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.
As the global pandemic enters its fifth month we are all feeling the strain. Staying home to slow the spread of the coronavirus may be keeping more people physically healthy but isolation exacts a tol... [ Read More ]
Lobar pneumonia references a form of pneumonia that affects a specific lobe or lobes of the lung. This is a bacterial pneumonia and is most commonly community acquired. Antibiotics are almost always n... [ Read More ]
Quite a few code changes and revisions were made to the Radiology section of CPT for 2020. Less confusing language and expanded code categories will make life easier for medical coders. Heres a quick ... [ Read More ]
Help your organization join the fight against Hepatitis B HBV infection by understanding what conditions are necessary for coverage of HBV screening and how to properly code the Hepatitis B surface an... [ Read More ]
Use the next two years to prepare for new documentation guidelines and payment rates. On Nov. 1 2018 the Centers for Medicare 38 Medicaid Services CMS finalized in the 2019 Physician Fee Schedule fina... [ Read More ]
I understand the new changes for 2021 but I had a doctor question if they can pick either the 2021 or the 1995 guidelines. I am not sure if they can pick a guideline I would think they have t... [ Read More ]
When our office bill commercial insurance for Screening/Diagnostic mammogram w/ tomosynthesis same day, Cpt code 77063 is always denied for "procedure code incidental to primary procedure".
... [ Read More ]
Procedure Performed: Right VATs surgery with right apical lung resection and chest tube placement for mechanical pleurodesis.
OPERATIVE COURSE: Patient was taken to the operating room, timeout calle... [ Read More ]
I have received a couple of denials for CPT 25301 as "services not documented in the patient's medical records" after they have been reviewed by Orthonet. My surgeon disagrees. Does anyone h... [ Read More ]
We are an outpatient surgery center and usually when we bill a three level bilateral cervical/lumbar radiofrequency ablation procedure it would look something like this (example):
6463... [ Read More ]
Our office is suddenly having denials from UHC for Toradol stating it needs a modifier. UHC is only denying the J1885. This is something that has just recently started happening. When we call UHC th... [ Read More ]
Does anyone know of a procedure code for diagnostic lap with intrauterine device removal. I've looked for laparoscopic iud removal with no luck. The only code I see is 58301, but that does not appea... [ Read More ]