Rheumatology Medical Billing by USMed Billing Solutions

At USMed Billing Solutions, we believe that precision in rheumatology billing requires expertise, not just automation. While technology aids efficiency, our approach emphasizes human accuracy and professional oversight. Every claim is thoroughly reviewed and coded manually by our certified billing specialists, ensuring no details are overlooked before submission. This hands-on process eliminates the risk of automated errors, minimizes denials, and guarantees that each claim is submitted clean and compliant.

Our certified coders possess in-depth knowledge of rheumatology-specific billing nuances, including complex infusion codes, modifier applications, and payer-specific guidelines—ensuring that your practice receives the maximum permissible reimbursement with every claim.

Uncompromised Data Security

Data protection is one of our highest priorities. USMed Billing Solutions employs a dedicated cybersecurity and compliance team that implements multi-layered safeguards to prevent unauthorized access or data breaches.

We follow HIPAA-compliant protocols and advanced encryption systems to ensure all patient health information (PHI) and billing records remain fully protected at every stage of the revenue cycle. From claim generation to payment posting, your sensitive data is managed within a secure, encrypted environment—giving your practice complete confidence in confidentiality and compliance.

Most Commonly Used Rheumatology Billing Codes

Our experienced team ensures accurate use of the most frequently applied CPT codes in rheumatology billing, helping providers optimize revenue while maintaining compliance:

  • 99213 – Established Patient Office Visit
    Used for follow-up visits requiring low-complexity medical decision-making. Commonly applied for ongoing management of chronic conditions such as lupus, osteoarthritis, and rheumatoid arthritis.
  • 20610 – Major Joint or Bursa Injection (e.g., Shoulder, Hip, or Knee)
    Applied for therapeutic or diagnostic joint injections or aspirations. Critical for managing pain and inflammation associated with rheumatoid arthritis (RA), gout, and psoriatic arthritis.
  • 20611 – Major Joint Injection with Ultrasound Guidance
    Used when performing ultrasound-guided joint injections, improving procedural accuracy and enhancing treatment outcomes for patients with inflammatory joint diseases. 

The Importance of Precise CPT Coding in Rheumatology

Accurate CPT coding is the foundation of financial integrity and operational excellence in rheumatology practice management. Precision in coding not only improves reimbursement accuracy but also strengthens clinical documentation and compliance.

Key Benefits of Accurate Rheumatology Coding:

  • Timely and Reliable Reimbursements
    Properly coded and documented claims reduce denials and rejections, ensuring steady cash flow and financial stability for the practice.
  • Enhanced Continuity of Care
    Accurate coding supports consistent tracking of treatment progress, enabling physicians to make informed clinical decisions and refine patient care plans.
  • Regulatory Compliance and Audit Readiness
    Staying current with evolving CPT, ICD-10, and HCPCS guidelines ensures adherence to payer and government regulations—minimizing the risk of compliance violations, penalties, and audit triggers.

In a field as complex as rheumatology, coding precision directly translates to operational efficiency and improved patient outcomes. With USMed Billing Solutions, your practice gains a partner dedicated to ensuring both financial success and clinical integrity through meticulous, expert-driven billing management.

Start Now

Help Us Understand Your Requirements

Get in touch with us for more Information.
We’re ready to assist with your billing needs.