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 modifieris critical to telling the story of your medical coding claim. Just as words with similar definitions convey distinct meanings plan versus scheme for instance so do modifiers with similar ... [ Read More ]
By John F. Bishop PAC CPC CGSC CPRC Abdominal wall reconstruction has become more common in the past 10 years. Such reconstructions may occur for blunt or penetrating abdominal trauma abdominal compar... [ Read More ]
a patient has aetna medicare and had a infusion the medicine was billed to pharmacy but the injection was billed to medical, aetna medicare denied for no medication what would be the proper modifier ... [ Read More ]
I know coding guidelines state that the CKD stage should be primary then D63.1, but I am wondering if that is different when seeing a patient at a hematology/oncology office. Currently billing 99215 w... [ Read More ]
Our clinic has started doing the Medicare AWV's with a phone call from the nurse. The patient doesn't come in and no vitals are taken. They just do the Depression screening and the AWV questionnaire... [ Read More ]
I have a surgeon who wants to bill a bilateral delayed insertion (19342-50) with a RT Mastopexy (19316-RT). According to CCI these are mutually exclusive...
Here is the OP note in short form...
Pr... [ Read More ]
I am getting conflicting information on this and need clarification. Can a physician who is Medical Director for a home health agency bill for certs and recerts. Also, does a physician being medical d... [ Read More ]
Does anyone know of a form that providers can sign authorizing, myself, as a CPC to bill a charge for them if they would forget to do it themselves? All of the providers that are in the practice I wo... [ Read More ]
I am just wondering if anyone uses this G0442 or G0443 code with a Medicare Wellness exam? If so, do you get reimbursed for it? Also, what ICD-10 codes do you use to get them to pay for you? Thank ... [ Read More ]
Hi! Would you code this as 52500 for bladder neck resection? Help is appreciated!
History of bladder cancer with bladder tumors.
Cystoscopy, transurethr... [ Read More ]