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.
Disclaimer: cardio not my wheelhouse.
My understanding is that en echo would provide information about cad and/or stenosis, but not hypertension. If the provider is also evaluating hypertension (perh... [ Read More ]
CPT-93922
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsal... [ Read More ]
I need help! We have multiple primary care providers that have been hit as outliers from BCBS. BCBS is down coding our charge of 99214 to 99213. We have been sending medical notes left and right an... [ Read More ]
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[TD][LEFT]I have attached a stress echo cardiogram report and need some advice on how to code for stress test/ stress echo/ TEE
These studies have the patient walk on a treadmill and hav... [ Read More ]
[ATTACH type="full"]4686[/ATTACH]
Okay, here is a similar redacted EOB. On the first line, we billed $500 for 99215 and $152.56 is the Medicare allowed amount, and $500 minus $152.56 is $347.44, th... [ Read More ]
Hi Michelle here is the full description of CPT code 33390.
[LEFT][SIZE=16px][COLOR=rgb(51, 51, 51)]CPT code 33390 is for Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, v... [ Read More ]
[QUOTE="Andrschery, post: 448178, member: 122"]Was something else being coded? Insertion of catheter, Fluor0 guidance, the lumbar puncture itself? If so you would need a 59 modifier or X (EPSU) modi... [ Read More ]
My provider wants to code a 99215 for this visit but in my review the documentation is lacking a Review of Systems which would drop the coding significantly. Am I overlooking something?
Patient is a... [ Read More ]
[QUOTE="kalpana, post: 437666, member: 163043"]Split/shared visits do not apply to consultations (99241-99255),critical care services (99291-99292)!!
Can we down code Cpt 99291 to 99233 !
Is there a... [ Read More ]
Documented drinking of alcohol is listed on page 122 of Optum Expert ICD-10-CM as F10.__ depending on usage (excessive, habitual, or remission).
Peace
@_*
[url]https://www.aapc.com/memberarea/forums/... [ Read More ]
The Cigna Group will pay 172 million to resolve False Claims Act allegations. The U.S. Department of Justice DOJ announced Sept. 30 that The Cigna Group which owns and operates Medicare Advantage MA o... [ 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 ]