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.
Deficient understanding of this essential vitamin could wreak havoc on your coding for related testing and diagnoses. Vitamin D testing is a current Center for Medicare 38 Medicaid Services CMS Compar... [ Read More ]
Doing so requires understanding the 2019 coding changes for reporting these two services during the same session. Effective Jan. 1 2019 new CPT codes were introduced to report fine needle aspiration F... [ Read More ]
Insufficient documentation accounted for nearly 82 percent of improper payments for ostomy supplies in 2018 according to the Centers for Medicare 38 Medicaid Services CMS. No documentation and medical... [ Read More ]
As of January 25 only 62 percent of healthcare providers submitted feeforservice claims with the new Medicare Beneficiary Identifier MBI according to the Centers for Medicare 38 Medicaid Services CMSM... [ Read More ]
Modifier 59Distinct procedural serviceis an unbundling modifier. When properly applied it allows you to separately reportand to be reimbursed fortwo or more procedures that normally would not be bille... [ Read More ]
CRNA did a subarachnoid block (SAB) spinal injection to numb for surgery. She said it wasn't a nerve block. Knee surgery. Someone coded as 64999 unlisted SAB block. Could this however, be code... [ Read More ]
Exploring billing for anesthesia....
Though very payer specific, do you obtain a separate auth for anesthesia? Or, do you bill with the auth obtained for the provider and/or facility? Thanks in adva... [ Read More ]
I know the Mastopexy would be coded as 00402. Would you code left breast cancer to justify the Right Mastopexy or a different dx code?
Postop DX: Left Breast Cancer
Procedure Performed: MRI bracketed... [ Read More ]
Does anyone know when it would be appropriate to use Category II & III codes for Anesthesia or Pain Management billing....not really sure at this point we do not use them at all in our billing was... [ Read More ]
We are billing for anesthesia and have a Blue Shield claim which has the need for 5 modifiers. I understand the claim only allows for 4 modifiers however, all 5 modifiers are important in the correct... [ 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 ]
The provider is performing an MBB @ T10 -T11 & T11-T12 to block T11-T12 & T12-L1. T12-L1 is considered lumbar region, so would I bill 64490, 64493 or should this be billed as all thoracic, 644... [ Read More ]
How do you handle the medical necessity for anesthesia on a procedure that per the LCD, anesthesia is not routinely necessary for the procedures? I think our office needs to have a form or som... [ Read More ]
I have a patient the doctor placed a peripheral stimulator previously and is not switching to a spinal cord stimulator. The generator from the old stimulator was removed & a new pocket was created... [ Read More ]