CPT Guide
CPT Updates: How Annual CPT Changes Work and What Coders Should Check
How the AMA updates CPT each year, how Category I, II, III and PLA codes differ, and a practical checklist for implementing CPT changes on January 1.
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Medicare updates
5 articles tagged Medicare.
ICD-10-CM Coder Alert
Coder Alert: FY 2027 ICD-10-CM Code Set Takes Effect October 1, 2026
The FY 2027 ICD-10-CM code set applies to discharges and encounters from October 1, 2026. Industry summaries of the release report 190 new, 30 deleted and 4 revised codes.
Read moreCMS & Medicare What Changed?
FY 2027 IPPS/LTCH PPS Final Rule: What Changed?
CMS finalized the FY 2027 inpatient rule (CMS-1849-F), effective October 1, 2026. Here is what changed for hospital payment, MS-DRGs, and the new CJR-X model.
Read moreCompliance Guide
Medical Necessity Explained: NCDs, LCDs, ABNs and Documentation
What 'reasonable and necessary' means under Medicare, how NCDs and LCDs define coverage, when an ABN is required, and how coding and documentation support medical necessity.
Read moreCompliance Guide
NCCI Edits Explained: PTP Edits, MUEs and Modifiers
What the National Correct Coding Initiative does, how procedure-to-procedure edits and medically unlikely edits work, and when an NCCI-associated modifier is appropriate.
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