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.
We are struggling with interpreting Medicare's direction when it comes to the time requirements to bill 99292 for Critical Care split/shared. Per the internet-only manual at [URL]https://www.cms.gov/R... [ Read More ]
Does anyone have a table for the new Medicare threshold times for billing 99292? My MAC hasn't published anything about the change to needing a whole additional 30 minute time increment (104 minutes)... [ Read More ]
[QUOTE="scott.jenkins@advancedmd.com, post: 509353, member: 786228"]
Hello. I have a client in Washington who is billing telehealth visits for an EM code with 99417. Modifier GT cannot be used with 99... [ Read More ]
I cannot stress enough how helpful and valuable the AMA 2021 outpatient guidelines are. They define the items listed in the table.
[URL unfurl="true"]https://www.ama-assn.org/system/files/2019-06/cpt... [ Read More ]
It is definitely moderate risk. It’s a 14 month old with 104 fever, croup and at time of visit had positive exposure to COVID 19. Both father and sibling have COVID. The patient’s pcr result came ... [ Read More ]
Hi All,
I am really trying to put an effort into understanding coding E/M's. Can you please tell me if you think this is a level 3 or 4, and how you are determining the outcome. Thank you
I had the... [ Read More ]
[QUOTE="susan.ellis, post: 505310, member: 141028"]
If the Pt presents for a PCR test and you are ONLY performing the swab in the office/UC/ER but sending the swab to a lab you would code a level 1 or... [ Read More ]
[QUOTE="mgarcia400, post: 505182, member: 133599"]
I work for a Family practice and we currently do PCR COVID swabs that are sent out to a lab. We use cpt 87635 for billing. We are currently trying t... [ Read More ]
With the new Medicare LCD's kicking in for ESI's and also the part about anesthesia being rarely, if ever, necessary embedded within the LCD's, I'm curious if any groups that have provided anesthesia ... [ 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 ]
Ensure optimal reimbursement for items that are not billed as durable medical equipment. Assigning the proper codes to supplies implants and devices can have a direct effect on coding compliance charg... [ Read More ]
70 coding changes are coming soon. The American Medical Association is scrapping almost all of the COVID19 vaccine administration and product CPT codes it has created over the last several years. In t... [ Read More ]
Know the reimbursement rules for students working in your medical practice. Many medical offices and clinics allow medical students to train in their practices to gain invaluable clinical education an... [ Read More ]
Use these drug modifiers correctly to ensure timely reimbursement and avoid audits. On Jan. 1 2017 the Centers for Medicare 38 Medicaid Services CMS changed its guidelines to require that providers an... [ Read More ]