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Juan Lozano
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Join date: Dec 2, 2024
Posts (6)
Jun 11, 2025 ∙ 4 min
How to Stop Losing Money on ESRD Claims: A Complete Guide to CPT® 90960, ICD-10 N18.6, and CARC 16 Denials
The Problem Every month, physicians deliver complex, ongoing care to ESRD patients. But even when that care is delivered correctly, it...
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May 7, 2025 ∙ 3 min
Decoding CARC 129: Mastering the Critical Relationship Between CPT® 90460 and ICD-10 Z23
When "Prior Processing Information Appears Incorrect" Costs You Money Let's face it - pediatric immunization billing is tricky. At the...
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Mar 25, 2025 ∙ 4 min
Navigating the Complex Intersection of CPT® 97110, ICD-10 M16.12, and CARC 273
1. Introduction When therapeutic exercise meets osteoarthritis in the medical billing landscape, precision becomes paramount. The relationship between CPT® 97110 (therapeutic exercises), ICD-10 M16.12 (unilateral primary osteoarthritis of the left hip), and CARC 273 (exceeded coverage guidelines) represents one of healthcare's most nuanced coding challenges. This intricate dance of procedural justification, diagnostic specificity, and policy adherence demands sophisticated understanding from...
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