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06/29/2026
Train yourself and members of your coding and clinical teams to think like an auditor before you report modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service).
06/29/2026
The revised FY 2027 ICD-10-CM Official Guidelines, issued June 16, add genetic disorders to existing guidelines in Chapter 17 and give new guidance for reporting Z codes for exposure to diethylstilbestrol (DES).
06/29/2026
A new final rule pertaining to the No Surprises Act (NSA) makes filing independent dispute resolution (IDR) requests easier for providers in some ways. But certain tweaks also make it easier for payers to thwart provider claims, so practices should take extra care to bullet-proof their claims ahead of time.
06/29/2026
The June report from the Medicare Payment Advisory Commission (MedPAC) suggests more generous reimbursement to Part B providers under the physician fee schedule (PFS). But they didn’t offer a clear path forward, and it’s unlikely to have a near-term effect.
06/29/2026
Two of the key things to understand about coding for the removal of cerumen, commonly referred to as earwax, is that the code assignment is based on whether the cerumen is impacted and which type of procedure is used.
06/29/2026
Clearing blocked cerumen, or ear wax, is far more frequently performed using instrumentation than water irrigation, and providers report millions of the cerumen-removal services per year.

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