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 Jan. 13 social hour focused on updates to AAPC curriculum and certification exams. The bimonthly live sessions in the AAPC Facebook group have grown in popularity since their inception last Februa... [ Read More ]
Does new lost revenues clarification help or hurt agencies On Dec. 16 2020 the Department of Health and Human Services HHS announced that it added 4.5 billion to the Provider Relief Funds PRF phase 3 ... [ Read More ]
Several changes have been recently made to the ICD10CM Official Guidelines for Coding and Reporting for fiscal year FY 2021. The guidelines changes affect code assignment for conditions and symptoms r... [ Read More ]
CPT 2021 code updates for quarters 2 and 3 have been released by the American Medical Association AMA. The new revised and deleted codes will be updated in Codify by AAPC as the changes go into effect... [ Read More ]
I’m having trouble understanding pricing per unit on Testosterone. Hcpcs code J0371 book states 1 mg . I understand if we’re giving 200 mg injections it would be 200 billing units: NDC code d... [ Read More ]
According to CPT 2021 Guidelines: "A shared or split visit is defined as a visit in which a physician and other qualified health care professional(s) jointly provide the face-to-face and non-face... [ Read More ]
can I get some advice,
If a patient is seeing our specialist and are new to our facility/clinic but they have seen a provider of the same specialty outside at a hospital/or another facility not affil... [ Read More ]
Could someone help me with what modifier would be appropriate to use for billing a 90791 to Medicare. The patient is in a Skilled Nursing Facility and was referred out to our office for therapy?... [ Read More ]
If a chiropractor refers a new patient to an Orthopedic Specialist to get an injection only in a major, can the provider just bill for the injection only due to no EM provided.
Thanks!... [ Read More ]
We are having discussion within our organization on how best to handle instances when radiology scan images are degraded by motion or artifact.
Can the hospital bill for this scan fully or should a re... [ Read More ]
I'm trying to find information on medicaid for billing guidelines on "incident to". Does anybody have a link or know where I can find this information. I need to know if I need to attach a -... [ Read More ]
Can I get some insight on unbundling services? I have a couple of scenarios.
1. 64633-50, 99070, S0020, J3301 ( RF Ablation with use of lidocaine, Marcaine, and Kenalog. 99070 was billed for misc supp... [ Read More ]
Can some one please help me to understand Bi Lateral Injections? Report is as follows:
*Start Penicillin G Benzathine Suspension, 2400000 UNIT/4ML, as directed, Intramuscular, once in clinic, 30 day... [ Read More ]
Am I understanding the AMA correctly, that if our provider orders x-rays that are performed in our office (and we bill for them), we can not count the x-rays as a test ordered in column 2?... [ Read More ]