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.
HHS program reimburses healthcare providers and facilities for testing treatment and vaccine administration fees associated with insured patients. On May 3 2021 the U.S. Department of Health and Human... [ Read More ]
Join subject matter expert Jill Young as she talks through the questions and concerns on everyones mind. The upcoming AAPC workshop Coding and Billing for Services During the COVID19 Public Health Eme... [ Read More ]
This new policy is based on timely valuable input from stakeholders ... on the costs associated with administering monoclonal antibodies. CMSThe post New Codes Rates for COVID19 Therapeutics appeared ... [ Read More ]
The 2022 proposed rule for SNFs is out and few stakeholders are surprised at the meat of the rule. The fiscal year FY 2022 proposed rule affects Medicare payment policies and rates under the skilled n... [ Read More ]
Check your diagnosis coding for this patient encounter. A patient presents today to discuss the results of her skin biopsy. Alice came in today for a followup visit. We performed a biopsy on her left ... [ Read More ]
This is a co-surgery between otolaryngology and neurosurgery. The initial approach to the sphenoid was made by ENT.
However, there was no pituitary tumor. It turns out to be a giant sellar aneurysm. ... [ Read More ]
A patient has a DX of nocturnal polyuria and there is some debate of how it should be coded. The patient was able to provide a 24 hour urine diary. The patient wakes up more than three times per night... [ Read More ]
When a provider is asked to review records twice on the same patient within 7 days, is there any way to charge for the second service? For example:
*On day one the consultant discusses the case with... [ Read More ]
If a patient was coming in for repeat TAVR, would you use Dx I35.0 or T82.857A for (Severe symptomatic aortic stenosis, prosthetic valve)?
76-year-old gentleman who underwent previous coronary
bypas... [ Read More ]
How do you bill Medicaid for a 16 year annual checkup one year after delivery of baby.
Do you use preventive cod8ing Z01.419 and CPT code 99384 or an different ICD-10 code and E/M.
Any help or guidanc... [ Read More ]
Recently, I received notification from Horizon NJ Health stating that they do not recognize CPT code 96110 for developmental surveillance for ages newborn until 21 years old (except 9 months, 18 month... [ Read More ]
Anyone else feel like the AMA just made everything so much more complicated? Why couldn’t they have removed history and exam and left the MDM section alone? Lab and radiology billing is different pe... [ Read More ]
I am really confused on what cath codes to use for this case. Any advice would be greatly appreciated!
Procedure performed: Right and left carotid as well as subclavian artery angiography, left subcl... [ Read More ]
Wondering if anyone has information regarding a broader definition of minor v. major surgery (other than the global period identifier). Specifically, as it pertains to the 2021 E/M guide... [ Read More ]
I have billed out 33235 78, 33216 78, and 92960 59. I have received a denial for 92960 stating it is inclusive. I have been doing some research to figure this out. Is 92960 inclus... [ Read More ]