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.
And that8217s not all CMS has issued new coding guidance too. The Centers for Medicare 38 Medicaid Services CMS implemented 12 new ICD10PCS codes to allow Medicare and other insurers to identify the u... [ Read More ]
Just when you thought you had all the COVID19 coding for laboratory testing figured out hold the phone there are three new CPT codes. These newest codes are effective June 25 2020. CPT Code Long Des... [ Read More ]
Healthcare providers are granted even more latitude for use of telehealth services during the COVID19 public health emergency. On a Friday at monthend theCenters for Medicare 38 Medicaid Services CMS ... [ Read More ]
AAPCs coding expert Raemarie Jimenez gives you the scoop on next years updates. Code update season is always an exciting time of year. With it brings new revised and deleted CPT codes and coding guide... [ Read More ]
An estimated 224390 people in the United States will be diagnosed with lung cancer in 2019. Thats 615 people each day 26 people each hour and one person every 2 minutes. Lung Cancer Awareness Month o... [ Read More ]
I am getting denials from Medicare when billing 99497, 99498, and 99498. The time documentation is appropriate. Medicare is paying the 99497 and the first 99498, however they are denying the second ... [ Read More ]
HI. I received a issue from a fellow coworker. She has a patient who had a foot amputation done which has a 90 day global period. Paitent had a sig flex done during the global period. That claim w... [ Read More ]
I work in a critical access hospital as an inpatient coder and also as a documentation improvement specialist. One of our admitting providers has a very bad habit of not completing his H&Ps or Dis... [ Read More ]
I recently began working for a pain management physician's office. Everything is done in-house. 80307 is the CPT code currently billed. Should we bill the 80307 with QW modifier since we have a lab th... [ Read More ]
I was wondering if someone could let me know how to use modifier 27. I am using this modifier on the second visit on the Facility site when patients are coming to ED twice per day. I did rese... [ Read More ]
A patient comes in through the ER and is admitted for a femoral shaft fracture and a physician did surgery on the patient. The next day one of my ortho physicians ended up seeing the patient p... [ Read More ]
Can I use modifier NU for DME codes? I used a ZkX modifier and the claim denied.
Are there any specific guidelines for UHC COMMUNITY PLAN ARIZONA regarding billing DME codes?
Thank you.... [ Read More ]
It confuses me… a lot! I’ve done research and sometimes the answers are contradicting on this forum and on the internet. =(
Two questions here-
When the ED doctor preforms reductions, splinting ... [ Read More ]