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.
One of the more challenging coding scenarios is the accurate coding of systemic inflammatory response syndrome SIRS and sepsis. Septicemia and Sepsis are often used interchangeably by physicians howev... [ Read More ]
Robert S. Gold MD wrote a letter Sepsis Letterto Medical Classification Administrator Donna Pickett MPH RHIA of National Center for Health Statistics explaining that when the 995.9x code set came out ... [ Read More ]
By Cynthia Stewart CPC CPCH CPMA CPCI CCSP Beginning Oct. 1 2013 diagnosis coding of sepsis severe sepsis and septic shock will involve a few changes. For one you will have many more ICD10CM codes fro... [ Read More ]
By Jennifer Avery CPC CPCH CPCI CCS Septicemia sepsis and systemic inflammatory response syndrome SIRS are all terms physicians use and coders are used to seeing in sepsis documentation. The meaning o... [ Read More ]
Published in Coding Edge 8211 July 2008 By Deborah GriderCPC CPCH CPCI CPCP CEMC CPMA COBGC CPCD CCSP This month we follow the ICD10CM roadmap to crosswalking with general equivalence mappings GEMs. T... [ Read More ]
My provider has question. Can he bill for lab codes? Lets say if he were to get the lab company that runs the test charge his account. Can he then in turn bill the patients commercial insurance compan... [ Read More ]
1--If and RX is given, but picked up OTC, is this low or moderate risk?
2--If a medicine can be both OTC and RX, is it low or moderate risk? ie what is the best way to find out if a medicine is over ... [ Read More ]
Hi, I have a case in which a patient was not a candidate for a labor epidural. The patient was placed on a remifentanil pca and subsequently needed a c-section. I am not sure how to code this, because... [ Read More ]
I am coding for a outpatient infusion clinic facility, not professional fees- Should be easy, right?! Yea, sure! My questions do not revolve around the infusion coding.
I cannot find any writt... [ Read More ]
I am having difficulty finding an answer to this question. A patient is given an Oral tablet of Zithromax during the ER visit. While leveling the E/M for this ER visit, can this medication be conside... [ Read More ]
When billing a new patient annual/preventive code, can you bill a NEW patient E/M code with the 25 mod? My doc thinks you have to use the established code for the office visit, but I was taught that y... [ Read More ]
From Providers note:
PT. HAD SCREENING MAMMOGRAM COMPLETED AT XYZ MOBILE MAMMOGRAM UNIT. X-HOSPITAL TO
READ MAMMOGRAM REPORT AND SEND RESULTS TO PT VIA MAIL.
We had a mobile unit come to clinic and... [ Read More ]
If a doctor works for different practices, and they are a Medicare provider at one practice, do they have to accept Medicare at all of the practices they work for?
I'm talking about practices with di... [ Read More ]