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99459 CPT Code: 2026 Pelvic Exam Add-On Billing Guide, Rates, and Payer Rules

99459 CPT code 2026 hero banner: pelvic examination add-on billed only with eligible E/M and preventive visits, Medicare national rate of $17.37 down from about $22 in 2025, payer rules from Cigna and EmblemHealth bundling it, and no pairing with G0101 or Q0091, from ClaimMax RCM.

The 99459 CPT code is an add-on code for the practice expense of a pelvic examination performed during an office visit, office consultation, or preventive visit. It carries zero work RVUs, can’t be billed alone, and pays $17.37 nationally under the 2026 Medicare Physician Fee Schedule. Payment on 99459 comes down to three checks. Your […]

CPT Code 12002: 2026 Billing Guide for Simple Wound Repair (2.6 to 7.5 cm)

CPT code 12002 2026 hero banner: simple wound repair of 2.6 to 7.5 cm, 000-day Medicare global period replacing the old 10-day rule, lengths added by site group, and 2026 national rates of $139.28 office and $57.45 facility, from ClaimMax RCM.

Table of Contents CPT code 12002 reports a simple repair of superficial wounds totaling 2.6 cm to 7.5 cm on the scalp, neck, axillae, external genitalia, trunk, or extremities, including hands and feet. Medicare gives it a 000 (zero-day) global period, not 10 days, and the 2026 national rate is $139.28 in an office and […]

99344 CPT Code: 2026 Billing Guide for Moderate-Complexity New Patient Home Visits

99344 CPT code 2026 hero banner: new patient home visit at moderate MDM or 60 minutes, Medicare national rate of $146.63 against $78.83 for 99342, G2211 add-on payable since January 1, 2026, and 99343 deleted, from ClaimMax RCM.

The 99344 CPT code reports a home or residence evaluation and management (E/M) visit for a new patient. A visit qualifies with moderate medical decision making (MDM) or at least 60 minutes of total time on the date of the encounter, with travel excluded. Medicare doesn’t require the patient to be homebound. CPT 99344 is […]