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.
Medicare covers facetoface behavioral counseling for obesity for qualified beneficiaries. The services must be delivered either oneonone patient and counselor or for groups of up to 10 individuals. Re... [ Read More ]
A revision made to a previously released MLN Mattersarticle widens the scope for who can furnish intensive behavioral therapy IBT to obese Medicare patients. A national coverage determination NCD 210.... [ Read More ]
Hi. Would appreciate if anyone can share the correct coding as per guidelines for mechanical ventilation codes 94002-94003.
Patient was being transferred from hospital A to B.
Date of admis... [ Read More ]
I am trying to bill 87811 to Medicare for the rapid COVID test and they are denying it stating that the CLIA # the provider has does not support this test. Is there something special we need to do to... [ Read More ]
Recently my hand surgeon has been performing supercharged end-to-end nerve transfers. This is new to me. Can anyone offer any insight into this procedure and the correct CPT codes? TIA... [ Read More ]
I work in a outpatient physical therapy. The owner is wanting the most up to date information (something from 2021) about HIPPA/HITECH regulation that allows patients to opt out of insurance submissio... [ Read More ]
I work for an orthopedic office. We prior authorize the surgeries though turning point. We are having a hard time getting the G0289 and 29823 approved. It is mostly for Medicare plus blue. I know the ... [ Read More ]
What ICD-10 code would be used when coding CPT 86769 Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]). Researching this the lab should be drawn ... [ Read More ]
I work at a Pulmonary office in Pennsylvania and we are having issues with Highmark denying 94060 when we bill it with 94726 and 94729 on the same date of service with modifier 26. They are saying max... [ Read More ]