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="Legacy79, post: 516211, member: 211454"]
The skin grafts are coded by recipient site and if multiple areas, they are to be grouped in the same code as what the descriptor described for. Examp... [ Read More ]
The skin grafts are coded by recipient site and if multiple areas, they are to be grouped in the same code as what the descriptor described for. Example if coding for cheeks and hand you use 15240 if... [ Read More ]
97530 x 2
Counting Minutes for Timed Codes in 15 Minute Units
When only one service is provided in a day, providers should not bill for services performed for less than 8 minutes. For any single time... [ Read More ]
That depends on if the payer follows the 8 minute rule. Per CMS claims processing manual [URL]https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c05.pdf[/URL]
Units Number o... [ 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 ]
[B][COLOR=rgb(209, 72, 65)]Hello Everyone. :)[/COLOR][/B] I have gone down a rabbit hole on coding joint replacement surgeries and would ?[B][COLOR=rgb(44, 130, 201)]GREATLY [/COLOR][/B][COLOR=rgb(44,... [ Read More ]
[HEADING=2]Medicare has very specific coverage through their Durable Medical Equipment (DME) benefits. Functional orthotic inserts are covered by Medicare only when placed in a shoe attached to a brac... [ Read More ]
[QUOTE="ttglasscock, post: 495642, member: 84181"]
I'm trying to figure out the difference between CPT codes 36821 and 36825. Also, is a PTFE graft creation 36830?
How would this be coded? When I see... [ Read More ]
I'm trying to figure out the difference between CPT codes 36821 and 36825. Also, is a PTFE graft creation 36830?
How would this be coded? When I see use as a conduit it makes me think I should use 36... [ Read More ]
AAPC member Rosa Yanez CPC CRC CGIC CGSC has been a medical coder for 15 years and has worked for Humana as a senior Medicare risk adjustment educator for more than two years. Risk adjustment educatio... [ 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 ]
Using the right workload system leads to employee success. In any healthcare workplace employee accountability and engagement are paramount to patient and provider satisfaction as well as monetary liv... [ Read More ]
Embrace DEI data in applied behavior analysis and improve patient care for all. In the realm of healthcare the field of applied behavior analysis ABA has long been committed to understanding and impro... [ Read More ]
Know the rules for compliance before engaging in telehealth services. One of the things we love most about the internet is its unregulated nature. We post and share whatever we want achieving unpreced... [ Read More ]