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.
Medical necessity edits are based on payer reimbursement policies (usually Medicare LCDs) so you would need to take a look at your particular payer’s published policies to see whether or not the edi... [ Read More ]
Lab order diagnoses codes are Z01.818 and M16.11 - only labs were charged and our guidelines are to change the Z01.818 to Z01.812 in this situation; however, when I do that, the Hgb fails medical nece... [ Read More ]
Good Evening,
Working on a patient's visit where an preoperative evaluation along with a transitional care management was done at the same time.
The TCM-99496 dx48.0 Neoplasm of uncertain behavior l... [ Read More ]
I'd agree with you on assigning the diagnosis that is the reason for the surgery, but I would not assign Z01.818 because the placement of a stent is not an 'examination'. If the procedure is required... [ Read More ]
I'm probably overthinking this, but my docs frequently get asked to place stents for ureteral identification when patients are having other surgery - GI and GYN are most common. When I bill them, ther... [ Read More ]
Z01.818 cannot be coded on it's own, insurance payors will likely deny the claim. I've seen this happen many times in my edits and denials. Z12.11 would not be applicable in this case, unless the pers... [ Read More ]
[QUOTE="magdalena.iordan@yahoo.com, post: 452729, member: 165825"]
[B]96130[/B]
Hello fellow coders,
I was reading through the posts on this topic and I am in the same boat as you guys when it come... [ Read More ]
I am curious to know how people are coding for Zoladex when given for ovarian suppression for premenopausal women starting chemo or an AI? In the past we have used the Z codes Z31.84 for fertility pre... [ Read More ]
Primary care office in Orchard Park looking for FT Medical Biller with Medent experience.
M-F
Benefits, Insurance, Vacation, 401k
Send resumes to [EMAIL]Mfalkowski@opfppc.net[/EMAIL]
Thank You
... [ Read More ]
If the patient is scheduled to have a procedure following the colonoscopy and that's the reason for the colonoscopy, Z12.11 is not applicable. I see patients have EGDs prior to bariatric surgery. In ... [ Read More ]
Success hinges on coding these conditions with the specificity ICD10CM provides. Treatments that target the genetic underpinnings of muscular dystrophies are arriving and their potential to transform ... [ Read More ]
I chose to become a medical coder because of my sister Diana. She was preparing for the Certified Professional Coder CPC exam and shared with me her excitement about the many opportunities on the busi... [ Read More ]
The secret to ensuring both proper payment and compliance is in the details. Why is mental health coding so complex Laurie Bouzarelos MHA CPC asked and answered that question in her presentation Codin... [ Read More ]
Help your patients win the fight against high blood pressure and heart disease. February is American Heart Month a time to focus on cardiovascular health. The term heart disease encompasses a range o... [ Read More ]
If Ive been a positive influence or inspiration please pass it forward. When I was 17 I was asked to occasionally fill in at the front desk of my family doctors office. I had no idea that those two or... [ Read More ]