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Codapedia provides in-depth documentation, coding and billing information to ensure medical professionals are fairly paid and reimbursed for services.


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Latest articles

How to Search Find-A-Code for Medicare Policies and Guidelines — LCDs, NCDs and Articles —
November 18th, 2020 - Raquel Shumway
Help for Searching Find-A-Code when searching for Medicare Policies and Guidelines — LCDs, NCDs and/or Articles.
Cross-A-Code Instructions in Find-A-Code
November 18th, 2020 - Raquel Shumway
Cross-A-Codeis a toll found in Find-A-Code which helps you to locate codes in other code sets that help you when submitting a claim.
COVID Vaccine Codes Announced
November 11th, 2020 - Wyn Staheli, Director of Research
On November 10, 2020, the American Medical Association (AMA) announced the addition of two new codes which will be used for the new COVID-19 vaccines along with 4 new administration codes to be used when reporting the administration of these vaccines.
Are You Aware of the 2021 Star Rating System Updates?
November 5th, 2020 - Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
Each year the Centers for Medicare & Medicaid Services (CMS) publishes the Star Ratings System Updates for Medicare Advantage (Part C) and Medicare Prescription (Part D). This rating system was developed to help beneficiaries identify and select the health plans that best meet their needs, specifically addressing main issues:  Quality of ...
Special Needs Plans Help Beneficiaries and Risk Adjustment Reporting
October 22nd, 2020 - Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
It is no secret that Medicare and Medicaid are steadily moving towards their goal of value-based health care. Medicare Part C (Medicare Advantage) identifies and rewards payers, and subsequently their providers, for increasing the efficiency and quality of care they provide to Medicare...

Editors choice articles

Not Following the Rules Costs Chiropractor $5 Million
September 1st, 2020 - Wyn Staheli, Director of Research
Is COVID-19 Causing Risk Adjustment “Gotcha’s”?
August 27th, 2020 - Wyn Staheli, Director of Research
To do a complete exam - you must include the following:
August 26th, 2020 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Health Care Fraud - Don’t Do It!
July 31st, 2017 - Chris Woolstenhulme, CPC, CMRS
Pre-op visits: True or False?
December 29th, 2015 - Codapedia Editor

Latest questions/posts

If you know a procedure will be denied as cosmetic can an E/M be charged instead?
   Dec 1st, 2020 - sschwartz 4 

Elongated Toenails
   Nov 23rd, 2020 - sharris

Does National CPT Tracking exist?
1st    Nov 12th, 2020 - ShawnV

Bought out an Existing Practice
1st    Nov 5th, 2020 - SBerg

Nail Debridement vs Nail Trimming
   Nov 5th, 2020 - sharris

AT modifier use for spinal manipulation services
   Nov 2nd, 2020 - JBrooks 1 

GA modifier
1st    Sep 30th, 2020 - ACC

97110, 97530, 97012
1st    Sep 24th, 2020 - ChiroCasey

Manipulation Therapy & Habilitative/Rehabilitative Services
1st    Sep 22nd, 2020 - Coding&Thriving

99204
1st    Sep 18th, 2020 - smattiko

G-Codes
1st    Sep 8th, 2020 - MKramer

posterlateral fusion with inpatient stay
1st    Sep 4th, 2020 - Rambis

G0481
   Sep 3rd, 2020 - EXECD

Two modifiers
1st    Aug 21st, 2020 - sunshine1991

peer to peer
   Aug 13th, 2020 - trixiecane   

Open Thoracotomy
   Jul 13th, 2020 - rhblevins

99201, 99211 coding
1st    Jul 8th, 2020 - Coder132 2 

cpt 77002 professional componet with cpt 20610, who charges?
   Jul 2nd, 2020 - sschwartz 4 

ICD 10 code for displacement of cholecystostomy tube
   May 15th, 2020 - Susan

ICD 10 PCS code need for repair of skin of left elbow
1st    May 15th, 2020 - Susan

Cigna R24 Omnibus Reimbursement Policy - EXCEEDS LIMIT
1st    Apr 21st, 2020 - keith

covid 19
   Apr 2nd, 2020 - anitac

Fracture treatment and xrays
   Mar 26th, 2020 - rdinaso    12  1 

Billing with an "add on" code
1st    Mar 19th, 2020 - pattioconnor

Hospital Discharge Code 99239
   Mar 13th, 2020 - abbyakinleye 10 

LV Septal Pacing
   Feb 7th, 2020 - sharris

Medicare denying claims, reason CO-45
   Jan 29th, 2020 - phil.jen

CPT 99213 w/ 98941, 97110 or 97140 for Aetna
1st    Jan 22nd, 2020 - phil.jen

Billing patients/attorney with no insurance
1st    Jan 21st, 2020 - bells221

coding question
   Jan 13th, 2020 - nate0922 7 


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