Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
Procedure Spotlight: 3 Steps Help You Determine Whether Modifier 22 Is Merited
Tip: Clues in the op note can give you the boost you need.
Little-known fact: You can’t automatically code additional procedures when your surgeon documents an artery exploration and dissection during hand surgery. Dissection of a mass from an artery or nerve is included in the mass excision codes and is not separately reportable.
Check out the following op note, and then determine how you would code the claim before you review our experts’ advice below.
Preoperative diagnosis: Right wrist mass, ganglion cyst or aneurysm on the radial artery, and carpal tunnel syndrome.
Procedure overview: The surgeon performed...
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