Highmark Coding Tips

Highmark Coding Tips is a periodic article that contains billing and coding best practices for professional and facility providers. Please refer to the Reimbursement Policies page for specific code edits used in Highmark's claims processing system. 

This publication focuses only on correct coding guidelines and tips to avoid common billing mistakes. For all other news, information, and updates, be sure to read Provider News.

• Reporting CPT Code 69440

• Modifier 25
• Moderate (Conscious) Sedation

• Reporting Services Defined as Per Calendar Month

• Reporting Fundus Photography and (SCODI) Services
• Reporting Time Based Procedures
• Calculating and Reporting Time-Based Codes
• Calculating and Reporting Anesthesia Time

• Reporting Information for Psychotherapy Services
• Nasal Endoscopy and when to report 31231 vs 31231 using 52/53 Modifier

• NDC required for Medical Drug Claims
• Supplies for Implanted Ventricular Assist Device Care (IVAD)
• Proper Coding for Psychological and Neurological Testing

• Urinary Incontinence Therapy Services
• Global Maternity Care

• Pathology and Laboratory Panel Codes
• Coding and Billing for Physical Medicine and Manipulation Services
• Immunization Administration for Vaccines/Toxoids Reporting

• Coding for Closed Treatment of Fractures
• Maternity Related Anesthesia

• Cardiovascular Stress Test Coding - 93015
• Reporting Time Based Procedures

Highmark Coding Tips articles are intended to reflect Highmark's correct coding guidelines. Coverage for services may vary for individual members, based on the terms of the benefit contract.

The five-digit numeric codes that appear on Highmark Coding Tips articles on this web site were obtained from the Physician's Current Procedural Terminology Manual, © American Medical Association.

Current Dental Terminology. © American Dental Association. All rights reserved.