Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully ...
Emergency medicine (EM) has always been subject to payer scrutiny, but today’s reimbursement pressure is different: it is ...
A new study from researchers at the Mount Sinai Health System suggests that a simple tweak to how artificial intelligence (AI) assigns diagnostic codes could significantly improve accuracy, even ...
In a recent study posted to the medRxiv* preprint server, researchers evaluated the use of U09.9, an International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code ...
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CMS adds 80 new ICD-10-PCS codes for April 2026
The Centers for Medicare & Medicaid Services has released 80 new ICD-10-PCS procedure codes effective April 1, 2026, along with updated coding guidelines. The revisions include clarified rules for HIV ...
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Medical Coding in 2026 Undergoes Major Shifts in CPT Additions and ICD-10 Structural Rules
In 2026, medical coding saw two defining changes: the addition of 288 CPT/HCPCS codes that formalize billing for emerging AI and digital health services, and an April ICD-10-CM update that overhauled ...
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