Obesity Coding in Risk Adjustment (HCC): The BMI Rule That Trips Up Most Coders in 2026

Obesity Coding in Risk Adjustment (HCC): E66.01 maps to HCC 48 when BMI is 40 or higher, or 35-39.9 with a comorbidity. CCO Academy guide.

A BMI of 38 with type 2 diabetes — does that support E66.01? The answer separates a clean chart from a False Claims Act exposure. Here’s the NIH/NHLBI rule every risk adjustment coder needs to memorize before PY 2026 — when CMS-HCC V28 hits 100% weight.

ICD-10 April 1, 2026 Updates Are Here!

Effective April 1, 2026, CMS and the CDC have released the mid-year ICD-10 update package; and while the headline numbers may look modest, the compliance and revenue implications are anything but. This update quietly reshapes how coders apply long‑familiar codes, and …

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AI Isn’t Replacing Medical Coders – It’s Redefining Our Role

AI medical coding - professional coder working with AI technology

If you work in medical coding – whether you’re just starting out or you’ve been at it for years – you’ve probably heard the big question: “Is AI about to take my job?” Honestly, it’s a fair thing to wonder. …

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Protected: The Revolutionary Impact of ICD-11 Post-Coordination on Healthcare Data

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Is Medical Billing and Coding In Demand?

Question: Is Medical Billing and Coding In Demand? I was recently discharged from the military during boot camp. Im home now and looking to get into the medical field. I want to first go to school for Medical Billing and …

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5 Awesome Career Options for Medical Coders

If you’re a medical coder looking to advance your career, you’ve got great options to consider that really build on your existing skills. Let’s quickly go over what medical coders do on a daily basis. Essentially, you translate notes from …

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How to Pick the Correct G83.XX CPT Code

Q: “Code G83.24 Monoplegia of upper limb affecting left non-dominant side. This code is used for diagnosing issues that affect the left side of the person. My question is, due to the non-dominant side, would this make the person left-handed …

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Pediatric vs Adult Vaccination Coding: Key Differences and Documentation

Pediatric vs Adult Vaccination Coding Key Differences and Documentation

Vaccination coding can be complex, with frequent updates to guidelines and nuances between pediatric and adult immunizations. In this in-depth article, we’ll explore key considerations, documentation requirements, and examples to master vaccination coding for patients of any age. Key Factors …

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