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.
Small differences in documentation language play an important role in diagnostic coding. A key concept for accurate diabetes coding is that of causal relationships. A causal relationship is a document... [ Read More ]
When it comes to medical documentation you can8217t use or bill for what you can8217t read. For example in the inpatient setting many hospitals requestthat providers with poorpenmanship return to redo... [ Read More ]
Part 1 Use effective communication to coach providers towards better record keeping. Brenda ChidesterPalmer CPC CPCI CCSP Editors Note This is the first part of a twopart series. In the next article w... [ Read More ]
Determine target and fix your systems areas of greatest concern. byPam Brooks CPC PCS On Oct. 1 2013 all diagnosis codes will be reported with a new format ICD10. By this time next year you should be ... [ Read More ]
New preventive medicine mandates call for healthy coding habits of these services. By Shelly Cronin CPC CPMA CANPC CGSC CGIC With the Centers for Medicare 38 Medicaid Services CMS renewed focus on pre... [ 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 ]