pelvis
• 55821 – prostatectomy, suprapubic subtotal
• 55831 – prostatectomy, retropubic subtotal
• 55866 – radical prostatectomy, laparoscopic
• 55867 – simple subtotal prostatectomy, laparoscopic
• 50010 – renal exploration
• 51784 – 26 EMG
• 54240 – (TC) plethysmography
• 51741 – (TC) uroflow
• 51736 – (TC) CMG

Urology Modifiers

In medical billing, using modifiers alongside the original CPT code improves accuracy. The more accurate a claim is, the less likely there will be claim denials. Below are the recent additions to the list of modifiers for urology departments:

• -25 – separately identifiable E/M service by the same physician
• 95 – telehealth service
• 93 – synchronous telehealth service
• JW – drug discarded, not administered to any patient
• JZ – no amount of drug is discarded
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

To run an infusion center, it’s essential that billing is accurate. To do this, processing claims should involve selecting the right infusion CPT codes and modifiers. Medical practices can collect more if the claim is more accurate.

Infusion CPT Code Ranges in 2023

Here are the updated CPT codes for infusion services for 2023:

• 96360 – hydration and therapeutic or diagnostic injections and infusions of non-chemotherapeutic drugs
• 96401 – administration of chemotherapy or other highly complex drug or biologic agents
• 93568 – injection procedure during cardiac catheterization
• 96372 – diagnostic injection
• 96365 -intravenous infusion
• 96366 -each additional infusion hour
• 96367 -an additional sequential infusion of a new drug up to one hour
• 96373 -intra-arterial infusions
• 96374 -intravenous push, single or initial substance
• 96360 -hydration intravenous infusion, up to one hour
• 96361 -each additional hour

Infusion Modifiers

Adding modifiers can improve the overall accuracy of billing. Doing this reduces any risk of claim denials. The following below is the recent addition to the list of infusion modifiers:

• 59 – injection is a separate service from other treatments
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Accuracy is important in medical billing in order to get the most out of claims. Modifiers and codes can change, so it’s vital for psychiatry specialists to ensure they’re using the latest to improve accuracy and maximize collections.

Psychiatry Code Ranges for 2023

The following are updated CPT codes for psychiatry in 2023:

• 90791 – psychiatric diagnostic evaluation without medical services
• 90792 – psychiatric diagnostic evaluation with medical services
• 90865 – narcosynthesis
• 90867 – therapeutic transcranial magnetic stimulation, initial
• 90868 – therapeutic transcranial magnetic stimulation, subsequent
• 90870 – electroconvulsive therapy
• 90880 – hynotherapy
• 90882 – environmental manupulation
• 90885 – psychiatric evaluation of records
• 90887 – explanation to family
• 90889 – preparation of psychiatric report
• 90889 – unlisted psychiatric service or procedure
• 90901 – biofeedback training by any modality
• 90911 – EMG/manometry/biofeedback training
• 99201 – new patient office visit, 10 minutes
• 99202 – new patient office visit, 20 minutes
• 99203 – new patient office visit, 30 minutes
• 99204 – new patient office visit, 45 minutes
• 99205 – new patient office visit, 60 minutes
• 99211 – established patients, 5 minutes
• 99212 – established patients, 10 minutes
• 99213 – established patients, 15 minutes
• 99214 – established patients, 25 minutes
• 99215 – established patients, 40 minutes
• 99443 – telephone therapy, limit 3 hours

Psychiatry Modifiers

Use modifiers to make codes more accurate and specific in order to increase collections from claims.

• AF – indicates a psychiatrist licensed professional

Learn more in our Psychiatry medical billing services.