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.
Finally summer has arrived Time to go enjoy the outdoors. When I was young I was riding my bike on the sidewalk in my neighborhood. I lost my balance on the bike and fell to the ground hitting my chin... [ Read More ]
The CPT codes that are considered a laboratory test under the Clinical Laboratory Improvement Amendments CLIA change each year as well as throughout the year making it difficult for healthcare provide... [ Read More ]
CPT addon codes such as 10004 Fine needle aspiration biopsy without imaging guidanceeach additional lesion List separately in addition to code for primary procedure describe procedures always provided... [ Read More ]
Here is what you need to know to avoid obsolete coding practices. Over the past few years CPT coding for spinal surgical procedures has changed significantly. Have you kept pace Lets doublecheck to ma... [ Read More ]
I need insight from some experts! What would you do with this?
Pt. in today for pump check and possible scheduling of replacement. The pump has had volume discrepancies showing that no medic... [ Read More ]
Can these modifiers both be billed on the same claim form if NPI numbers for each provider are listed? Also, is the website anesthesiabilling.org a trusted and reliable resource? Who are they?
Thank... [ Read More ]
Our providers are doing Subcostal TAP Blocks and have been trying to use 64425. This is not an Intercostal Nerve Block, so I do not feel 64425 is appropriate. The procedure description is re... [ Read More ]
Hello, My question concerns acceptable modifiers for anesthesia for two separate surgeries but they are on the same day. We say append the 59 modifier only on the second surgery. Others are saying y... [ Read More ]
My MTF surgeons have started using epidural anesthesia in lieu of general anesthesia for qualified hip and knee replacement candidates. I have confirmed with the anesthesia providers this is not a ner... [ Read More ]
I am new to anesthesia billing and have a question regarding calculation of time units. I am trying to figure out when to 'round up' units when the time exceeds 15 minutes. For instance, how many ti... [ Read More ]
We code G0260 for our ASC billing and Pro 27096 for all Medicare/Medicare replacements / work comp claims. We are having the BX and BS deny the 27096 on the pro side. Is anyone else having th... [ Read More ]
I am new to Anesthesiology billing and wondered if anyone can provide guidance about this- Medicare (Novitas) and Medicaid (Pennsylvania) do not make any additional reimbursement for the physical sta... [ Read More ]