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Process for CPT category III T codes

December 23, 2025
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.

Medicare coverage of driveline kits for ventricular assist devices (VADs)

January 14, 2026
Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage of driveline kits and to avoid delays when billing VAD supplies.

Avoiding MSP claim rejects

January 19, 2026
Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP eligibility and avoiding MSP claim rejects.

Use of JW and JZ Modifiers when Billing for Separately Payable Incident-to Supplies

January 30, 2026
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar year (CY) 2026 final rule. This article describes the changes.

Method II critical access hospital: Professional billing requirements for emergency department services

January 30, 2026
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04, chapter 4, section 250.18.

Long term care facility prospective payment system standard versus site neutral payment

February 9, 2026
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH) patients. This article provides those details.

End-stage renal disease (ESRD) billing requirements

February 12, 2026
Read the following article for the most common billing requirements for end-stage renal disease related services.

Multiple procedure payment reduction on the professional component and technical component of certain diagnostic imaging procedures

February 16, 2026
The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the same session on the same day. Find out the details here.

Long-term care hospital (LTCH) interim billing guidelines

February 16, 2026
Read these interim billing guidelines for long-term care hospitals.

Modifier 62 fact sheet

February 18, 2026
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session. When billing a procedure with modifier 62, documentation of the medical necessity for two surgeons may be required…
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