Small Patients, Big Challenges: Using Modifier 63

Small Patients, Big Challenges: Using Modifier 63

This article delves into modifier 63, a key piece for dealing with the smallest patients, infants weighing less than 4 kg.  Modifier 63 addresses the additional time, complexities, and challenges of treating infants under 4kg or about 8.8 pounds.  To put this in...
2023 Hernia Repair Code Changes

2023 Hernia Repair Code Changes

What is Hernia? Hernia is when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. There are several types of hernia including inguinal (inner groin), incisional (resulting from an incision), femoral (outer...
Keeping An Eye On Vabysmo

Keeping An Eye On Vabysmo

What is Vabysmo? According to the manufacturer (Genentech), VABYSMO (faricimab-svoa) is a prescription medicine given by injection into the eye, used to treat adults with Neovascular (Wet) Age-related Macular Degeneration (AMD or nAMD) and Diabetic Macular Edema...
Suvorexant and Opioid Withdrawal

Suvorexant and Opioid Withdrawal

The Opioid epidemic continues to plague many individuals resulting in overdoses and in some cases death. According to the CDC, in 2020 almost 75% of drug overdoses were attributed to or involved an opioid. Opioid death rates  (which included individuals prescribed and...
Hospital Observation Codes in 2023 – Gone!

Hospital Observation Codes in 2023 – Gone!

Prior to the 2023 Current Procedural Terminology (CPT) code set, there were several codes specifically used for hospital observation services[1]: CPT 99217 (Observation discharge) 99218-99220 (initial observation care) 99224-99226 (subsequent observation care) All of...