Coding

As CDI efforts continue to expand in the outpatient setting, review strategies to ensure medical necessity is properly documented.

Our experts answer questions about coding autologous skin cell transplants, prescription drug management, and limited and extensive debridement.

Physicians and other qualified healthcare professionals have the flexibility to select an evaluation and management level based on either the complexity of medical decision-making or the total time spent on the date of the encounter. This article covers documenting E/M services based on time.   

A recent case centered on the misuse of evaluation and management (E/M) codes in emergency department billing offers valuable insights for HIM professionals.

See how advances in genetic disease research are reflected in new 2025 ICD-10-CM codes.

Analyze the clinical, diagnostic, and coding challenges associated with documenting substance use, abuse, and dependence.

Analyze how coding impacts preregistration, scheduling, coverage approvals, case management, and other revenue cycle functions.

Patients diagnosed with a malignant neoplasm, commonly known as cancer, are now living longer due to better treatments. In 2025, there are 47 new ICD-10-CM codes to be used to report lymphoma in remission. This article broadly reviews those new codes.

CMS finalized its proposal to relax restrictions on complexity of care add-on HCPCS code G2211. The changes come in response to stakeholder concerns that the current CMS policy is disruptive to the way providers normally treat patients. This article covers how to prepare for this update.