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.
The Centers for Medicare 38 Medicaid Services CMS is proposing major payment changes to sinus endoscopy services. The 2020 Physician Fee Schedule PFS proposed rulepage 53 includes the following excerp... [ Read More ]
Doing so requires understanding the 2019 coding changes for reporting these two services during the same session. Effective Jan. 1 2019 new CPT codes were introduced to report fine needle aspiration F... [ Read More ]
Clinical diagnostic laboratories submitting claims to Medicare should be aware of 12 new tests recently approved by the FDA. The new Clinical Laboratory Improvement Amendments of 1988 CLIA waived test... [ Read More ]
Healthcare practitioners may soon have 23 new ICD10CM codes to use for reporting social and environmental factors that affect their patients health. The American Medical Association AMA and UnitedHeal... [ Read More ]
Yes officer training is required even if youve served recently or in the past. There are always changes some significant and some subtle but it is important to participate anyway. The good news is tha... [ Read More ]
I'm looking for help in coding a posterior cervical fusion in which our doctor used Dtrax for stabilization. This was at 1 level, C3-4. It's a Medicare patient. Has anyone ever tried billing for this?... [ Read More ]
I know there is software out there to help convert Snomed codes into ICD-10 codes. Does anyone know of an automated service or method that does the reverse? To go from ICD-10 to Snomed?... [ Read More ]
What would be the correct ICD-10-CM code for right femorotibial occlusion, please? I am referencing the ICD-10-CM and ICD-10-PCS Coding Handbook, with Answers and this dx is listed in one of the exam... [ Read More ]
The new MDM grid under "Complexity of Data" Category 1 lists Ordering of each unique test, Review of the result of each unique test. In my practice we order x-rays and interpret the x-rays t... [ Read More ]
Can a closed reduction and percutaneous both be billed together or would the closed reduction be included in the perc. pinning?
Closed reduction and percutaneous pinning of the metacarpal bone in the... [ Read More ]
I'm not sure how I should code the calcific tendinitis excision? I've been looking at possibly 23000? Also, would the open rotator cuff repair bundle in, I know it's 23412, but does the documentation ... [ Read More ]
Do you know if a modifier is required if a patient is seen for individual therapy (90837) at one location but group therapy (90853) at another location (2 different providers and locations) on the sam... [ Read More ]
I have a case where my doc did an PIP arthroplasty on the 4th toe and then excised the bone spur on the fifth toe. I understand the PIP arthroplasty but I don't understand the spurring excision. Is t... [ Read More ]
Doctor wants to bill 67840 for a lesion located RLL/lateral canthus - excision was more than just skin and involved the orbicularis and the lesion rested on the lateral orbital rim. it was 1.4cm. It d... [ Read More ]