ICD-9 code 163 for Malignant neoplasm of pleura is a medical classification as listed by WHO under the range -MALIGNANT NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS (160-165).
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We are having a debate within our coding team and would appreciate some input.
When a patient is on an anticoagulant as a preventive measure following a stroke with no residual effects, I believe w... [ Read More ]
[QUOTE="nickelclaw, post: 510814, member: 256517"]
release of dupuytren's contracture (fascia of hand),[I][COLOR=rgb(44, 130, 201)] fasciectomy [/COLOR][/I](excision of Dupuytren's), with release part... [ Read More ]
release of dupuytren's contracture (fascia of hand),[I][COLOR=rgb(44, 130, 201)] fasciectomy [/COLOR][/I](excision of Dupuytren's), with release partial of finger(goes by how many)
in this case just o... [ Read More ]
[B][COLOR=rgb(235, 107, 86)]Hello Everyone[/COLOR][/B],
I know this is a repeated question that frequently finds its way on this forum (apologies)... but, as with many coding scenarios, there seem t... [ Read More ]
[B][SIZE=5][COLOR=rgb(209, 72, 65)]Hello Everyone.[/COLOR][/SIZE][/B] :)
Does anyone else have issues with [B]Humana[/B] denying injections for [B]non-bilateral body parts[/B] (such as a left shoulde... [ Read More ]
Its payer specific.
Technically you cannot even classify outpatient care at a non residential facility so I have not had an issue using 11x and 13x on my claims. Every once in a while, I will get a ... [ Read More ]
I need help!
Trying to figure out the proper Type of Bill Code to submit on a UB-04 claim form for a Sub-Acute Detox/Residential Substance Abuse Rehab Treatment Center (Inpatient).
Currently, our Bi... [ Read More ]
Hello,
Do not bill ASC claims to Medicare with modifier -50. Please use anatomical modifiers and bill each side on 2 separate lines OR bill 2 units on 1 line. Usually billing each side on 2 separate ... [ Read More ]
Symptom assessment, CAHPS topics may be up next. While it’s not yet a done deal, recently released hospice quality measures may give providers an idea of what’s to come. The Centers for Medicare & Medicaid Services has issued its 2023 [...]
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Denials from Palmetto just keep on coming. One HHH Medicare Administrative Contractor has released results from medical review of thousands of more claims, and therapy continues to feature as a major denial reason. Review: From May 16 through 18, Palmetto [...]
Patients’ testing requirement will rely heavily on treatment goals. If you haven’t been paying much attention to Palmetto GBA’s LCD on diabetes testing, you could pay a big price. Home health agencies and industry reps haven’t reported many denials based [...]
Question: What are the proper codes for this encounter? The diagnosis is malignant pleural mesothelioma. o 10:04-10:14 p.m., Alimta, 960 mg o 10:45 a.m.-12:45 p.m., CDDP, 144 mg New Mexico Subscriber Answer: This case includes a 10-minute push of [...]
Question: What are the proper codes for this encounter? The diagnosis is malignant pleural mesothelioma. 10:04-10:14 p.m., Alimta, 960 mg 10:45 a.m.-12:45 p.m., CDDP, 144 mg New Mexico Subscriber Answer: This case includes a 10-minute push of Alimta (pemetrexed) and [...]
Question: What are the proper codes for this encounter? The diagnosis is malignant pleural mesothelioma.10:04-10:14 p.m., Alimta, 960 mg10:45 a.m.-12:45 p.m., CDDP, 144 mgNew Mexico SubscriberAnswer: This case includes a 10-minute push of Alimta (pemetrexed) and a two-hour infusion of [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.