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.
Join subject matter expert Jill Young as she talks through the questions and concerns on everyones mind. The upcoming AAPC workshop Coding and Billing for Services During the COVID19 Public Health Eme... [ Read More ]
This new policy is based on timely valuable input from stakeholders ... on the costs associated with administering monoclonal antibodies. CMSThe post New Codes Rates for COVID19 Therapeutics appeared ... [ Read More ]
The 2022 proposed rule for SNFs is out and few stakeholders are surprised at the meat of the rule. The fiscal year FY 2022 proposed rule affects Medicare payment policies and rates under the skilled n... [ Read More ]
Check your diagnosis coding for this patient encounter. A patient presents today to discuss the results of her skin biopsy. Alice came in today for a followup visit. We performed a biopsy on her left ... [ Read More ]
Consider code descriptors surgical anatomy technology used and type and amount of visualization. Most CPT codes get added to the code book each year without any mention as to whether the procedure is ... [ Read More ]
Hello, I work at a Pediatric office and it is getting closer for parents coming in with sports physical forms, when we see a patient for a Well visit and a sports physical, we try to bill for both as ... [ Read More ]
I'm a little confused as to how I should do a corrected claim to Medicare. We accidentally submitted a 99211, I want to void that claim and submit a 99213 and 69210. Would I put the new claim on a HC... [ Read More ]
I have billed out 33235 78, 33216 78, and 92960 59. I have received a denial for 92960 stating it is inclusive. I have been doing some research to figure this out. Is 92960 inclus... [ Read More ]
If the patient's primary insurance states that the patient has no copay, deductible or coinsurance, leaving a $0.00 balance after payment and contractual adjustment and sequestration, do you still hav... [ Read More ]
I was just told by a company that there is no reimbursement allowed for IM injections or injections/infusions of any kind in the OP hospital setting. Is this true? and when did this change? i am str... [ Read More ]
So my question is where I am not sure do I use 44206 with modifier 52? or 44204 and 44188?
Operative note: abdomen is then prepped and draped in the standard sterile fashion. The site of the end c... [ Read More ]
MD coded 49320 Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
I'm thinking 49321 Laparoscopy, surgical... [ Read More ]