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.
The Medicare fee schedule is based on the RBRVS (Resource-Based Relative Value Scale). Every CPT code has a RVU (relative value unit) that is a measure of how much work goes into it (in the simplest ... [ Read More ]
Well, if you go to the [URL='https://www.cms.gov/apps/physician-fee-schedule/overview.aspx']Medicare Fee Schedule Lookup Tool, available on cms.gov (click for link)[/URL], then you'll find all the in... [ 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 ]
ICD-10 gestational diabetes is classified as diet controlled or insulin controlled or unspecified control. It states that Z79.4 Long term current use of insulin should not be coded with codes from sub... [ Read More ]
I purchased AAPC ICD-10 CM General Code set training course, (At you own pace) I am currently beginning chapter 5, but in chapter 4, from the down loaded book, on page 51, this corresponds with slide ... [ Read More ]
We bill our Medicare Advantage plans with the Preventive Care Codes (99387-99397 or other age appropriate codes) we also perform a Screening Mammogram on the same day. We have never used a modifier fo... [ Read More ]
Breast procedures really confuse me and this one has me stumped on the correct codes to bill. Surgery was performed at the hospital and their coder used 38525, 11602, and 12031This does not seem corr... [ Read More ]
I need my fellow coders help on this one. The consulting company wants to code this as 19380 RT,LT but I am thinking 19342 RT,LT??? Also, I know in the description for 19380 it states an existing pr... [ Read More ]
Here is a list of CPT codes and Diagnoses that are medically necessary for those CPT codes from the Medicare website, Hope you can use one of those DX's.
:)
CPT/HCPCS Codes back to top
Italicize... [ Read More ]
Know which services may be ordered only by a physician to avoid costly claim denials. Orders and rules can be hard to follow when they seem archaic. I can still hear my parents saying Because I said s... [ 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 ]
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 ]
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 ]