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.
The latest changes to the CPT code set will help clinicians distinguish seasonal infections from COVID19 in their reporting. Three new CPT codes have been created Oct. 6 that will allow clinicians to ... [ Read More ]
Know how to find the answer and improve your clean claims rate. Medicare revises its National Correct Coding Initiative NCCI edits on a quarterly basis. As a medical coder not only must you keep up wi... [ Read More ]
How to code Medicare Part B claims for reimbursement. These past few months have been a whirlwind for everyone but its fair to say medical coders have been hit with a category 5 hurricane. New codes a... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS created two new HCPCS Level II codes for lab tests that use highthroughput technologies to detect SARSCoV2 the virus that causes COVID19. The rate for... [ Read More ]
Clinical diagnostic laboratories can identify specimen collection for COVID19 testing using two new HCPCS Level II codes effective March 1 2020. Check Patient Location Before Coding Medicare posted th... [ Read More ]
So all my procedures and pregnancy tests are being rejected by my clearing house :
Using 50 modifier: 64494 Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid informatio... [ Read More ]
i am a facility cath lab coder . i have cardioversion cpt 92960 denied from healthoptions( medicaid plan) stating its hitting cci edit component 2 coding. they couldn't tell me which cpt exactly was h... [ 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 ]
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 ]
Patient had lobe excised 12/27/18. Saw the Pulmonologist 2/19 who referred patient to Oncology for adjuvant chemotherapy but stated not sure patient was a candidate due to comorbidities. Saw Oncolog... [ Read More ]
Our company does OCM coding, it's an HCC type model for Oncology.
We haven't started yet but we are looking at a program that will allow us to catch missed codes.
This program has a list of missed HC... [ Read More ]
I have two questions relating to ER's. The first is- If a patient comes in for a uncomplicated wound re-check and is seen by Dr. B but the simple suture repair (12001) was performed by Dr. A,... [ Read More ]
Q) In an initial review of ENT notes, I'm finding lower levels this year than last year for 99213 established patient E&M CPT codes.
Factoring in presenting problems from first column, If 1 or l... [ Read More ]
I need help with this.
For the new time coding: can providers document accounts with E&M codes time ranges without selecting specific time? or they have to document time within the range.... [ Read More ]