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.
Since 1963 February has been American Heart Month and the American Heart Association has been leading its awareness. The goal during this month is to acknowledge heart disease and to raise money for r... [ Read More ]
Part 2 Consider skin lesion type location and excised diameter. Consideration of several factors such as the type of removal lesion size and location pathologic results intent etc. are key to accurate... [ Read More ]
Medicares new communication technologybased service policies have several conditions for coverage. A medical practice can now bill and collect payment for certain nonfacetoface services without the st... [ Read More ]
Weve all heard of opioid addicts who make up aches and pains fake injuries or hurt themselves in hopes of being prescribed Vicodin Percocet etc. As the opioid crisis grows so do its boundaries with fa... [ Read More ]
Medical coders and auditors are essential to their employers outcome in the Cost performance category. Of the four performance categories in the Meritbased Incentive Payment System MIPS one of two tr... [ Read More ]
I have 2020 AMA books that I purchased in middle of September. Do I need to purchase 2021 books in order to take online exam in mid January? I won't be ready to take the CPC exam until then.... [ Read More ]
I think 37221,37224,75716 my question is if we code cath placement for angiography in this case. I know it's bundled with few exceptions, it was Lt femoral access with bilateral angio and interventio... [ Read More ]
I am suddenly getting denials from Ambetter where they are denying the physical cpt and paying the admin. I used 99395 =25, 90662 and 90471. They denied for bundling. Can someone help me please??... [ Read More ]
I have seen only a few references to DM 1.5 (otherwise known as latent autoimmune DM apparently). It appears that this condition has been recognized for some time (I have found references back to 200... [ Read More ]
I am coming upon more procedures for Meniscus rasping. Is anyone coding rasping? There is no formal code for rasping. You run into bundling issues if you use 29877. So for my reports, I have a lateral... [ Read More ]
I am trying to clarify appropriate coding for injections that a provider may perform on new patients. I work in a hybrid Urgent Care/Primary Care setting that has a PA specializing in Orthopedics. Of... [ Read More ]
My office is taking part of the HRSA Covid Uninsured Program for re-imbursement for our self-pay patients. I created the claim just as specified but could not locate a group number. Therefore, I used ... [ Read More ]
This colonoscopy is done for iron deficiency anemia. The provider placed the hemostatic clip to prevent bleeding post-intervention. There was no bleeding at the end of the procedure. My question is... [ Read More ]
Hello I have a surgery for a LFT Ureteroscopy with a laser lithotripsy and a double J stent.
According to the Pervious KUB taken before surgery the stone was still present.
But when the Dr. performed... [ Read More ]