GT vs 95 Modifier: Which Telehealth Modifier To Use?

Telehealth is now a permanent part of U.S. healthcare delivery, but one small detail still trips up billing teams every day: which modifier goes on the claim. GT or 95? Both describe a live video visit. Both have been used for years. And picking the wrong one for the wrong payer produces the same result […]
90846 CPT Code: Family Therapy Time Range And Billing

Most psychotherapy codes are easy to picture: a clinician and a patient in a room, or on a video call, working through treatment. CPT code 90846 breaks that picture. It covers family psychotherapy without the patient present, which means the identified patient is not in the session at all. Yet, the claim is still billed […]
ICD-10 Code For BPH: Complete Billing Guide

Benign prostatic hyperplasia, commonly abbreviated as BPH, is one of the most frequently documented urology and primary care diagnoses in U.S. healthcare. It affects many men over 50. It appears daily in urology, internal medicine, family medicine, and geriatric practices. The challenge for billing teams is that BPH coding looks simple at first glance, but […]
CPT Code 90834: Time Range and Reimbursement Guide

If there is one CPT code that runs the U.S. behavioral health revenue cycle, it is 90834. It is the standard 45-minute individual psychotherapy code, used in private practice, community mental health, telehealth platforms, and integrated behavioral health programs every single day. That high volume is also what makes 90834 a code worth understanding deeply. […]
Dysphagia ICD 10 Codes: Complete Coding And Billing Guide

Dysphagia, the medical term for difficulty swallowing, **appears** across a surprising number of U.S. healthcare settings. Primary care, gastroenterology, neurology, ENT, oncology, geriatrics, speech-language pathology, and rehab document it every day. The challenge for billing teams is that ICD-10-CM treats dysphagia as a family of phase-specific codes, not a single label. Choosing the wrong code, […]
Left Knee Pain ICD-10: Best Coding And Billing Guide

Left knee pain appears on charts every day in primary care, sports medicine, orthopedics, physical therapy, and pain management. The clinical picture is familiar, but the coding side is where billing teams quietly lose money. Laterality errors, missing visit details, and using unspecified codes are easy ways to trigger denials for knee pain claims. This […]
Right Knee Pain ICD-10: Best Coding And Billing Guide

Knee pain is an extremely common complaint in U.S. primary care clinics. This is also common in orthopedic, sports medicine, physical therapy, and pain management clinics. It drives more than 20 million outpatient visits a year. The challenge for billing teams is that the ICD-10-CM system does not treat knee pain as one code. It […]
Major Depressive Disorder ICD 10 Codes and Billing Guide

Major Depressive Disorder, or MDD, is one of the most frequently billed mental health diagnoses in U.S. healthcare. It appears in primary care, behavioral health, psychiatry, OB-GYN, and integrated care settings every single day. The catch is that MDD is not a single ICD-10 code. It is a structured set of F32 and F33 codes. […]
CPT Code 90837: Complete Billing Guide

Mental health sessions tend to run longer than most outpatient encounters, and the billing code attached to those sessions matters more than many practices realize. CPT 90837 is the workhorse for extended individual psychotherapy, yet it remains one of the most misunderstood and most frequently audited codes in behavioral health billing. This guide breaks down […]