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="lambert82, post: 511338, member: 420797"]
How can I go about obtaining a NUBC - national uniform billing committee [B]bill type guide/description for UB04s?[/B] Any guidance on this is much ap... [ 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 ]
We are starting to get denials from Cigna for initial visit of newborns at our office using 99381 for CPT code and diagnosis Z00.110, Z00.111 or Z00.129 for ICD-10 code (depending on age of newborn ... [ Read More ]
G0101 is used for Medicare patients, and can only be billed every two years (and they are very strict on the dates). If the patient has a pap performed at that time then you can also bill a Q0091 wit... [ Read More ]
For the 2 procedures, you would list the higher allowable first. Depending on the insurance, they may require a billing modifier.
There is no code for a Tarsorrhaphy. Here are a list of acceptable co... [ Read More ]
Reviewing a medical record, I came across a patient with CAD that also has "morning angina." I am not a cardiology specialist coder, and all my research shows the possibility that one can code this to... [ Read More ]
I have a patient with two postoperative diagnosis (1. Right Shoulder high-grade partial thickness rotator cuff tear; 2. Glenohumeral osteoarthritis). Had three procedures done: (1. SHOULDER ARTHRO... [ Read More ]
I have an inpatient claim (bill type 111) billed with Rev Code 0120 (Room & Board Semi-Private). My issue is the authorization was obtained under Rev Code 0150 (Room & Board Ward).
Can I rebill under ... [ Read More ]
[HEADING=2]1.Sounds like the bottom half of the labrum, so it would be 29806.[/HEADING]
[HEADING=2]Coding Slap Tears[/HEADING]
The labrum in the shoulder connects the glenoid with the head of the hum... [ 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 ]
Know the rules for CLIA waived tests to ensure proper claims payment. Modifier QW indicates a Clinical Laboratory Improvement Amendment CLIA waived test performed by a lab with a CLIA certificate. App... [ 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 ]
These mistakes prove the devil is in the details. While most of us need to meet productivity standards we also need to focus on quality and continue to perfect our medical coding skills. In our zest t... [ Read More ]
Now the worlds largest training and credentialing organization for the business of healthcare 240K members is our greatest success. Thirtyfive years ago AAPC began its mission to legitimize medical co... [ Read More ]