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.
Take 5 to read up on recent coding and billing news. There are plenty of coding updates in November including those made to certain Medicare policies. Payment thresholds for physical occupational and ... [ Read More ]
In first quarter 2022 the HCPCS Level II code set will get a refresh with several new revised and deleted codes. According to the Centers for Medicare 38 Medicaid Services CMS there are 155 new codes ... [ Read More ]
Kyruus survey shows that patients prefer the convenience of digital avenues when scheduling appointments and researching care options. To ensure that your healthcare facility offers a positive interac... [ Read More ]
AAPC asked Kolene McGrath RN MSN CPC CFPC about her experience with earning the Certified Family Practice Coder CFPC credential and how it has helped her career. McGrath works at a small family practi... [ Read More ]
Documenting and coding coughs is much more complicated in 2022. Remember the days when a cough was just a cough coded simply with ICD10CM code R05 Those days are over. Effective Oct. 1 2021 there are ... [ 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 ]