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.
May is National Osteoporosis Month a time when communities across the United States rally to raise awareness of osteoporosis and the importance of prevention and early detection in combating this com... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS released Feb. 1 maintenance updates for several National Coverage Determinations NCDs to reflect recent code changes CR11134. Every year when ICD10 CP... [ Read More ]
Approximately 10 million Americans have osteoporosisand about 34 million more are at risk according to Noridian Healthcare Solutions. To bring attentionto this preventable diseaseMay has been declared... [ Read More ]
A physician may order a bone mass measurement BMM study to identify bone mass detect bone loss or determine bone quality in a patient. BMM is performed with either a bone densitometerother than single... [ Read More ]
CRNA did a subarachnoid block (SAB) spinal injection to numb for surgery. She said it wasn't a nerve block. Knee surgery. Someone coded as 64999 unlisted SAB block. Could this however, be code... [ Read More ]
Exploring billing for anesthesia....
Though very payer specific, do you obtain a separate auth for anesthesia? Or, do you bill with the auth obtained for the provider and/or facility? Thanks in adva... [ Read More ]
I know the Mastopexy would be coded as 00402. Would you code left breast cancer to justify the Right Mastopexy or a different dx code?
Postop DX: Left Breast Cancer
Procedure Performed: MRI bracketed... [ Read More ]
Does anyone know when it would be appropriate to use Category II & III codes for Anesthesia or Pain Management billing....not really sure at this point we do not use them at all in our billing was... [ Read More ]
We are billing for anesthesia and have a Blue Shield claim which has the need for 5 modifiers. I understand the claim only allows for 4 modifiers however, all 5 modifiers are important in the correct... [ Read More ]
I work in the billing department of a pain management office. We are having issues with Blue Cross taking back money for J codes that are billed out when we refill the pumps.
Does anyone out in ... [ Read More ]
The provider is performing an MBB @ T10 -T11 & T11-T12 to block T11-T12 & T12-L1. T12-L1 is considered lumbar region, so would I bill 64490, 64493 or should this be billed as all thoracic, 644... [ Read More ]
How do you handle the medical necessity for anesthesia on a procedure that per the LCD, anesthesia is not routinely necessary for the procedures? I think our office needs to have a form or som... [ Read More ]
I have a patient the doctor placed a peripheral stimulator previously and is not switching to a spinal cord stimulator. The generator from the old stimulator was removed & a new pocket was created... [ Read More ]