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.
When following DSM5 to ICD10 crosswalk recommendations look out for dead ends. The introduction of Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM5 to the psychiatric community... [ Read More ]
If we order/review and bill for a UA on same day as visit –we receive no credit for MDM that day?
If we order/review and bill for UA on same day as visit and order a UA for the next visit that we w... [ Read More ]
Our facility has a type B Emergency Room. The facility has been billing (for NON-Medicare patients) both the ER/ED facility fees (G0381-G0384) and the E/M professional code for ER on the same CMS-1500... [ Read More ]
Can anyone help me with the LCD for both cpt codes 64451 & 64625. I have called Medicare and they showed me where to get the LCD but does not give you what you need to get the medical necessity f... [ Read More ]
So all my procedures and pregnancy tests are being rejected by my clearing house :
Using 50 modifier: 64494 Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid informatio... [ Read More ]
i am a facility cath lab coder . i have cardioversion cpt 92960 denied from healthoptions( medicaid plan) stating its hitting cci edit component 2 coding. they couldn't tell me which cpt exactly was h... [ Read More ]
Our office is wanting to start giving the blood transfusions in the office. The product will be coming from the hospital so I know they will be billing that portion. All research has led me to HCPCS 3... [ Read More ]
Patient had lobe excised 12/27/18. Saw the Pulmonologist 2/19 who referred patient to Oncology for adjuvant chemotherapy but stated not sure patient was a candidate due to comorbidities. Saw Oncolog... [ Read More ]
Our company does OCM coding, it's an HCC type model for Oncology.
We haven't started yet but we are looking at a program that will allow us to catch missed codes.
This program has a list of missed HC... [ Read More ]