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.
Each time you meet with a patient you should document a chief complaint CC. CPT defines the CC as A concise statement describing the symptom problem condition diagnosis or other factor that is the rea... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS hasadded Human Papillomavirus HPV testing to the list of Medicare covered preventive services under specific conditions. Conditions for Coverage CMS w... [ Read More ]
Here are three tips to help you report preventive medicine services successfully. Tip 1 Diagnosis Must Reflect the Reason for Visit Always match preventive medicine codes with an appropriate diagnosis... [ Read More ]
You must always match preventive medicine codes with a V code even for Medicare patients. A preventive medicine service is not a problemoriented visit. Instead of signs and symptoms or other 8220probl... [ Read More ]
The American Congress of Obstetricians and Gynecologists ACOG reports that some Medicare contractors are denying payment for routine pelvic and breast examinations reported with HCPCS Level II code G0... [ Read More ]
So all my procedures and pregnancy tests are being rejected by my clearing house :
Using 50 modifier: 64494 Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid informatio... [ Read More ]
i am a facility cath lab coder . i have cardioversion cpt 92960 denied from healthoptions( medicaid plan) stating its hitting cci edit component 2 coding. they couldn't tell me which cpt exactly was h... [ 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 ]
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 ]
Patient had lobe excised 12/27/18. Saw the Pulmonologist 2/19 who referred patient to Oncology for adjuvant chemotherapy but stated not sure patient was a candidate due to comorbidities. Saw Oncolog... [ Read More ]
Our company does OCM coding, it's an HCC type model for Oncology.
We haven't started yet but we are looking at a program that will allow us to catch missed codes.
This program has a list of missed HC... [ Read More ]
I have two questions relating to ER's. The first is- If a patient comes in for a uncomplicated wound re-check and is seen by Dr. B but the simple suture repair (12001) was performed by Dr. A,... [ Read More ]
Q) In an initial review of ENT notes, I'm finding lower levels this year than last year for 99213 established patient E&M CPT codes.
Factoring in presenting problems from first column, If 1 or l... [ Read More ]
I need help with this.
For the new time coding: can providers document accounts with E&M codes time ranges without selecting specific time? or they have to document time within the range.... [ Read More ]