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.
- wpa/ nepa
- cpa/ sepa
- de
- wv
- wny
- neny
September 2024
- Mohs Micrographic Surgery – CPT Codes 17311-17315
- Surgical Pathology – CPT Codes 88302-88309 or 88331-88332
August 2024
Pathology and Laboratory Changes for 2024 – Coding for:
- Intellectual Disability
- Genomic Sequence Analysis Panel Codes
- Multianalyte Assays with Algorithmic Analyses (MAAA)
- Anti-Mullerian Hormone (AMH)
- Acetylcholine Receptors (AChR)
- Muscle-Specific Kinase (MuSK) Antibodies
- Hepatitis D
- Orthopoxvirus (e.g., Monkeypox Virus, Cowpox Virus, Vaccinia Virus) Testing
- wpa/ nepa
- cpa/ sepa
- de
- wv
August 2022
- Reporting CPT Code 69440
March 2022
- COVID-19 Coding Reminders
January 2022
- Modifier 25
- Moderate (Conscious) Sedation
October 2021
- Reporting Services Defined as Per Calendar Month
August 2021
- Reporting Fundus Photography and (SCODI) Services
- Reporting Time-Based Procedures
- Calculating and Reporting Time-Based Codes
- Calculating and Reporting Anesthesia Time
April 2021
- Reporting Information for Psychotherapy Services
- Nasal Endoscopy and when to report 31231 vs 31231 using 52/53 Modifier
May 2020
- NDC required for Medical Drug Claims
- Supplies for Implanted Ventricular Assist Device Care (IVAD)
- Proper Coding for Psychological and Neurological Testing
October 2019
- Urinary Incontinence Therapy Services
- Global Maternity Care
July 2019
- Pathology and Laboratory Panel Codes
- Coding and Billing for Physical Medicine and Manipulation Services
- Immunization Administration for Vaccines/Toxoids Reporting
February 2019
- Coding for Closed Treatment of Fractures
- Maternity Related Anesthesia
August 2018
- Cardiovascular Stress Test Coding - 93015
- Reporting Time-Based Procedures
Disclaimer
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.
Acknowledgement
The five-digit numeric codes that appear on Highmark Coding Tips articles on this website were obtained from the Physician's Current Procedural Terminology Manual, ©American Medical Association.
Current Dental Terminology. ©American Dental Association. All rights reserved.
