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CCSD Code M7330 covers closure of a fistula of the urethra, including cystoscopy. The cystoscopy is bundled into the code and is never billed on a separate line.
N36.0 (urethral fistula) is the usual principal ICD-10 diagnosis. Hypospadias and post-procedural codes are its most common companions.
...CPT code 96113 is the add-on code for each additional 30 minutes of developmental test administration after the first hour, which 96112 reports.
96113 is never reported alone, so 96112 must appear on the same claim for the same date and provider.
Under the CPT midpoint rule, 96112 is reportab...
HCPCS Code S0255 reports a hospice referral visit by a nurse, social worker, or other designated staff. The visit advises the patient and family of care options.
S0255 is a temporary national S-code, and CMS lists it as not payable by Medicare, so Original Medicare claims will not pay.
Medica...
CPT code 74263 reports screening CT colonography for an asymptomatic patient. Any symptom or positive stool test moves the claim to 74261 or 74262.
Medicare has covered screening CT colonography under 74263 since January 1, 2025, with no deductible or coinsurance, for patients aged 45 and older.
...HCPCS code J3358 is ustekinumab for intravenous injection, billed per 1 mg, while J3357 is the subcutaneous code.
J3358 covers the single weight-based IV induction dose for Crohn’s disease and ulcerative colitis: 260, 390 or 520 mg.
Bill one unit per milligram, so the three doses are 260, 390...