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If you’ve spent any time in outpatient care — family medicine, pediatrics, internal medicine, psychiatry, you name it. Every clinician wrestles with this question, especially when the visit isn’t straightforward but not exactly complex either. Get it wrong, and you either leave money on the table or risk audits, recoupments, and those unwanted payer love […]

CPT 88305 – Quick Summary CPT 88305 is used for surgical pathology, Level IV, and applies when a pathologist performs both a gross examination and a microscopic examination on specific tissue specimens. The code is billed per specimen, not per slide, jar contents, or number of tissue fragments. Common specimens include skin biopsies, gastrointestinal biopsies, […]

Accurate medical coding is the backbone of proper reimbursement and regulatory compliance in healthcare.  Among the numerous codes in the Current Procedural Terminology (CPT) system, CPT 43239 stands out as a frequently used code for gastrointestinal procedures.  In this comprehensive guide, we’ll break down everything you need to know about coding for esophagogastroduodenoscopy (EGD) with […]

There are a handful of CPT codes that every mental health provider must understand on Day 1, and 90791 sits at the very top of that list. It’s the code you use when a patient first walks through your door and says, “Something’s wrong, and I need help.” Think of it as the foundation of […]

Mental health billing can be tricky, especially when it comes to couples therapy and family counseling sessions. If you’ve ever asked, “Can I bill insurance for couples therapy?” or “What’s the difference between CPT 90847 and 90846?”, you’re not alone. CPT codes 90847 and 90846 are the go-to billing codes for family psychotherapy, but they […]

If you’ve ever run a therapy practice — or even one solo office with a tight schedule and too many patients — you already know the love–hate relationship clinicians have with CPT 90837. On one hand, it reflects a full, meaningful therapy hour. On the other hand, it attracts payer scrutiny like a magnet. Therapists […]

If you’re stepping into mental health care — whether as a psychiatrist, psychologist, therapist, counselor, or running a group practice — one of the first (and most important) hurdles you’ll face is credentialing. It’s the gate you must walk through to get recognized by insurance companies, join their networks, and start seeing clients who want […]

Every day, healthcare providers deliver care in different settings—sometimes in a private office or a hospital outpatient center. But when it comes to getting paid for those services, the difference between these places isn’t just physical—it’s found in two small numbers on a claim: POS 11 and POS 22. These two-digit Place of Service (POS) […]