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.
Hello. I am looking for further guidance on Sensipar and ESRD. I have read that it is billed with the bill type 721 and is paid as part of the composite rate (i.e., no separate payment). But, then ... [ Read More ]
Based on the operative report which is incomplete as to what was done and what were the diagnoses and where the surgery performed and assuming a great deal of information, I would suggest the followin... [ Read More ]
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This appears to be a partial nephrectomy for a bifid or double urinary system (double ureter and renal pelvis) where a partial ureterectomy of ... [ Read More ]
This appears to be a partial nephrectomy for a bifid or double urinary system (double ureter and renal pelvis) where a partial ureterectomy of the double ureter is also performed. Code 50534 for the p... [ Read More ]
If 77080 is an age-specific CPT code, then verify correct DOB on claim, or if recurring denial reason, then verify payer has correct age and DOB. So correct and resubmit. If not,
Medicare Part B co... [ Read More ]
I agree with the above two responses you received. The ICD-10 CM guidelines specifically state if you have a definitive condition that includes the symptom, the symptom is not listed separately. You c... [ Read More ]
We are having a lot of issues with our Pain Management. A patient comes in for pain management due to back, hip and leg pain due to sacroiliitis, lumbar degenerative disc disease, lumbar radiculopathy... [ Read More ]
We are looking for a Coding instructor for the CPC course 20 week (starting on probably week 3--Karen can only do the first 3) and we just started. It is on Thursdays from 5:30-8:30 and because we u... [ Read More ]
Targeted Probe and Educate materials offer insight into what these payers are looking for. A letter from your Medicare Administrative Contractor MAC notifying you that your provider has been selected ... [ Read More ]
New codes may help providers get paid for emerging services and supplies. The Centers for Medicare 38 Medicaid Services CMS has posted the HCPCS Level II code set update for fourth quarter 2023 on its... [ Read More ]
Billing updates aim to help physician offices get paid for CAR Tcell therapy. The latest round of updates to HCPCS Level II coding clarifies outpatient billing requirements for chimeric antigen recept... [ Read More ]
Use AAPCs 2023 Medical Coding and Billing Salary Report to see if you are on the right career track. The 2022 Salary Survey results are in and data show that AAPC certified medical coders billers and ... [ Read More ]
Learn why strategic planning is essential for coding managers and compliance directors and how to create a plan for your organization. Strategic planning is an important part of any business and is be... [ Read More ]