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.
Be sure pediatric ED documentation and coding reflect the demands of your specialty. By Jim Strafford CEDC MCSP Emergency department ED coding is placeofservice driven. Coding the five ED levels 99281... [ Read More ]
Physicians providers and suppliersshould note the Centers for Medicare 38 Medicaid Services8217 CMS8217srecent coding policy changes to several clinical diagnostic laboratory services8217 national cov... [ Read More ]
Orthopedists who treat pediatric patients for fractures have three new ICD9CM codes to use come Oct. 1. Report ICD9CM code 813.46 Torus fractures of ulna alone when the patient fractures only the ulna... [ Read More ]
The doctor is implanting a CRT, and cannot position the LV. He opt for either a His lead or a LBB lead to act as the CS, bills it as a CRT [33208 and 33225]; with the 33225 editing [looking... [ Read More ]
According to CPT 2021 Guidelines: "A shared or split visit is defined as a visit in which a physician and other qualified health care professional(s) jointly provide the face-to-face and non-face... [ Read More ]
In using time to calculate a level of service in 2021, are there any exceptions to how time is counted when a translator is necessary to communicate with the patient?
For example: A ... [ Read More ]
I work for a family practice and I am having Humana denials on vaccines for reason:
This decision was based on a Local Coverage Determination (LCD). We have called them several times and sent in doc... [ Read More ]
If our practice has privileges to perform consults in a Hospital setting, and a hospital employed resident completes the consult for our provider, when would it be ok to bill the Hospital Care?
Would... [ Read More ]
I live in Michigan in the Roseville area,and work in Livonia.I am looking for someone to give me an opportunity in medical coding to remove the Apprentice
from my CP tvC certification. I am not looki... [ Read More ]
So all my procedures and pregnancy tests are being rejected by my clearing house :
Using 50 modifier: 64494 Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid informatio... [ Read More ]
Hello, I recently passed my CPC exam in June 2020 to become CPC-A. After 24 years of Administrative Support and Project Management, I recently severed/retired from St Joseph Mercy Hospital in Ann Arbo... [ Read More ]