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All Posts Compliance & Audits ICD-10 / CPT Updates Revenue Cycle & Denials AI in Medical Coding
  • ICD-10’s September 2026 Meeting Signals FY2028 Changes
    ICD-10 / CPT Updates

    ICD-10’s September 2026 Meeting Signals FY2028 Changes

    The ICD-10 Coordination and Maintenance Committee meets Sept. 15-16, 2026 to weigh FY2028 codes for brain-computer interfaces and sepsis. Here’s what to track.

    Arasu Elango

    ·

    Aug 31, 2026
  • Cardiology’s 2026 CPT Reset Tests Static Coding Rules
    ICD-10 / CPT Updates

    Cardiology’s 2026 CPT Reset Tests Static Coding Rules

    Cardiology’s 2026 CPT set brought 288 new codes and 84 deletions across PCI, echo, and remote monitoring. Static rule engines can’t keep pace — here’s what agentic AI changes.

    Arasu Elango

    ·

    Aug 20, 2026
  • Why Quarterly NCCI Edits Expose Gaps in Static Coding Rules
    ICD-10 / CPT Updates

    Why Quarterly NCCI Edits Expose Gaps in Static Coding Rules

    NCCI PTP edits version 32.2 took effect July 1, 2026 with roughly 4.4 million edit pairs. Static rule engines routinely miss the update window — here’s what that costs coders.

    Arasu Elango

    ·

    Aug 17, 2026
  • CMS Q2 2026 HCPCS Update: 15 New Drug Codes for Oct. 1
    ICD-10 / CPT Updates

    CMS Q2 2026 HCPCS Update: 15 New Drug Codes for Oct. 1

    CMS’s Q2 2026 HCPCS decisions add 15 new drug and biosimilar codes for October 1 and deny two closely watched revision requests.

    Arasu Elango

    ·

    Aug 11, 2026
  • CMS’s New “Software as a Medical Service” Coding Category
    ICD-10 / CPT Updates

    CMS’s New “Software as a Medical Service” Coding Category

    CMS’s CY2027 OPPS rule proposes a new Software as a Medical Service category and O1 status indicator covering 36 HCPCS codes. Here’s what it means for coders.

    Arasu Elango

    ·

    Aug 3, 2026
  • CPT 2027 Category III Codes: What Medical Coders Must Track
    ICD-10 / CPT Updates

    CPT 2027 Category III Codes: What Medical Coders Must Track

    AMA just added 58 new Category III CPT codes for 2027, spanning six specialties. Here’s what medical coders need to track before the January 1 effective date.

    Arasu Elango

    ·

    Jul 28, 2026
  • Agentic AI Oncology Coding: Taming the Infusion Hierarchy
    ICD-10 / CPT Updates

    Agentic AI Oncology Coding: Taming the Infusion Hierarchy

    Oncology’s chemo-injection-hydration hierarchy trips up coders and drains revenue. Here’s how agentic AI oncology coding validates sequencing before claims go out.

    Arasu Elango

    ·

    Jul 21, 2026
  • 2026 wRVU Efficiency Adjustment: What Medical Coders Must Know
    ICD-10 / CPT Updates

    2026 wRVU Efficiency Adjustment: What Medical Coders Must Know

    CMS’s 2026 efficiency adjustment cut work RVUs 2.5% for most non-time-based codes. Here’s what medical coders need to know to protect reimbursement across procedural specialties.

    Arasu Elango

    ·

    Jul 7, 2026
  • CMS ACCESS Model Live: G-Codes for Chronic Care Coders
    ICD-10 / CPT Updates

    CMS ACCESS Model Live: G-Codes for Chronic Care Coders

    The CMS ACCESS model is live as of July 1, 2026. Here’s what the new G-codes, billing rules, and documentation shifts mean for chronic care coders.

    Arasu Elango

    ·

    Jul 1, 2026
  • FY2027 ICD-10-CM: 238 New Codes Every Coder Must Know
    ICD-10 / CPT Updates

    FY2027 ICD-10-CM: 238 New Codes Every Coder Must Know

    The FY2027 ICD-10-CM update adds 238 new codes and revises four more, effective October 1, 2026. Here’s what coders and CDI teams need to prepare now.

    Arasu Elango

    ·

    Jun 23, 2026
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