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.
In my last blog Special Rules Apply to Endoscopic Sinus Surgeries I discussed the change to the Multiple Endoscopy Rule for multiple surgeries when performed within the family of endoscopic sinus code... [ Read More ]
Do your healthcare workers have what it takes to excel in a consumerdriven marketplace The landscape of healthcare organizations is changing dramatically. In recent years the concept of healthcare con... [ Read More ]
Be on the lookout for clues to submit a successful appeal. Denials and appeals can be the most frustrating parts of a coders job. I have been on both sides of the fence working profee for a healthcar... [ Read More ]
Although the scope of its enforcement is not yet determined ensure your business relationships with laboratories do not violate EKRA. New Antikickback provisions in the Eliminating Kickbacks in Recove... [ Read More ]
Whether you are just getting your certification or are a veteran in the medical coding job market you dont have a magic 8 ball for your career. The closest you can get are people like Gina Piccirilli ... [ Read More ]
A patient has been followed for OA and the decision for total knee replacement is made due to exacerbation of OA and pain limiting daily activities. For the visit when the decision for surgery is made... [ Read More ]
I wondered if another CRC might be able to help me with a question regarding Risk Adjustment encounter data for 2022....
Does anyone know if the rule to exclude IP claim data applies only to MA Risk o... [ Read More ]
On Amount and/or Complexity of Data: I can't find anything that will help me determine whether my provider "reviewed the results" of a test or did an independent interpretation of a test. Do... [ Read More ]
Hello, can any experts help clarify what is correct reimbursement for this situation? We are billing bilateral pain management injections and the insurance is paying the + on levels @ 200% of the sing... [ Read More ]
Dr performed 50590, 19 days later 52332 and 52353....tried to bill but got denied for the 52332/52353 for global. I don't see 52353 w/ 50590 and a code 9 for the 52332...Need help to understand ... [ Read More ]
1. Would a prescription for orthotics or gel insoles be considered low risk?
2. Can we use the current 1997/95 grid, example PT?
3. closed fx care without manipulation was previously moderate risk... [ Read More ]
The question reads, "Ventricular angiography cardiac catheterization imaging services, interpretation, and report."
And they have that the answer is 93452: Left heart catheterization includ... [ Read More ]