99222 CPT Code: Initial Inpatient and Observation Care Guide
The 99222 CPT code reports initial hospital inpatient or observation care, billed once per day, for a patient who needs moderate medical decision making. Time can set the level instead: the encounter then needs at least 55 minutes of qualifying time on the date of service. A medically appropriate history and exam belong in the […]
CPT Code 99233: Complete 2026 Guide for Providers and Billing Teams
CPT code 99233 reports subsequent hospital inpatient or observation care, the highest level in the 99231 through 99233 family. Providers select it through high medical decision making or at least 50 minutes of qualifying total time on the date of the encounter. History and exam volume don’t determine the level. Medical necessity and documentation have […]
CPT Code 27447: Complete 2026 Total Knee Arthroplasty Billing Guide
CPT code 27447 reports primary total knee arthroplasty, the replacement of the medial and lateral compartments of the knee, with or without patella resurfacing. It shouldn’t be used for a unicompartmental replacement or for revision of an existing knee prosthesis. Correct payment depends on documentation, diagnosis linkage, site of service, payer rules, and accurate modifier […]
Memory Loss ICD-10 Code R41.3: 2026 Billing, Documentation and Denial Prevention Guide
Quick answerThe ICD-10-CM code commonly used for unspecified memory loss is R41.3, Other amnesia. R41.3 includes memory loss NOS and amnesia NOS when the provider has not documented a more specific diagnosis such as mild cognitive impairment, dementia, transient global amnesia, dissociative amnesia, or memory disturbance due to a known physiological condition. That’s the short […]
CPT Code 92507 Billing Guide 2026: Modifiers, Reimbursement, Denials, and 2027 Changes
Quick answerCPT code 92507 covers individual speech-language pathology treatment for speech, language, voice, communication, and auditory processing disorders. Speech-language pathologists bill it for one-on-one sessions. As of 2026, it’s an untimed code, generally reported once per session rather than in 15-minute units.ASHA reports that CPT code 92507 will be deleted effective January 1, 2027, and […]
CPT 99490 Billing Guide 2026: CCM Rules, Reimbursement, Denials, and RCM Workflow
CPT 99490 Quick Answer for Healthcare Providers Quick answerCPT 99490 is the Medicare chronic care management billing code for the first 20 minutes of non-face-to-face CCM services in a calendar month. It applies to patients with two or more chronic conditions when clinical staff time, consent, a care plan, and monthly documentation support the claim. […]
The AUC Requirement Everyone Cites for CPT Code 71250 Was Paused in 2024: What Actually Governs CT Chest Billing in 2026
Why the Correct Code Depends on Contrast, Not on What Was Ordered CPT code 71250 billing content across the field treats consulting a Clinical Decision Support Mechanism as a live compliance requirement with real payment consequences. It isn’t. CMS paused the entire Appropriate Use Criteria program and rescinded its own implementing regulation, 42 CFR 414.94, […]
CPT Code 88305 Bills Per Specimen, Not Per Slide: The 2026 Guide to Units, the G0416 Exception, and the Right Modifier
The One Rule That Governs Every 88305 Claim CPT code 88305 is billed once per separately accessioned specimen, not once per tissue block and not once per microscope slide. A single container that produces six slides during processing still counts as one unit. Three skin lesions submitted in three separate containers, from one patient on […]
CBC CPT Code 85025 vs 85027: The Coding Error CMS Has Caught Running in Both Directions
The CBC CPT Code You Bill Depends on What Was Performed The CBC CPT code you bill depends on the specific panel performed, whether a differential was run, and whether that differential was automated or manual. No single code fits every CBC, which is exactly where billing errors start. This isn’t a theoretical risk. Two […]
Psychotherapy CPT Codes 2026: Time Rules, Rates, Modifiers
How Psychotherapy CPT Codes Work: Two Decisions, Every Session Psychotherapy CPT codes report mental health services to payers, and they’re primarily divided by session duration and whether the service is performed as a standalone therapy session or alongside an E/M service. Those two decisions set the code on every claim you submit. The first decision […]