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.
I am at a complete loss. My OB/GYNs do some fertility work such as follicle checks for planned intercourse and inseminations. A few patients in the past were in lesbian relationships and used donor se... [ Read More ]
Hello, I have a general question about the updated 2020/2021 office code sets. In my company we do urgent care in the home, so when it comes to Medicare and Medicaid we use 95 guidlines to level tho... [ Read More ]
I have bills from a provider, billed by the MD, for service code 96130, but the services are being performed by PT's an ACU's. In the description below, what provider types are considered to ... [ Read More ]
We have a PICC nurse team that goes around to the observation & inpatient patients and puts in their PICC lines. Does anyone charge for this? What revenue code do you use? Are you getting ... [ Read More ]
Is it appropriate to bill 52344 for a ureteral dilation done with a scope rather than a balloon, incision, etc? The provider states that a stenotic area of the ureter was dilated but only the scope wa... [ Read More ]
What is the correct way to code the below op report? 29823 or 29822 with 29826? I'm thinking 29823 but am unsure. Thanks in advance!
POSTOPERATIVE DIAGNOSIS: Left shoulder stiffness with partial-thic... [ Read More ]
I am struggling with Medicare on when(if) to code for debridement. I understand that you can not bill for limited debridement when any other ARTHROSCOPIC procedure is performed, but what if an OPEN pr... [ Read More ]
AAPC8217s RISKCON virtual conference prepares healthcare professionals for the future of reimbursement. What is risk adjustment Its a methodology that the Centers for Medicare 38 Medicaid Services CMS... [ Read More ]
Look for them at a hospital near you. The ICD10PCS update for fiscal year 2023 is now available. To prevent coding errors that result in claim denials inpatient coders should download the code files a... [ Read More ]
Starting Jan. 1 Certificates of Medical Necessity and DME Information Forms will no longer be required. If you are a provider supplier biller or vendor who bills durable medical equipment DME Medicare... [ Read More ]
But be aware that some of the changes for coding and billing outpatient claims are retroactive to April or January. Many of the changes to Medicares Outpatient Prospective Payment System OPPS in the J... [ Read More ]
Jennifer Lynn Sanders is a consummate professional who strives to uphold a higher standard for herself and uplift others. Each month AAPC selects a member who demonstrates exemplary leadership qualiti... [ Read More ]