Why was the creation of a new audio-only modifier necessary? Several reasons: data collection, policy implementation, health care equity, widespread need, and service specificity. Prior to the ...

Medical billing and medical coding are crucial aspects of the medical revenue landscape. Both jobs ensure health care providers get paid for their services. Medical coders read the providers’ ...

Accurate medical coding isn’t just about compliance—it’s the key to faster reimbursements, fewer denials, and stronger revenue flow. From CPT and ICD updates to strategic modifier use, skilled coders ...

Modifier -73 — CPT guidelines state that the physician may cancel a surgical or diagnostic procedure subsequent to the patient’s surgical preparation (including sedation when provided, and being taken ...

Workforce shortages, regulatory complexities and economic challenges have put hospitals and health systems under immense pressure to improve operational efficiency, accelerate payments and reduce ...

The 2026 ICD-10-CM and CPT updates bring hundreds of new, revised, and deleted codes, plus tighter rules for modifier use. These changes impact reimbursement, compliance, and claim accuracy, making ...

Jessica Edmiston is manager, coding, for National Medical Billing Services. Q: Concerning screening colonoscopies, our ambulatory surgery center is having no problem using the -PT modifier for ...