April 2026 ICD-10-CM Updates

The April 2026 ICD-10-CM updates may not add new diagnosis codes, but they do introduce important rule changes. In this episode, Alicia Scott explains what coders, CDI teams, auditors, and leaders need to review before April 1.

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Episoder(55)

OB/GYN Coding 2026: Prenatal, Delivery, Postpartum & Surgery Scenarios

OB/GYN Coding 2026: Prenatal, Delivery, Postpartum & Surgery Scenarios

OB/GYN coding can get complicated fast. 🤰 Prenatal care 👶 Vaginal vs. C-section delivery 🔄 VBAC scenarios 👶👶 Twins 📋 Postpartum care 🏥 Hysterectomy coding In our latest episode, we're ...

20 Aug 34min

Fertility & Egg Preservation Coding for 2026: IVF, Z Codes, CPT & more

Fertility & Egg Preservation Coding for 2026: IVF, Z Codes, CPT & more

Fertility and egg preservation coding changed in 2026. Learn the new Z31 codes, IVF and ART billing rules, cryopreservation, storage, modifier FP, and the documentation details that can prevent costl...

17 Aug 23min

The Future of CPT Coding: CMS, AMA, HCPCS & the 2027 RFI

The Future of CPT Coding: CMS, AMA, HCPCS & the 2027 RFI

Is CPT going away? CMS is questioning the current CPT structure—but the reality is much less dramatic than the headlines suggest. Learn what the 2027 RFI actually means, why HCPCS could become more ...

13 Aug 39min

Tough Specialties - Why Cardio, Ortho and IR Feels So Hard

Tough Specialties - Why Cardio, Ortho and IR Feels So Hard

Why do Cardiology, Orthopedics & Interventional Radiology feel so difficult to code? We're breaking down the anatomy, modifiers, global periods, vascular families, bundling rules and 2026 coding chan...

12 Aug 41min

Error-Proof Coding Guide: Modifiers, Medical Necessity & NCCI Checklists

Error-Proof Coding Guide: Modifiers, Medical Necessity & NCCI Checklists

One missing modifier... One missed NCCI edit... One incorrect diagnosis... That's all it takes for a claim denial. Learn the 6-step error-proofing workflow every coder should use before submitting...

7 Aug 39min

CKD Coding Explained: Documentation Checklist Every Medical Coder Needs

CKD Coding Explained: Documentation Checklist Every Medical Coder Needs

CKD coding can have a huge impact on documentation, HCC capture, and reimbursement. Learn the documentation elements, staging rules, ICD-10-CM guidelines, and coding strategies every medical coder sh...

5 Aug 32min

Behavioral Health Coding: Substance Use Documentation & CDI Essentials

Behavioral Health Coding: Substance Use Documentation & CDI Essentials

Substance Use Disorder documentation requires far more than identifying whether a patient uses alcohol or drugs. Proper coding depends on accurate provider documentation of severity, remission status,...

28 Jul 24min

What Is Forensic Medical Coding? Legal Cases, Expert Witness & Fraud Review Explained

What Is Forensic Medical Coding? Legal Cases, Expert Witness & Fraud Review Explained

Substance Use Disorder coding depends on accurate documentation—not assumptions. In this episode, Laureen Jandroep explains ICD-10-CM coding for substance use disorders, remission status, withdrawal, ...

26 Jul 25min

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