View the ICD-9 code's corresponding Diagnosis Related Groups (DRGs). In a click, verify the DRG, its IPPS allowable, length of stay, and more. Protect your facility's payments by subscribing to DRG Coder.
HELP :/
We are getting denials from Blue Cross for Prolonged services CPT 99358/99359, not sure if our provider should be billing all these codes. Or any resources anyone could recommend to better un... [ Read More ]
HELP :/
We are getting denials from Blue Cross for Prolonged services CPT 99358/99359, not sure if our provider should be billing all these codes. Or any resources anyone could recommend to better un... [ Read More ]
I am having a debate with some staff regarding the appropriateness of billing unspecified codes. While I'm aware Medicare and other insurances no longer reimburse for unspecified codes, my understand... [ Read More ]
Sorry i totally read the diagnosis code wrong (pains of staring at a screen all day)
Any chance one of the following dx codes that do not support Medical Necessity are also included?
[COLOR=#000000][... [ Read More ]
I am not an inpatient coder but my boss brought me a procedure report and asked me if I could find out if there is a different DRG that can be used for the tracheostomy other than 003. Based on the do... [ Read More ]
There is no way of billing the fee.
We bill out the appropriate compound drug code (i.e. Q7799)
Submitting Claims for Compounded Medications, Including Medication Administered via Implanted Infusi... [ Read More ]
Hi all!
Is anyone else in the Ophthalmology field having trouble with denials on new ICD-10 codes worded with ?Preglaucoma? (H40.003) and ?Low-Risk? (H40.013)?
When we convert our ICD-9 codes (which... [ Read More ]
I'm new to opthalmology and have a question regarding medical necessity of a visual fields test. My doc is using pre-glaucoma as a diagnosis (H40.003 to be exact) and I'm receiving denials from Medica... [ Read More ]
We bill for pump refill drugs to medicare using J7799 KD (Prialt is J2278) and we have very few issues with reimbursement. See medicare billing info below:
[COLOR="Teal"]Submitting Claims for Compou... [ Read More ]
[url]https://www.msbcbs.com/medadvpolicy/printerfriendly/N-152-003.html[/url]
I think this link may have been what I was looking for if anyone wants to take a quick glance. That will be helpful thank... [ Read More ]
Wondering what new procedure codes the new year will bring Wonder no more CPT 2024 will include 153 new codes throughout the code book including the Evaluation and Management section several Surgery s... [ Read More ]
Youll find minimal changes to the Medicare National Correct Coding Initiative NCCI code files this fourth quarter 2023. The update effective Oct. 1 includes just three changes to code edits in both th... [ Read More ]
Former MedPAC commissioner cites agencies high profit margins. Home health agencies HHAs have been making a lot of noise to push back on the proposed rate cuts for 2024 and a Senate hearing has added ... [ Read More ]
Code descriptor revisions are about time. After the extensive changes CPT made to the evaluation and management EM codes and guidelines over the last few years youll be relieved to know that the EM ch... [ Read More ]
DOCUCON provides answers and solutions for CDI specialists and those considering a CDI career. AAPC concluded its clinical documentation improvement CDI conference DOCUCON today. Healthcare business p... [ Read More ]