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.
As the global pandemic enters its fifth month we are all feeling the strain. Staying home to slow the spread of the coronavirus may be keeping more people physically healthy but isolation exacts a tol... [ Read More ]
Learn about the organ procurement and transplant process to ensure patients are covered. National Donate Life Month in April is about encouraging people to donate organs and tissues to save the lives ... [ Read More ]
MACs may be applying the multiple endoscopy rule incorrectly. In the 2020 Medicare Physician Fee Schedule MPFS Final Rule the Centers for Medicare 38 Medicaid Services CMS finalized the proposal to ap... [ Read More ]
Its hard to believe how quickly the holiday season passed. Everyone was so busy with the hustle and bustle of a whirlwind of activities such as shopping attending events and parties. After New Years t... [ Read More ]
In my last blog Special Rules Apply to Endoscopic Sinus Surgeries I discussed the change to the Multiple Endoscopy Rule for multiple surgeries when performed within the family of endoscopic sinus code... [ Read More ]
Hello, new coder for pain management ASC. We billed 64633 RT LT, 64634 RT LT, 64634 59 RT LT. Insurance company is denying both 64634's for missing code or modifier. Any advice on how to bill correctl... [ Read More ]
I could really use some assistance with this. We have a new physician who did an intra-articular hip steroid injection under fluoroscopy. He used 1ml of Omnipaque with a notation the "... [ Read More ]
A gastroenterologist in Missouri is considering performing procedures in an Office setting using a CRNA for anesthesia. Has anyone had experience with this ? Is this a payable service to the CRNA for... [ Read More ]
I have just been joined to a large medical group as an auditor due to our practice merging. They do not have a lot of anesthesia experience. I have always audited by picking a day and checking for c... [ Read More ]
My provider wants to do a bilateral masseter muscle injection. Most of what I'm finding is for a botox injection (CPT 64611 or 64612). At this point, my doctor is looking at a Depo-Medrol injection to... [ Read More ]
Need some help here. In 2020 there are now codes for Nerve blocks and Radiofrequency done at the nerves that innervate the sacroiliac joint. 64451 and 64625
My question is if a provider performs a Me... [ Read More ]
If Tap block is done (bilateral abdominis plan) 3:40 to 3:45 and also ( bilateral Rectus sheath) 3:35 to 3:40. Would you charge 64488 2x putting modifier 59/76 on second one? We are discussing in ... [ Read More ]
Patient is having two different procedures done on the same hand.
One procedure is for a work comp related injury; the other isn't. Both procedures crosswalk to the same anesthesia code.
... [ Read More ]