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.
Find out what you8217ll need to do to get these claims paid. Expansion of the Prior Authorization Model for Repetitive Scheduled NonEmergent Ambulance Transports RSNAT will begin as early as Dec. 1 fo... [ Read More ]
An auditor asked the question of postoperative sinus debridements while discussing functional endoscopic sinus surgery FESS. It was asked if postoperative debridements are coded and chargeable when a ... [ Read More ]
If youre a coder youve probably seen the term same physician used throughout the CPT codebook for example the descriptor for modifier 25 stipulates Significant separately identifiable evaluation and m... [ Read More ]
Nearly every section in the code book has updates The stakes are high that your coding is affected. CPT 2019 includes 212 new Category I and III codes 50 revised code descriptors and 71 deleted codes ... [ Read More ]
What does the cost of rising health insurance mean for you By Wendy Dressler Image via Pexels There are a lot of changes coming to the world of healthcare and health insurance. Its no secret that the ... [ Read More ]
Our Family Practice Clinic is doing telemed visits. We have had a few patient come in after their appointment for an In House Lab. The Telemed has the location as 02. The Lab has the office locatio... [ Read More ]
I read on AMA site of modifier 93 (used for telemedicine for audio use only) for 2022. CPT codes 99441, 42, 43 and 44 are codes that were implemented in 2020 for telemedicine audio use only. My questi... [ Read More ]
Can someone please give me some guidance on this modifier? I received a letter from Cigna stating that we would need to start appending this modifier to our claims for patient's seen by our NP. Our NP... [ Read More ]
I recently started coding several lab tests - 88334, 88335, 84165, 84166.
Often on the results report there is no diagnosable condition or clinical history listed. I get things like:
"Weak IGG ... [ Read More ]
I have questions about the proper billing for an ambulatory infusion center at our hospital.
The infusion center wants to bill an e/m code for every visit. They usually use 99212. There is no physi... [ Read More ]
Hoping that I can get some guidance here.
During two separate audits of telehealth visits performed during the pandemic, our auditors identified that providers are noting â€śno exam performedâ€ť in t... [ Read More ]
I work for an Infectious disease clinic. Dr. billed T84.50XA as the primary and only dx for an office visit (POS 11), and insurance denied for: Per cpt guidelines , this service is not appropriate in... [ Read More ]
Looking for any ideas on what the proper coding may be for this procedure:
1. Endoscopic Transoral Left-sided anterior maxillectomy approach to V2 and skullbase
2. Endoscopic V2 Foraminotomy with Ul... [ Read More ]
Is RPAV considered a branch or the distal extension of the RCA?
DES was placed prox and mid RCA. C9600-RC. ( facility)
intervention also states RPAV lesion DES placed. Is C9601-XU,RC correct?
Iâ€... [ Read More ]
My doc is billing 20550 & 64450 together and I keep getting a CO-97 denial on 64450. It is not being billed for plantar fasciitis but instead a forearm nerve injury. I can't find a clear answer on... [ Read More ]