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 ]
The Medicare Advantage organization says they are being held to unreasonable standards. Health Net of California Inc. was recently called out by the Office of Inspector General OIG for failing to subm... [ Read More ]
Reduce the clutter on your home page with one click. Codify offers a lot of tools on its home page but you dont always want all of them expanded at once. There is a simple way to maximize the tools yo... [ Read More ]
Strategies for unlocking a dialogue with physicians. As auditors we bridge the gap between medical coding accuracy and financial stability in healthcare organizations. Its our role to knock on the doo... [ Read More ]
Encourage patients to take stock of their relationship with alcohol. From Dry January and Dry July to Sober September and Sober October the monthlong abstinence trend of shunning alcohol has gained gr... [ Read More ]
Meet a member who never stops learning and growing. Each month AAPC selects a member who demonstrates exemplary leadership qualities. This month weve chosen Jennifer Lavoie RN CPC. Lavoie has enjoyed ... [ Read More ]