When CMS quietly updated the Medically Unlikely Edit (MUE) for CPT 64772 from two to six units for 2026, it didn’t make headlines, but it should have. This change isn’t simply a coding adjustment. It ...

Gloria Miller, CPC, CPMA, CPPM, former vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. shares which CPT codes to use. Q: What CPT codes and modifiers would be used ...

For years, debate around endoscopic spine surgery centered on whether the technique was ready for broad adoption. Questions about safety, durability, and outcomes dominated discussions among surgeons, ...

Value-focused patient care is transforming medical practice. As rising healthcare costs in the United States challenge the widely used fee-for-service architecture, innovative, patient-centered care ...

The first of November we welcomed the publication of the CY 2020 Medicare Physician Fee Schedule (PFS) Final Rule, which clarified coding rules around cognitive function intervention. The same week we ...

Do you generally refer to the appendix in your manuals, research materials, or other clinical practice guidelines? Perhaps when a question arises or context references you to the appendix, however not ...

The Medicare Administrative Contractor WPS just removed the CPT code 64568 from its list of approved billing codes, according to an update posted ...

In recent days, Inspire Medical Systems has been hit by Medicare contractors Noridian and CGS unexpectedly removing CPT code 64568 for hypoglossal nerve stimulation, forcing providers toward an ...