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 ]
I work for an orthopedic office. We prior authorize the surgeries though turning point. We are having a hard time getting the G0289 and 29823 approved. It is mostly for Medicare plus blue. I know the ... [ Read More ]
What ICD-10 code would be used when coding CPT 86769 Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]). Researching this the lab should be drawn ... [ Read More ]
I work at a Pulmonary office in Pennsylvania and we are having issues with Highmark denying 94060 when we bill it with 94726 and 94729 on the same date of service with modifier 26. They are saying max... [ Read More ]
Has anyone going through the same issue that IEHP has been denying code 93623, stating - "Procedure modifier 26 was invalid on the date of service" and to submit with a diff... [ Read More ]
I got confused with a denial claim and thought someone can help me out here.
For initial visit (on which decision to perform Pacemaker insertion was made )- coded 99223 - 57 modifier
T... [ Read More ]
Our ASC manager was told by our new ophthalmologist the hospital he did his residency got paid for PanOptix through the VA.
An OPTUM CCN rep told her to get the code added to the auth and yes they wil... [ Read More ]
I am not able to get my out of state BCBS claims to properly route to the BCBS of OK. I have changed all payor IDs for the out of state policies (for example, BCBS of Texas) to be that of BCBS of OK ... [ Read More ]