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.
Look for three things in the documentation to accurately report encounters in ICD9CM and ICD10CM. According to the American Burn Association an estimated 486000 hospital admissions and visits to hospi... [ Read More ]
Our office is wanting to start giving the blood transfusions in the office. The product will be coming from the hospital so I know they will be billing that portion. All research has led me to HCPCS 3... [ Read More ]
Medicare is rejecting all of our claims with:
A3 : Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system.
23 : Re... [ Read More ]
can anyone assist me with a procedure code for extensor mechanism reconstruction w/ prolene mesh , patella fracture repair was also performed in the same session. this patient is status post TKA as we... [ Read More ]
Can anyone help me with the LCD for both cpt codes 64451 & 64625. I have called Medicare and they showed me where to get the LCD but does not give you what you need to get the medical necessity f... [ Read More ]
HI. For the last 7 years I billed for an OBGYN and now an Occupational Therapist has asked me to do their billing. I'm excited just don't know to much about their guidelines like I do OB. Can some one... [ Read More ]
I am a new coder and I have a provider who wants me to code that a patient is "At high risk for complication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection&... [ Read More ]
Our primary care office recently hired a Phlebotomist to do blood draws. My question is, if a patient comes in say on Monday for a regular visit and the providers orders fasting blood work, the patie... [ Read More ]
In using time to calculate a level of service in 2021, are there any exceptions to how time is counted when a translator is necessary to communicate with the patient?
For example: A ... [ Read More ]
I work for a family practice and I am having Humana denials on vaccines for reason:
This decision was based on a Local Coverage Determination (LCD). We have called them several times and sent in doc... [ Read More ]