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Medical Coding in 2026 Undergoes Major Shifts in CPT Additions and ICD-10 Structural Rules
In 2026, medical coding saw two defining changes: the addition of 288 CPT/HCPCS codes that formalize billing for emerging AI and digital health services, and an April ICD-10-CM update that overhauled ...
On December 1, 2025, the Centers for Medicare & Medicaid Services (“CMS”) published its annual update to the Designated Health Services (DHS) code list (“DHS List”). A 30-day comment period for the ...
As of January 1, 2026, the medical coding landscape has undergone its most significant transformation in years, with the AMA releasing 418 CPT changes and CMS finalizing updated ICD-10-CM guidelines ...
The newsletter outlines key differences between off-the-shelf (OTS), custom fitted, and custom fabricated knee orthoses, which dictate HCPCS coding and billing for these items. Physician and ...
The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2025 Revisions to Payment Policies under the Physician Fee Schedule (MPFS) and Other Revisions to Medicare Part B ...
This study examines the inconsistencies in prior authorizations across major insurers to create a searchable spreadsheet for HCPCS codes.
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