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 ]
I've been having a really hard time getting my physical therapy evaluations paid when any other form of therapy was provided during the same session, and I'm hoping someone can help.
97162 a... [ Read More ]
I just started working for a Arizona practice and am having some trouble getting DME codes paid.
For our New York location we use a KX and RT/LT modifier and never had a problem however when I b... [ Read More ]
Asssistance for coding for Fiducial markers Placement and Rectal hydrogel spacers insertion. Will there be 2 CPT:
Fiducial markers Placement 55876 & Rectal hydrogel spacers insertion.55874.
T... [ Read More ]
I work in a critical access hospital as an inpatient coder and also as a documentation improvement specialist. One of our admitting providers has a very bad habit of not completing his H&Ps or Dis... [ Read More ]
A patient comes in through the ER and is admitted for a femoral shaft fracture and a physician did surgery on the patient. The next day one of my ortho physicians ended up seeing the patient p... [ Read More ]
I am getting denials from Medicare when billing 99497, 99498, and 99498. The time documentation is appropriate. Medicare is paying the 99497 and the first 99498, however they are denying the second ... [ Read More ]
I am using modifier 25 when I see that procedures are done in ED and with tests that have Status Indicator S, T, Q1-Q3. I would like to know if there are other scenarios when this modifier 25 should b... [ Read More ]