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.
By J.C. Cortese MS DC CPC Amyotrophic lateral sclerosis ALS also known as Lou Gehrigs disease is a progressive neurodegenerative disease of nerve cells affecting the brains ability to control muscle m... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS Change Request CR 8877 updated Medicare hospice manual instructions for acceptable principal diagnosis codes and timely filing of Notice of Election N... [ Read More ]
Pt has TKA in 12/20, has been experiencing pain ever since. Underwent retinaculum repair 2 months ago and still having pain. Now surgeon brings pt back in for knee exploration using 27331 with the fi... [ Read More ]
Hello Everyone!
I need confirmation on documentation for x-rays, please.
Scenario: A physician orders and reviews knee x-rays in his/her office. The orders that appear in the note state the numbe... [ Read More ]
Please please please help!
Xray results interpreted 1 day after being ordered at office visit. Because it takes at least one day to put films in system for our provider to personally interpret.
Can ... [ Read More ]
Code 25215
1) Has anyone had a problem with Humana Medicare for code 25215-59 (Carpectomy all bones proximal row) bumping against 25447 (Arthroscopy, interposition, intercarpal or carpometacarpal joi... [ Read More ]
When a patient comes in with a symptom such as nausea and vomiting and the doctor diagnoses the patient with (ex pancreatitis), should the diagnosis on the claim be only pancreatitis as documented by ... [ Read More ]
I have the following report that I do not know for sure that I am coding correctly. Someone? Anyone?
Using DX:
I35.0 AND Z00.6
I am coding it this way:
33361 62:Q0
33210 59
76937 26:59
75630 26
... [ Read More ]
I'm looking for clarification on coding for CPT 61312. Should anatomical modifier be used - LT or RT? How do you code if the procedure is done bilaterally?
Thank you!... [ Read More ]
Can I please get some help understanding primary diagnosis codes on hospital subsequent encounters? If the patient is admitted with a diagnosis of respiratory failure (ex) and on next day the hospital... [ Read More ]
Anyone else feel like the AMA just made everything so much more complicated? Why couldn’t they have removed history and exam and left the MDM section alone? Lab and radiology billing is different pe... [ Read More ]