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.
[B]Certified Medical Coder[/B]
HealthCare Solutions WNY is looking for a FT Certified Professional Medical Coder. A minimum of 6 months Coding experience is preferred but [B]we will train a new motiv... [ Read More ]
[QUOTE="sls314, post: 506512, member: 523015"]
Nice job paying attention though!
This just happened to be a question that was impacted by code changes from one year to another. Since it sounds like ... [ Read More ]
Has anyone else had any difficulty getting WC and Medicaid insurances to process trials and implants under the new APG groups effective 07/01/2021? Prior to 07/01/2021, the HCPCS with EAPG Assignment ... [ Read More ]
Therapy auditors - does anyone have clear, official policy or guidelines (not Medicare) that clearly state a therapy provider must document the exact start and stop time (e.g. 8:00am-8:15am) for each ... [ Read More ]
[QUOTE="nickelclaw, post: 505106, member: 256517"]
here is the description to 27236 per the coders desk reference:
27236
The physician directly exposes the femoral fracture for treatment. The patie... [ Read More ]
here is the description to 27236 per the coders desk reference:
27236
The physician directly exposes the femoral fracture for treatment. The patient is placed in a supine position or slightly rolle... [ Read More ]
Good Morning, I am a little confused why it would be coded 99213, there's 2 chronic conditions with Moderate decision making. Please see Medicare Q/A to what constitutes as Rx Management
Q. During an... [ Read More ]
Fun question.
The MUE on 27427 is 1, so you would need to consider the payer and may only be able to report 1x. Same is true for 27405 (MUE 1). I agree as above the other two CPT are 29888, 29889.
... [ Read More ]
Hello,
How would I code for Repeat Global C/S, T incision on uterus? I assume 59510 as I can't find anything different, but wanted to double check with you lovely coders.
Is there an ICD 10 I should... [ Read More ]
[QUOTE="nittamarable, post: 494841, member: 757737"]
We have been getting denials recently from Humana when billing
99214-25 (I70.233, F17.218, I89.0)
11042 (L97.312, L97.212, T81.31XA)
Dx are diffe... [ Read More ]
Are you documenting overtime payments properly? A federal court has ordered a Philadelphia home care agency and its owner to pay about $1.6 million in back wages and liquidated damages to 288 workers deliberately denied overtime pay. The consent judgement [...]
If states build nursing registries, will workers come? Government officials, seniors, and providers of home care all seem to agree on one thing — keeping folks in their homes with state-provided home and community-based services is a great idea. But [...]
Don’t forget to assign counseling codes. Radiologists perform low-dose computed tomography (LDCT) scans to evaluate eligible patients for possible lung cancer. While the LDCT screening is reported with 71271 (Computed tomography, thorax, low dose for lung cancer screening, without contrast [...]
Question: Several Medicare patients have come in for low-dose computed tomography (LDCT) lung cancer screening scans. I’m new to radiology coding, and I’m not sure what CPT® codes to report. What codes should I assign to report an LDCT scan? New [...]
Plus: Hospice stiffed its workers too, DOL says. If you were wondering how hard the feds are coming down on wage-related home care infractions, a group of cases this month will show you. Case #1: A Pennsylvania federal court has [...]
Question: How would I code for a repeat global c-section, T incision on uterus? I assume 59510 as I can’t find anything different. Is there an ICD-10 diagnosis code I should use to show this was done? I found ICD-10 [...]
Think of this as a survey of important code changes you need to know about. While some specialties have seen myriad code changes, coding primary care encounters means knowing at least a little about a lot of diagnoses. This article [...]
And say hello to a new chapter you’ve already seen. In last month’s Primary Care Coding Alert, we looked at some new external cause codes, along with new instructions for coding headaches and influenza, that will take effect on Oct. [...]
Don’t dismiss these updates, though there are indeed fewer than usual. The 2021 ICD-10-CM updates, which were released recently and go into effect Oct. 1, 2020, may not appear to affect ob-gyn practices as much as other years. But some [...]
Always report the code with the highest level of specificity, based on documentation. October 1 brings the next round of ICD-10-CM codes to both software and manuals, and if you’re not prepared, your claims could end up in limbo — [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.