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Coding and documentation blog
CPT, HCPCS, modifiers and the note that has to support them.
9 posts, newest first, from the Remitwright medical billing blog. Each one works through a hypothetical example and lists its sources.
Posts in Coding and documentation
- Coding and documentationThe October 1 ICD-10 update: a billing workflow for the first 60 daysFY 2027 ICD-10-CM codes apply to encounters from October 1, 2026. A billing workflow that keeps retired codes off claims and catches late payer edits.Updated Read
- Coding and documentationThe 2026 KX modifier threshold: $2,480, the $3,000 review line and the note that supports bothThe 2026 KX modifier threshold for PT and SLP combined, the separate OT threshold and the targeted medical review line. When to add KX and what to chart.Updated Read
- Coding and documentationThe 2026 efficiency adjustment: which codes took the 2.5% work RVU cut, and which did notThe 2026 Medicare efficiency adjustment cut work RVUs for most procedures but spared time-based codes like E/M and care management. Who gained, who lost.Updated Read
- Coding and documentationNCCI edits changed on October 1, 2026: how to check your top code pairsNCCI PTP edits v323r0 and new MUE values took effect on October 1, 2026. How to run your busiest code pairs against the new files before denials arrive.Updated Read
- Coding and documentationSkin substitute billing in 2026: one payment rate, incident-to rules and WISeR prior authorizationSkin substitute billing in 2026: Medicare pays them as incident-to supplies priced per square centimeter, and the WISeR states add prior authorization.Updated Read
- Coding and documentationBilling G2211 with an annual wellness visit or preventive serviceMedicare pays the G2211 add-on when an office E/M is billed on the same day as an annual wellness visit or preventive service. How to bill and document it.Updated Read
- Coding and documentationMedicare telehealth billing through 2027: place of service, modifiers and what ends in 2028Medicare telehealth flexibilities run to December 31, 2027. The POS codes, modifiers and practitioner rules until then, and what changes in 2028.Updated Read
- Coding and documentationModifier 25 vs modifier 59: when each applies, and what NCCI expects you to proveModifier 25 vs modifier 59: one defends a separate visit on the day of a procedure, the other a distinct second procedure. How NCCI edits decide.Updated Read
- Coding and documentationWhen a payer downcodes your E/M level: Cigna's R49 and how to respondCigna's policy R49 reviews 99204-99205, 99214-99215 and 99244-99245 and can pay one level lower. What the policy says, and how to document and dispute.Read