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.
Healthcare providers are granted even more latitude for use of telehealth services during the COVID19 public health emergency. On a Friday at monthend theCenters for Medicare 38 Medicaid Services CMS ... [ Read More ]
Dont let insufficient documentation lead you astray. How many times has a provider asked you What do I need to document to get a 99215 All too often medical coders feel they should help their provider... [ Read More ]
Clinical Laboratory Improvement Amendments CLIA fees are being increased for the first time in 20 years according to a holiday week notice from the Centers for Medicare 38 Medicaid Services CMS. CLIA ... [ Read More ]
Various flu strains circulate each year. Be sure you can properly report the vaccine. Influenza can be a serious condition and the best way to avoid getting the flu is to have an annual flu vaccinatio... [ Read More ]
A MD sees a patient in hospital for one week long stay. He sees patient subsequently twice in one day. Can 99231 be billed twice for same day?
Are both visits combined for 1 total 99231 or 99232?
Ar... [ Read More ]
I am new to the AAPC Forum Community and will be taking my CPC Exam next month. I originally was going to take the in-person exam but decided to take it online. I am a terrible timed-t... [ Read More ]
Our physician had a patient present for a left heart cath but the procedure was discontinued as follows:
INDICATION AND DESCRIPTION OF PROCEDURE: Right groin and right wrist were prepped and draped
... [ Read More ]
Status post repair of dural tear from an extensive instrumented posterior
spine fusion down at another facility with a persistent dural tear.
Repair of dural tear w... [ Read More ]
I need help settling a dispute in my office. Our providers sometimes do a bx followed by ed&c if they are clinically suspicious of it being malignant. Typically this is only done on older patients... [ Read More ]
Hey, all. I embarked on this career path in April of this year. August marked 6 months of being unemployed for me. As of a couple weeks ago I completed my billing/coding course. I knew from the start ... [ Read More ]
The physician I bill for saw a patient with an insurance that he is not contracted with. He is performing wound care at the local hospital, so the hospital bills their portion as well. My question i... [ Read More ]
Does anyone know if it's appropriate to use a 51 modifier when performing surgery on more than one area of the sinuses in an ambulatory surgery center setting? For example, The doctor performed a bila... [ Read More ]