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.
In my last blog Special Rules Apply to Endoscopic Sinus Surgeries I discussed the change to the Multiple Endoscopy Rule for multiple surgeries when performed within the family of endoscopic sinus code... [ Read More ]
The multiple surgery calculation for nasal endoscopy codes is changed when multiple nasal endoscopies are performed in the same session on the same day. For Calendar Year 2020 instead of paying the mu... [ Read More ]
Medical coders and auditors are essential to their employers outcome in the Cost performance category. Of the four performance categories in the Meritbased Incentive Payment System MIPS one of two tr... [ Read More ]
Tissue adhesive or cyanoacrylate is like Super Glue for the skin. Commonly known as Dermabond which is a brand of tissue adhesive sold by Ethiconx2122 cyanoacrylate is a liquid that may be used to clo... [ Read More ]
Meet outpatient quality reporting requirements or prepare for a payment reduction. Using Hospital Outpatient Prospective Payment System OPPS methodology the Centers for Medicare 38 Medicaid Services C... [ Read More ]
Although we all know that sick visits and wellness visits are not ideally billed on the same date of service, it happens. How are we going to be able to report the sick E/M now? Is this going to be MD... [ Read More ]
Hi...I billed a CPM durable medical equipment to BCBS as a rental. Used RR modifier. Used a date span of 30 days. Used 1 unit. BCBS only reimbursed 1 unit. Should I bill 30 units? I thought that... [ Read More ]
Hello Everyone and Good Day,
Our local Medicaid denied CPT 96372 with the response that a modifier is needed. The member was seen only for their Invega Sustenna injection, so there was no E/M visit c... [ Read More ]
For 2 years patient comes to our Practice for a mammogram only. She has never seen a Dr. at our Practice. She then comes in for an Annual. Would this be a New or established patient annual?... [ Read More ]
Looking for an experienced Podiatry coder (atleast 2 years preferred). Remote work, Independent Contractor- only coding for one podiatrist. Approximately 3-5 hours per week. Please send resume to Shal... [ Read More ]
We are going to start Covid testing in our office with nasal probe and Sofie rapid system for screening our pt's for prior to their surgery in our office. We were informed by McKesson to use CPT cod... [ Read More ]
My foot specialist utilizes the Iliac Crest Bone Marrow Aspiration and Graft in his Subtalar Fusion procedures on a regular basis.
I know the coding changed a few years back and now to report that pr... [ Read More ]
Does anyone offer a pay per case audit or coding help? Honestly i am getting a bit overwhelmed and questioning myself at work. I have no one to ask if i have coding questions. I am willing to pay per ... [ Read More ]