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.
Start by asking the right questions. Coding for gynecologic oncology procedures can be complicated. Procedure codes differ depending on whether the procedure is laparoscopic versus open and whether th... [ Read More ]
The shift to outpatient services puts billers and coders with an understanding of the OPPS in demand. Hospital outpatient services are all services provided to a patient in a facility that do not requ... [ Read More ]
Make sure your physician practice is prepared for renewed scrutiny of Medicare claims. Medicare Part B postpayment servicespecific medical reviews resumed Aug. 17 2020 after a brief hiatus due to the ... [ Read More ]
HELP, Novitas-Medicare NJ-our MAC claims are being denied for LCD- for example R91.1-Solitary Pulmonary Nodule. The px code is 31622 AA X4 QS (bronchoscopy). What is it that our coding team needs to ... [ Read More ]
We are a pain management clinic in Texas. We have received word from a third party that Medicare will not be covering anesthesia for in office procedures anymore. We cannot locate anything on their we... [ Read More ]
Had anyone has any guidance on how to bill for medial branch blocks on different levels in the cervical region that you have performed on the 1st and & 2nd MBB?
We performed c2-c3 mbb 1 &a... [ Read More ]
Can anyone tell me the code for a fibrin glue patch. I am showing for a blood patch that the code is 62273. Would this include fibrin glue patches or is there another code for this particular patch?... [ Read More ]
On a recent audit, I had a deduction for the use of the PT modifier. Question: Do any of you use the PT modifier for Medicare procedures only that are screenings that transition to therapeutic? I was ... [ Read More ]
Hello, We have a pediatric ASC and I was wondering if anyone out there codes/bills for general anesthesia for lab draws for severely autistic pediatric patients? If so what anesthesia code are you u... [ Read More ]
Good morning, Medicare's locality adjusted conversion factors and base unit values for 2022 are now available in this Zip file: https://www.cms.gov/files/zip/2022-anesthesia-conversion-factors.zip. Th... [ Read More ]
Looks like from 2022 proposed rule for physician fee schedule new anesthesia codes for procedures like 10160 for seroma drainage and 64633-64636 RFA Facet nerves
01XX2 Anesthesia for percutaneous ima... [ Read More ]
I am billing for the anesthesiologist. The case was scheduled as MAC however the anesthesiologist could not get a good IV stick and remained present monitoring the patient for the procedure while the... [ Read More ]