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.
The FDA grants emergency use authorization for athome overthecounter COVID19 tests. On March 5 2021 Cue Health received emergency use authorization EUA from the U.S. Food and Drug Administration FDA f... [ Read More ]
Brush up on modifier 24 guidelines to ensure payment for postsurgical unrelated EM services. Standard postoperative care including related evaluation and management EM is not separately reportable but... [ Read More ]
Other claims system glitches fixed with one still waiting. The Centers for Medicare 38 Medicaid Services CMS continues to issue new rules to accommodate nopay Request for Anticipated Payments RAPs and... [ Read More ]
Make sure your practices billing for communication technologybased services is compliant before the OIG comes calling. For providers billing communication technologybased services CTBS with no video c... [ Read More ]
Know when to use remote physiologic monitoring codes and what to look out for when you do. Along with accelerating the adoption of telehealth and telemedicine the COVID19 pandemic has also seen increa... [ 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 ]
Looking for any guidelines on how to code SPANK (sensory posterior articular nerve of knee)? Provider(anesthesiologist)is performing for post-op pain management following total knee surgery and is u... [ Read More ]
So, I have been getting denials for 95972 when billed with SCS implant. I've tried billing this with modifier -51 or -59 with no luck. The insurances keep denying as inclusive, I'm thinking there mayb... [ Read More ]
Our office just started doing a bit of MAC in the office for HDR services, I am running into a bit of problems with insurance companies. We bill anesthesia codes with corresponding modifiers (... [ Read More ]
I'm being asked to add the RT or LT modifiers to anesthesia codes for the following insurances: Harvard Pilgrim, UHC, & BCBS of MA.
In my 25 years of billing anesthesia, I've never us... [ Read More ]
Hello! I am new to anesthesia coding. I didn't see this topic addressed previously. Any help be greatly appreciated.
Our anesthesiologist indicates a break in supervision time (15 minutes break, fo... [ Read More ]
My provider was to perform a Vertiflex on a patient in the ASC - Anesthesia started giving the patient Mac & IV sedation and the patient became unresponsive & stopped breathing. My provider as... [ Read More ]
Hello! I am a pain management coder and have a question about presumptive drug screening. We collect urine samples from our patients for drug screening/monitoring and then we send them to a local lab ... [ Read More ]
How many units do you code if 1 mg of midazolam is used (J2250)? My doctor uses anywhere from 2-4 mg and I haven't been able to find the conversion into units to code. For example, J3301 Kenalog-40mg/... [ Read More ]