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="sandraclark5123@gmail.com, post: 516308, member: 784044"]
We billed CPT 29881 and used dx code M23.232. Patient has commercial Aetna and they have denied our claim as the diagnosis is experime... [ Read More ]
You are correct...M23.232 supports 29881. The issue is that you are dealing with AETNA. You will find that when you bill this and similar codes to other insurance companies there won't be an issue get... [ Read More ]
We billed CPT 29881 and used dx code M23.232. Patient has commercial Aetna and they have denied our claim as the diagnosis is experimental. In my research this dx code is reimbursable. Is there anothe... [ 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 ]
Hello!
Is there anyone having modifier issues with Humana in regards to billing for TOB 222? I billed TOB claims 222, 223, 224, 232, 233 and 234 claims for Revenue Codes for 420, 430 and 440. With ... [ Read More ]
If you look on page 232 under the 34812, 34710/34711 isn't included in the green text. This was a known issue. So for 2019 on page 247 they did get the 34713 corrected with the 34710/34711 but the 348... [ Read More ]
[QUOTE="CHENRYMBA, post: 444864, member: 56856"]Hi, I would be interested in this. Is the opportunity still available? Thanks!
Cheryl Henry, CPC, CPC-I (626) 252-0350
[email]chenrycpc@gmail.com[/em... [ Read More ]
F10.232 is not specific to severity.
This section of ICD 10 is for Alcohol Dependence with Withdrawal. F10.239 states that the type of withdrawal is unspecified. F10.232 states that the type of w... [ Read More ]
Hi so I have a claim that the diagnosis is F10.239; alcohol withdrawal syndrome, severe. To me that would be F10.232 because it is severe.. I am not familiar with mental health diagnosis coding if any... [ Read More ]
:confused:
LTC providers reporting ICD-9 codes (and their respective 10 codes) on the encounter. As far as I know this is definitely not allowable anymore, correct? I want to be sure before I take th... [ Read More ]
Addressing the emotional and psychological aspects of a big change is just as important as handling the logistics. In todays healthcare landscape leaders face the daunting task of navigating through u... [ 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 ]
Targeted Probe and Educate materials offer insight into what these payers are looking for. A letter from your Medicare Administrative Contractor MAC notifying you that your provider has been selected ... [ Read More ]
And one new code with an effective date retroactive to April 1. The results of the Centers for Medicare 38 Medicaid Services CMS first quarter 2023 drug and biological HCPCS Level II code application ... [ Read More ]
Dont assume the codes youve been using to report drugs and biologicals still apply. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare 38 Medicaid Services CMS inclu... [ Read More ]