The new outpatient CPT modifier 33 is the “most noteworthy” change in CMS’ Outpatient Code Editor Version 12.1, effective April 4, according to an AAPC report. Modifier 33 Preventive services is ...

After years of advocating for a better coding system, ACOG said the AMA is replacing bundled global obstetric CPT codes ...

Orthopedic medical billing in 2026 faces significant shifts, with new CPT, ICD-10, and telehealth rules, plus tighter prior authorization requirements. Coders and billers must adapt quickly to prevent ...

Technically there is no surgery, so therefore there is no decision for surgery and the 57 modifier is not applicable.” (Note, some payors may want the 57 modifier based on the diagnosis) If there are ...

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