HCPCS “C” codes present another example. CMS reporting guidelines state that ASCs do not receive reimbursement for CPT add-on codes. However, the Medicare Complexity Adjustment allows ASCs to use a ...

Although knowing couples therapy CPT codes will help you negotiate insurance reimbursement, the real worth of treatment is found in its ability to improve your relationship.

One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—though that proposal has been withdrawn for now. Alex Shteynshlyuger ...

The AMA has released its CPT code set for 2023, highlighting changes that seek to relieve some administrative pressures for physicians. The code set, which is the United States’ “leading data ...

For example, a CPT code with a payment indicator of “0” means that the 150 percent payment adjustment for bilateral procedures does not apply. Prior to Jan. 1, 2010, CPT 58661 had a payment indicator ...

This Becker’s Podcast episode dives into updates to the Current Procedural Terminology (CPT) code set for 2025. Coding experts, Elaine Dunn and Jessica Edmiston from nimble solutions, a leading ...

The advocate for a plan to reimburse doctors for time spent on rigorous claims learned that six CPT codes already include language about prior auth.

Why the confusion? In 2018, CPT 97127 Cognitive Function Intervention was created to replace CPT 97532 (a 15-min cognitive treatment code). Initially CPT & AMA RUC HCPAC approved the new procedure.

Decoding 2025: How New CPT Codes Impact ASCs This Becker’s Podcast episode dives into updates to the Current Procedural Terminology (CPT) code set for 2025.