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 ]
Accelerated payments may now be on the table. Whether your reimbursement is affected by the cyberattack on UnitedHealth Groups Change Healthcare division or not you should be paying attention to the c... [ Read More ]
On Feb. 21 2024 Change Healthcare experienced a cybersecurity attack on their systems. Change Healthcare promptly disconnected their systems to help protect outside connections from further harm. Howe... [ Read More ]
Texting patient orders among members of a healthcare team is permissible when done securely. On Feb. 8 2024 the Centers for Medicare 38 Medicaid Services CMS issued an updated memorandum on the allowa... [ 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 ]
Astara N. Crews CPC CPEDC is a diplomatic dedicated and respected healthcare executive recognized for leading and inspiring people to deliver excellence. Although she no longer maintains her AAPC cred... [ Read More ]