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June 20, 2025

Diagnosis Coding for Biopsy Sent for Pathology

  Question: What diagnosis code should you use when sending a skin biopsy to pathology? a)  D48.5 Neoplasm of uncertain behavior of skin, or b)  D49.2 Neoplasm of unspecified behavior of bone, soft tissue, and skin Answer: The answer is b! Use an unspecified code when a specific diagnosis code is not known at the […]

Coding for Hypertension in the HCC System | Reference Sheet

This quick reference sheet simplifies coding for hypertension in the HCC system. A must-have resource for clinicians who see patients with hypertension.

Diabetes Coding in Hierarchical Condition Coding (HCC)

Diabetes is a common chronic condition, included in three distinct HCC categories Patients often have more than one chronic condition of the disease; page down for a Q&A related to how multiple conditions do–and don’t–affect the risk score CodingIntel members can download our guide to Risk adjusted diagnosis coding for medical practices for more explanation and […]

Depression Coding and Hierarchical Condition Coding (HCC)

Introduction | Depression coding in HCC In fee-for-service medicine: Diagnosis coding establishes the medical necessity for a service. At times, it may be the reason for a denial, particularly for diagnostic tests or procedures.  Services with national or local coverage policies often have specific diagnosis codes that are required for payment. In risk based contracts […]

Can you Screen for an Existing Condition? | Diagnosis Coding for Lab Services

Sometimes, the hardest thing about coding for preventive services isn’t the visit at all. It’s the labs. Patients come in for an annual physical and many times they believe that all of the lab work done that day or in preparation for that day will be covered as part of their preventive service. And we […]

Annual CPT® Changes Webinar

CodingIntel welcomes back Shannon McCall of HCPro for this review of changes that will go into effect January 1st, 2025. Exclusively for members.

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Compliance for Medical Practices

Exclusively for members, this two module concentration includes guidance for developing an audit workplan, and how to locate source citations for common healthcare compliance scenarios.

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IRE Inpatient Determinations: Case Studiesoding for Prolonged Services | Webinar

Exclusively for members, this case-study focused webinar describes important ICD-10-CM Guidelines that establish the rules for these decisions.

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Latest Intel

Provider-Based Billing | Webinar

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Anatomy of an Auditâ„¢: Amount and Complexity of Data | Webinar

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Fueling Compliance: Cracking the Code on DSMT & MNT | Webinar

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Problematic Modifiers – 22, -52, -58, -78, -79 | Webinar

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

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