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 ]
This one is a first for me.
Patient seen one day post-circumcision by an out of state doctor. Had penile hematoma. My doctor took the patient to the OR, expecting to repair the circ. Instead found t... [ Read More ]
Need help with a brain imagining icd 10 chronic wallerian degeneration along the descending corticospinal tract. I see the index say see disorder nerve . I know this tract supplies the musculature o... [ Read More ]
Hello, my name is Janki Surati. I am recently CPC-A certified and currently working on Practicode program to get my real world coding experience. I am looking for full time job opportunities as a CPC-... [ Read More ]
I'm wondering if someone could advise. We are an Article 28 Hospital with out patient Family practice and Cardiac services so billing for Medicare is split.
We received a denial from Medicare on CPT 9... [ Read More ]
I am trying to bill 87811 to Medicare for the rapid COVID test and they are denying it stating that the CLIA # the provider has does not support this test. Is there something special we need to do to... [ 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 ]
Hoping to get some other people's input on this scenario.
I have a physician that recently posted this question to me:
"If I see a patient and do an independent interpretation of a KUB during t... [ Read More ]
I need help with how many units to put and the charge. We have a J1100 x10 units but charge is 10.00 for 1 unit so what should be posted?
J1100; Dexamethasone- per mg provider injected 1 mL 10 mg/mL ... [ 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 ]