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.
C9076 is the newest addition to the list of HCPCS Level II codes for CART therapies effective July 1. Learn the latest changes to reporting products and procedures related to Chimeric Antigen Receptor... [ Read More ]
Retroactive code pricing updates may require claims lookback. The Centers for Medicare 38 Medicaid Services CMS has posted a retroactive update to the April Average Sales Price ASP pricing file for th... [ Read More ]
Check your diagnosis coding for this patient encounter. PREOPERATIVEPOSTOPERATIVE DIAGNOSIS Recurrent right inguinal hernia. PROCEDURE PERFORMED Laparoscopic right inguinal herniorrhaphy with mesh. BR... [ Read More ]
Follow these steps when adding novel drug therapies to your practice management system to ensure accurate payment. New drugs often referred to as novel therapies come onto the market daily. These new ... [ Read More ]
More than 14.4 million in inaccurate payments were made to Medicare Advantage MA organizations due to the submission of incorrect acute stroke diagnosis codes by traditional Medicare providers as per ... [ Read More ]
I need help with this one please. Dr. did a simple complete mastectomy on 9/14. Path showed positive margins. Now taking additional breast tissue.
Positive anterior margin, status post left mastectom... [ Read More ]
Context: Urgent care, physician fee.
When doing charge entry and there is an injury, we have an injury code (S code) and an external cause with sometimes a place of occurrence code.
When we bill for ... [ Read More ]
A physician is ordering hysterectomy for medical reasons-bleeding and cramping-on a patient that is transgender female to male. He is keeping his ovaries, doesn't take hormones, and no longer ... [ Read More ]
When doing charge entry, if you have a patient who presents for abdominal pain and the physician does an XR and a pregnancy test, should I link the diagnosis code for the reason they are having the pa... [ Read More ]
Please help!! I don't why I get so confused w/ plastics & breast px's. I feel the more I look into it the more confused I get. Should I use 19380 for right breast or 11970? This is what I have... [ Read More ]
I have been an AAPC member since 2014. I passed my CPC exam in the same year and have been in the apprentice status since passing my exam. I currently work in finance at an FQHC in Tenn... [ Read More ]
I have been out of the field for awhile and would appreciate the appropriate way to code simple removal of sutures. The patient presented for ER follow up to get sutures removed. '3 stitches to be r... [ Read More ]