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.
[QUOTE="dbolivar1, post: 512740, member: 733065"]
Hello,
If the provider documents 3 weeks post-partum with one day of acute onset severe abdominal pain and no other associated symptoms. Final diagn... [ Read More ]
Hello,
If the provider documents 3 weeks post-partum with one day of acute onset severe abdominal pain and no other associated symptoms. Final diagnosis Epigastric Abdominal Pain. Would I use 090.9 ... [ Read More ]
[QUOTE="Nreed, post: 509023, member: 136833"]
For Medicare and all insurance companies that follow Medicare guidelines, you might want to review Chapter 1 of the NCCI Manual on the CMS website. Here ... [ Read More ]
[QUOTE="Yamy0908@yahoo.com, post: 509017, member: 601573"]
Good morning i have a question please.
i have vascular doctor who on his e/m stated pt will be having major surgery, 2 weeks later pt had th... [ Read More ]
All on the same day : Patient came in through ED, referred to Colorectal [B]99221 -57, -AI[/B]; had [B]44320[/B] Colostomy (major surgery 090); and [B]45300 -51[/B] Proctosigmoidoscopy (minor diagnost... [ Read More ]
[U]UHC [/U]REIMBURSEMENT POLICY
CMS-1500
Policy Number 2020 R0005C
Global Surgery applies in any setting,
including an inpatient hospital, outpatient hospital, Ambulatory Surgical Center
(ASC), and p... [ Read More ]
From the NCCI Manual
Chapter CHAPTER III section L.9
[URL unfurl="true"]https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/Downloads/NCCI-Policy-January-1-2019.zip[/URL]:
"Closure/repair o... [ Read More ]
Repairs of all types are bundled. There are only a few exceptions and its related to excisions that are coded to the 1xxxx series.
NCCI Manual:
[QUOTE]Chapter III.L.9
Closure/repair of a surgical i... [ Read More ]
I found this out on the web:
[I]When the procedure is a revision (as this one is), the physician is draining a hematoma, debriding scar tissue or an infection and/or enlarging the existing pocket for... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS posted on March 1 the National Correct Coding Initiative NCCI procedureto procedure PTP edit files for the second quarter. Have you checked to see if ... [ Read More ]
Learn how this bone quality measuring tool is used and coded. A trabecular bone score TBS represents the internal structure of the bones at a microscopic level and is used to measure bone quality. The... [ Read More ]
New codes may help providers get paid for emerging services and supplies. The Centers for Medicare 38 Medicaid Services CMS has posted the HCPCS Level II code set update for fourth quarter 2023 on its... [ Read More ]
Theres more to NCCI than just the PTP edit tables. The Centers for Medicare 38 Medicaid Services CMS established and maintains the National Correct Coding Initiative NCCI program to promote national c... [ Read More ]
Learn how OASISE will affect your VBP numbers. The end of the first quarter of expanded Home Health ValueBased Purchasings HHVBPs first performance year is nearly here and Medicare continues to issue ... [ Read More ]