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Coding Behavioral Health Integration: CoCM 99492 to 99494 and 99484 Done Right
Collaborative care and general behavioral health integration pay for work most primary care practices already do badly for free. Here are the code requirements, the time thresholds, the documentation that survives an audit, and the mistakes that get these claims denied.
FY 2026 ICD-10-CM: 487 New Codes Arrive October 1. Here Is How to Prepare Now
CMS and the CDC have posted the fiscal year 2026 ICD-10-CM files: 487 new codes, 28 deletions and 38 revisions, effective October 1, 2025. Here is what is in the update for office-based practices, which specialties are most affected, and a June-to-October preparation plan that avoids the first-week rejection spike.
April 1, 2025 ICD-10-CM Update: No New Codes, One Guideline Change That Matters
The April 1, 2025 ICD-10-CM update adds no new diagnosis codes, but it changes how a confirmed COVID-19 diagnosis is coded and quietly edits the index and tabular list. Here is what changed, who it affects, and how to run a mid-year code update without breaking claims.
Documenting Medical Necessity for Imaging Orders So the Claim Survives Review
Advanced imaging is denied for missing necessity more often than for missing authorization, and the order is usually where it fails. Here is what a reviewer looks for in the note, the ICD-10-CM specificity that matters, a before-and-after note, and a table of the elements by study type.
Coding G2211 and the New APCM Codes G0556 to G0558 Correctly Before January 1
Two Medicare codes will decide a lot of primary care revenue in 2025: the G2211 complexity add-on, with its new modifier 25 exception, and the monthly Advanced Primary Care Management codes G0556 to G0558. Here are the rules, the documentation, worked examples and the combinations that deny.
AMA Releases CPT 2025: 17 New Telemedicine Codes to Load Before January 1
The CPT 2025 code set is out with 270 new codes, 112 deletions and 38 revisions effective January 1, 2025. The headline is a new telemedicine E/M family, 98000 to 98016, and the deletion of the telephone codes 99441 to 99443. Here is what changes, what payers have not said yet, and the setup work for the fall.
FY2025 ICD-10-CM Update: 252 New Codes to Prepare for Before October 1, 2024
CMS posted the FY2025 ICD-10-CM code set on July 3: 252 new codes, 36 deletions and 13 revisions, effective for dates of service on or after October 1, 2024. Here is what is in it for office practices, and the ten-week plan for updating templates, superbills, scrubber edits and staff before the switch.
G2211 Is Payable From January 1, 2024: How to Document the Add-On
After a three-year delay, Medicare now pays the G2211 add-on with office and outpatient E/M visits. Here is who qualifies, when the code is not payable, what the note needs to show, and how to set up your billing system so it goes out on the right claims.
ICD-10-CM FY 2024 Is in Effect: 395 New Codes and the SDOH Additions to Know
The FY 2024 ICD-10-CM update took effect October 1, 2023, with 395 new codes, 25 deletions and 13 revisions. Nearly half the additions are external cause codes, and the social determinants of health codes grew again. Here is what changes for office coding and how to check the first two weeks of claims.
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