Key Takeaways The 2027 maternity coding changes delete 17 CPT codes, including global codes 59400, 59510, 59610 and 59618, effective January 1, 2027. Maternity care...
Key Takeaways SDOH Z codes (Z55-Z65) can only ever be reported as secondary diagnoses, never as the principal or first-listed diagnosis, per official CDC/NCHS ICD-10-CM...
Key Takeaways Billing 90838 with 99215 is CPT-permitted when the E/M and psychotherapy services are separately documented, but payer reimbursement policy determines whether the add-on...
Key Takeaways RHTP provider payments are capped at 15% of a state’s total award per budget period under CMS’s Category B funding rules, a restriction...
Key Takeaways GLP-1s require prior authorization because the same drug can be covered or excluded depending on the diagnosis it’s prescribed for, not the drug...
