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.
Looks like your CPT code would be 11980... 11980/J3490 (in the office)
TESTOPEL implantation is a procedure with possible billing codes*
... [ Read More ]
Here is an a small amount of information I have accumulated as excerpt of information for the state of TX.
"Sec. 1455.004. COVERAGE FOR TELEMEDICINE MEDICAL SERVICES AND TELEHEALTH SERVICES. (a) A he... [ Read More ]
We've been trying to get a denial from Medicare for a couple patients that had Lipiflow so we can forward it to their secondary insurance. The code is 0207T (which is not covered by medicare) and I've... [ Read More ]
Rachel,
This is helps so, but my provider is always documenting viral warts with warts removal (17110-078.10), this claim will declined for MNEC-004.similar kind of documents are declined from insura... [ Read More ]
[b]Admistration code with adenosine test or adenosine and thallium test[/b]
[QUOTE="jgf-CPC, post: 79205, member: 65699"]When the nuclear medicine test includes exercise/pharmacological stress, list ... [ Read More ]
The following is an excerpt from the CMS NCD "Incident to a Physician's Professional Service in the Office or Clinic- PHYS-004" It doesn't specify a physician signature is required, but the physician... [ Read More ]
When the nuclear medicine test includes exercise/pharmacological stress, list the appropriate code(s) from the 93015-93018 series to report the stress test (see policy CV-004). CPT code 93015 may be b... [ Read More ]
Maybe someone can help, I have found several LCD's for Medicare (different regions) that allow bilateral to be done. Plus, the RBRVS table has indicater 1 under bilateral which means bilateral modifie... [ Read More ]
[b]Supervising Physician[/b]
The NCD from Medicare on Incident To services PHYS-004 states the following.
[COLOR="Blue"]2. In some cases the physician or nonphysician practitioner who performed an i... [ Read More ]
The Cigna Group will pay 172 million to resolve False Claims Act allegations. The U.S. Department of Justice DOJ announced Sept. 30 that The Cigna Group which owns and operates Medicare Advantage MA o... [ Read More ]
AAPC member Rosa Yanez CPC CRC CGIC CGSC has been a medical coder for 15 years and has worked for Humana as a senior Medicare risk adjustment educator for more than two years. Risk adjustment educatio... [ Read More ]
Understanding the rules surrounding interrupted stays in IPFs and IRFs is as easy as 123. When an interrupted stay occurs in an inpatient psychiatric facility IPF or inpatient rehab facility IRF a com... [ Read More ]
Using the right workload system leads to employee success. In any healthcare workplace employee accountability and engagement are paramount to patient and provider satisfaction as well as monetary liv... [ Read More ]
Embrace DEI data in applied behavior analysis and improve patient care for all. In the realm of healthcare the field of applied behavior analysis ABA has long been committed to understanding and impro... [ Read More ]