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.
Conflict arises in 2015 when Medicare coverage doesnt align with CDC recommendations. Coding pneumonia vaccine immunization for Medicare beneficiaries age 65 and over is tricky. Recent Centers for Dis... [ Read More ]
Coding breast reconstruction can be difficult but knowing procedures and diagnoses helps. By Victoria M. Moll CPC CPMA CPRC Breast cancer is responsible for the death of one in every 36 women in the U... [ Read More ]
I am new to spinal coding and these procedures are really confusing me! So far I have come up with the following codes: 63040, 63030, 63035, 22612, 22840. I see possibly in the title 2093... [ Read More ]
So I applied to a job and received a coding exam to check my skill level.
I did not do very well but after checking the answers they gave me upon request I've noticed their answers seem a bit off.
Can... [ Read More ]
Patient has anterior shoulder dislocation with a Hill-Sachs (humeral head) fracture. Dislocation reduction was done under anesthesia. We are following up with this patient. What CPT code(s) would be... [ Read More ]
Hello Coding experts,
I have a question on the coding for BMI from an AWV. IF the provider does not address the BMI or the diagnosis of overweight, obesity, or morbid obesity, can the coder code for... [ Read More ]
What ED Facility Level are you using for a patient who:
* drives up to ED, stays in car
* nurse does triage
* then nurse does a Covid swab
* Dr comes out to talk to patient for a few minutes
* patien... [ 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 ]
Medicare is rejecting all of our claims with:
A3 : Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system.
23 : Re... [ Read More ]
can anyone assist me with a procedure code for extensor mechanism reconstruction w/ prolene mesh , patella fracture repair was also performed in the same session. this patient is status post TKA as we... [ 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 ]