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.
Before I said anything to my provider I wanted to be sure and have a complete and accurate answer for him. He is a specialist in orthopedics and is only addressing the area of concern in his Exam port... [ Read More ]
We just got a denial for medical necessity for CPT 11720. Medicare has an LCD for 11720 listed as foot care only, no mention of hand/finger. This procedure was done on a finger and, of course, none o... [ Read More ]
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There is a section in the CPT manual for physical therapy. It is in the back of CPT manual green section Medicine CPT codes 97010 to 97546. Ensur... [ Read More ]
There is a section in the CPT manual for physical therapy. It is in the back of CPT manual green section Medicine CPT codes 97010 to 97546. Ensure the documentation listing and describing body pa... [ Read More ]
Okay, looking on their webpage, under preventive care, we find this:
99188 Provided at no cost in a non-grandfathered plan. Payable with a diagnosis code in Diagnosis List 1.
Diagnosis List 1 Z00.0... [ Read More ]
Osteoarthritis definition versus primary osteoarthritis definition versus secondary osteoarthritis definition for ICD-10-CM coding
Osteoarthritis, when not classified as either primary or secondary is... [ Read More ]
I have a few questions regarding assignment of diagnosis codes when billing for a physician performing outpatient surgery.
Example 1: Multiple surgical procedures, different anatomic sites
Patient i... [ Read More ]
Help please please please! Our coding service said one of our docs is reporting a bunch of coding for a reverse shoulder arthroscopy that they say are bundled. I am not finding any NCCI edits, and I... [ 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 ]
Targeted Probe and Educate materials offer insight into what these payers are looking for. A letter from your Medicare Administrative Contractor MAC notifying you that your provider has been selected ... [ Read More ]
In 2007 I started my professional life as a telesales officer in the banking industry. I worked in that capacity for a couple years but realized that the job was not my cup of tea. I decided I wanted ... [ Read More ]
Floridabased company admits to improper billing for oxygen equipment. Lincare Holdings Inc. a Floridabased wholly owned subsidiary of German multinational chemical corporation Linde plc has agreed to ... [ Read More ]
Expand your horizons with a look at medical coding down under. Australias health system is not so different from the health system in the United States. The Medicare Benefits Schedule MBS and Pharmace... [ Read More ]
Know when to bill for debridement separately from surgery. Debridement removes foreign material andor devitalized or contaminated tissue until healthy tissue is exposed. It essentially cleans up the a... [ Read More ]