Laboratory Question for the Week of December 29, 2025
Bryan Nordley
December 29, 2025
Can we append modifier 91 for the billing of multiple units of the organ and disease panel codes 80047 and 80048?
Can we append modifier 91 for the billing of multiple units of the organ and disease panel codes 80047 and 80048?
What are the reporting differences between new 2026 code 99445 and the 2026 revised code 99454?
A storm of coding and compliance changes will sweep through interventional radiology and radiology, creating challenges for coding and compliance professionals alike. Reimbursement is especially
Can we charge for 78999-“Unlisted miscellaneous procedure, diagnostic nuclear medicine” to reflect the administration of the radiopharmaceutical given for diagnostic purposes?
What is the difference between an arteriovenous (AV) fistula and an AV graft?
Under what conditions can we report 92924 more than once?
When do we report new code 99445 in 2026?
What compliance and billing challenges can arise when multiple hospital departments perform laboratory testing, particularly with point-of-care testing (POCT)? In this regard, do you have any insight into billing modifier 91?
As discussed last month, the lower extremity revascularization code set for occlusive disease will deliver sweeping consequences for professionals, effective January 1, 2026. The code
EDITOR’S NOTE: The author of this article used AI-assisted tools in its composition, but all content, analysis, and conclusions were based on the author’s professional
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Stay ahead of FY 2027 reimbursement changes with expert analysis of MS-DRG shifts, NTAP updates, Medicare Code Edits, and emerging technologies impacting inpatient payment accuracy.
Stay ahead of FY 2027 ICD-10-PCS changes with expert analysis of new procedure codes, revised guidelines, and high-impact updates affecting reimbursement, compliance, and inpatient coding accuracy.
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