CPT Code 90832: Time, Billing & Reimbursement Guide
Behavioral health billing comes with its own set of rules, and CPT code 90832 sits right at the center of them. It is the code used to bill for 30-minute individual psychotherapy sessions. It appears daily in solo therapy practices, group mental health clinics, and primary care offices. It also appears on telehealth platforms. The […]
Ultimate Guide to Hyperlipidemia ICD-10 Codes
Hyperlipidemia is one of the most commonly diagnosed conditions in U.S. healthcare. It shows up across primary care, internal medicine, cardiology, endocrinology, and almost every annual wellness visit. The challenge for billing teams is that hyperlipidemia is not a single code. ICD-10 organizes it into the E78 family, with several subcodes that capture pure hypercholesterolemia, […]
ICD-10 Code for Depression: Complete Guide
Depression is one of the most common mental health conditions in U.S. healthcare. It appears on claims every day across many specialties. These include primary care, behavioral health, OB-GYN, internal medicine, and others. The challenge is that depression is not a single code. ICD-10 breaks it into a family of options based on type, severity, […]
Modifier 25 Explained: Definition, Examples, CPT Usage Guidelines
If you handle billing in a busy U.S. practice, you know Modifier 25 is one of the most used codes. Also, it is one of the most misused in the revenue cycle. If you use it correctly, it helps your practice collect payment for extra work. This applies when a provider performs a separate E/M […]
UTI ICD 10 Guide: Symptoms, Billing Rules and Codes
A urinary tract infection may seem simple, but ICD-10 coding details can get confusing fast. A note that says “UTI” may point to N39.0. In contrast, a note that clearly documents cystitis, urethritis, or pyelonephritis may need a different coding path. The same applies to pregnancy, catheter use, or a personal history of UTI. That’s […]
CPT Code 99204: Billing Guidelines and Best Practices
CPT code 99204 is one of the most important new-patient office visit codes in outpatient billing. Still, it is also among the easiest to misunderstand. Many claim errors happen because a practice knows the visit felt detailed and time-intensive. Yet, the record does not clearly support the level billed. In other cases, teams confuse old […]
Modifier 95 Ultimate Guide: Description, Usage & Examples
Telehealth billing sounds simple until the payer denies a claim for the wrong modifier. They may also deny it for the wrong place of service. Or incorrect payer rule assumptions may cause a denial. That is exactly why modifier 95 causes so much confusion. Many practices know a visit happened virtually. But they are less […]
CPT Code 99213: A Complete Billing Guide
CPT code 99213 is a common office visit code in outpatient billing. But it is also one of the most misunderstood. Many denials, downcoding issues, and internal billing questions start the same way. A practice knows the patient came in for a follow-up visit. But the chart does not clearly support the billed level. That […]
Understanding CPT Code 99214 Billing and Documentation
Many claim issues around office visits do not occur because the practice never saw the patient. They happen when someone selects the visit level too quickly, documents it too loosely, or backs it with notes that do not match the work performed. That is why the 99214 CPT code gets so much attention. Common, useful, […]
