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.
HELP :/
We are getting denials from Blue Cross for Prolonged services CPT 99358/99359, not sure if our provider should be billing all these codes. Or any resources anyone could recommend to better un... [ Read More ]
HELP :/
We are getting denials from Blue Cross for Prolonged services CPT 99358/99359, not sure if our provider should be billing all these codes. Or any resources anyone could recommend to better un... [ Read More ]
I am having a debate with some staff regarding the appropriateness of billing unspecified codes. While I'm aware Medicare and other insurances no longer reimburse for unspecified codes, my understand... [ Read More ]
Sorry i totally read the diagnosis code wrong (pains of staring at a screen all day)
Any chance one of the following dx codes that do not support Medical Necessity are also included?
[COLOR=#000000][... [ Read More ]
I am not an inpatient coder but my boss brought me a procedure report and asked me if I could find out if there is a different DRG that can be used for the tracheostomy other than 003. Based on the do... [ Read More ]
There is no way of billing the fee.
We bill out the appropriate compound drug code (i.e. Q7799)
Submitting Claims for Compounded Medications, Including Medication Administered via Implanted Infusi... [ Read More ]
Hi all!
Is anyone else in the Ophthalmology field having trouble with denials on new ICD-10 codes worded with ?Preglaucoma? (H40.003) and ?Low-Risk? (H40.013)?
When we convert our ICD-9 codes (which... [ Read More ]
I'm new to opthalmology and have a question regarding medical necessity of a visual fields test. My doc is using pre-glaucoma as a diagnosis (H40.003 to be exact) and I'm receiving denials from Medica... [ Read More ]
We bill for pump refill drugs to medicare using J7799 KD (Prialt is J2278) and we have very few issues with reimbursement. See medicare billing info below:
[COLOR="Teal"]Submitting Claims for Compou... [ Read More ]
[url]https://www.msbcbs.com/medadvpolicy/printerfriendly/N-152-003.html[/url]
I think this link may have been what I was looking for if anyone wants to take a quick glance. That will be helpful thank... [ Read More ]