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June 5, 2026

Archives for April 2026

Precision in Spine Surgery Coding: Distinguishing Laminectomy from Discectomy Procedures | Webinar

Event date June 11th, 2026
1 CEU expires 6/30/27

Guest presenter Kim Pollock

Join nationally recognized coding consultant Kim Pollock for a focused, high‑impact 60‑minute webinar designed to demystify one of the most challenging areas in spine procedure coding: accurately distinguishing laminectomy from discectomy and applying the correct CPT® codes with confidence.

Can I Get Paid For…Removal of Sutures or Staples

In 2023, the AMA developed two new codes for removal of sutures or staples not requiring anesthesia. In years prior, we typically billed only an E/M service. These two new codes are add-on codes to E/M services. However, these codes have zero work RVUs assigned to them and have a very low payment.   # + 15853 Removal of […]

CMS Split/Shared Services Rules | Reference Sheet

In 2024, CPT® expanded its definition of split/shared services, CMS updated their requirements. Neither CMS nor CPT® made changes to this policy in 2025 or 2026. Split/shared services are evaluation and management services (E/M) services performed jointly between a physician and a non-physician practitioner (NPP), also called advanced practice nurses or physician assistants. CMS pays […]

Documenting and Scoring the Data Element of MDM | Webinar

Rcorded May 21st, 2026
1 CEU expires 5/30/27

Though the 2021/2023 changes to E/M coding eliminated much of the counting and confusion from the process of selecting an E/M level, Data scoring arguably became more complicated due to these changes, which has resulted in ongoing uncertainty as to when certain aspects of Data should be credited.

CoCM and Medical Necessity

Nicoletti Notes April 2026 Published on April 14th, 2026 Let me start with two pieces of advice: Don’t post coding questions that will raise compliance eyebrows on message boards. Don’t respond to postings with capital letters or the word “fraud.” Here are the posts in question. The original post was deleted moments later, after the […]

Mandatory MIPS, 2 Conditions, 7 Specialties, Some Locations

The title makes it all clear, right? No? I didn’t think so. This article is an overview of  CMS’s Ambulatory Specialty Model. CMS is implementing a mandatory, disease-specific reporting model beginning in the CY 2027, reporting due March 31, 2028. Who will be required to report?  And for what conditions? Physicians who work in the […]

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Precision in Spine Surgery Coding: Distinguishing Laminectomy from Discectomy Procedures | 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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