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CPT code 99349: The 2026 billing guide for home and residence visits

CPT code 99349 home and residence visit billing 2026 hero banner: Medicare paying the G2211 add-on with home visit codes since January 1, 2026 at a $17.37 national rate, modifier 25 blocking G2211 unless an annual wellness visit, vaccine, or preventive service bills the same day, moderate MDM or 40 minutes of total time with 60 minutes moving the visit to 99350, place of service codes 12, 13, 14, 33, and 55, no homebound requirement but a documented reason for the home setting, and the rendering NPI matching the practitioner who performed the visit, from ClaimMax RCM.

CPT code 99349 is the evaluation and management (E/M) code for a home or residence visit with an established patient. The visit needs moderate medical decision making (MDM) or at least 40 minutes of total time on the date of the encounter. Either one qualifies. Two things changed for this code heading into 2026. Medicare […]

CPT Code 73130: 2026 Hand X-Ray Billing, Modifiers, and Rates

CPT code 73130 hand X-ray billing 2026 hero banner: a three-view hand series already imaging the fingers so a same-day 73140 bundles under NCCI and pays only on the opposite hand with RT and LT, two views billing as 73120 rather than 73130-52, modifier 26 on a global claim leaving the $29.39 technical payment unbilled, bilateral indicator 3 paying each hand at 100 percent for $76.16 across both, and the 2026 Medicare national rate of $38.08 with technical cuts of 20 percent for film and 10 percent for computed radiography, from ClaimMax RCM.

CPT code 73130 reports a radiologic examination of the hand with at least three views. The standard series is posteroanterior (PA), oblique, and lateral. Code from the views in the signed radiology report, not the views on the order. Two views bill 73120. Billers and practice managers can use this page as a desk reference. […]

CPT Code 74160: CT Abdomen With Contrast Billing Guide for 2026

CPT code 74160 CT abdomen with contrast billing 2026 hero banner: oral or rectal contrast alone coding as 74150 because only intravascular contrast qualifies as with contrast, the roughly $94 gap between 74160 at $230.13 and 74150 at $136.28 in 2026 Medicare national global rates, the combined abdomen and pelvis codes 74176 through 74178 replacing 74160 whenever the pelvis is read in the same session, 74170 requiring a diagnostic noncontrast series rather than bolus-tracking slices, and the 15 percent modifier CT technical-component cut for scanners failing NEMA XR-29, from ClaimMax RCM.

CPT code 74160 reports a CT scan of the abdomen with contrast when the session includes no pelvic imaging. For coding, contrast means intravascular contrast, the IV injection on an abdomen CT. Oral or rectal contrast alone doesn’t qualify, so those studies stay at 74150. Add the pelvis with contrast and you’ll bill 74177. If […]