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.
Perform followup visit reviews to be sure providers know the difference between medical necessity and MDM. By Gene Clarke MBA CIA CISA In the primary care setting managed care generally means a patien... [ Read More ]
By Nancy Clark CPC CPCI Modifiers are crucial in telling the story of the claim by identifying procedures that have been altered in some way without changing the core meaning of the codes submitted. L... [ Read More ]
Make Assigning HIV and AIDS Diagnosis Codes Straight Forward. By Katherine Abel CPC CPMA CPCI CMRS Assigning ICD9CM codes for human immunodeficiency virus HIV and acquired immunodeficiency syndrome AI... [ Read More ]
By Beverly Welshans CPC CPCI CPCH CCSP The same care your providers take when administering preventive care to assure all has been covered must be taken when coding those services as well. It never hu... [ Read More ]
Heres How to Know for Sure By G.J. Verhovshek MA CPC In 2006 the Office of Inspector General OIG released the report Consultations in Medicare Coding and Reimbursement claiming as many as 75 percent o... [ Read More ]
HELP! I need a comparison code for the above. My physician and I have decided that this will be unlisted, 27599. However, he says there is really no good comparison code so I need suggestions. He te... [ Read More ]
I was looking for some guidance on the midpoint for 99402- code reads approx. 30 mins. We spent 20 minutes with a patient so would this qualify for the billing of 99402 since we crossed the midpoint o... [ Read More ]
Can anyone please verify the correct way to bill a pap that was part of annual preventative but was done on a different date of service?
A patients comes in we bill 99396 with Z00.00, insurance pays v... [ Read More ]
What is the date of service reference to bill out 59515, the date of the first post partum visit?? Our organization, when appropriate, bills out 59430 when the global package is broken up, we never bi... [ Read More ]
We are considering using oral sedation in the office for ABR’s on young children. Can you give me some information on the codes that might be involved for the drug administration, monitoring and et... [ Read More ]
We have an auditing company auditing our notes and coding for nail trims and diabetic exams. They are telling us that we CAN NOT code from the body of the note, only from the Assessment and Plan. For... [ Read More ]
Can a coder enter diagnoses codes under assessment prior to office visit (to remind providers to capture HCC codes)?
I've been asked by my supervisor to review charts prior to appt and in the assessm... [ Read More ]
I have a new provider in our practice. My management staff wants her to start seeing patient's even though her set up is not completed with our PPO contracted insurance companies. Can I bill shared ... [ Read More ]
I have a question about the external ECG code sets. We do not bill a global code because we do not own the equipment and vendor does the scanning analysis and report portion. My question is related ... [ Read More ]
Hello: Can anyone tell me if there is a free site which provides Dental crossover codes to medical?
If anyone could provide the medical CPT crossover for HCPC D7730?
Thank you in advance.... [ Read More ]