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.
[QUOTE="sandraclark5123@gmail.com, post: 516308, member: 784044"]
We billed CPT 29881 and used dx code M23.232. Patient has commercial Aetna and they have denied our claim as the diagnosis is experime... [ Read More ]
You are correct...M23.232 supports 29881. The issue is that you are dealing with AETNA. You will find that when you bill this and similar codes to other insurance companies there won't be an issue get... [ Read More ]
We billed CPT 29881 and used dx code M23.232. Patient has commercial Aetna and they have denied our claim as the diagnosis is experimental. In my research this dx code is reimbursable. Is there anothe... [ Read More ]
For the 2 procedures, you would list the higher allowable first. Depending on the insurance, they may require a billing modifier.
There is no code for a Tarsorrhaphy. Here are a list of acceptable co... [ Read More ]
Hello!
Is there anyone having modifier issues with Humana in regards to billing for TOB 222? I billed TOB claims 222, 223, 224, 232, 233 and 234 claims for Revenue Codes for 420, 430 and 440. With ... [ Read More ]
If you look on page 232 under the 34812, 34710/34711 isn't included in the green text. This was a known issue. So for 2019 on page 247 they did get the 34713 corrected with the 34710/34711 but the 348... [ Read More ]
[QUOTE="CHENRYMBA, post: 444864, member: 56856"]Hi, I would be interested in this. Is the opportunity still available? Thanks!
Cheryl Henry, CPC, CPC-I (626) 252-0350
[email]chenrycpc@gmail.com[/em... [ Read More ]
F10.232 is not specific to severity.
This section of ICD 10 is for Alcohol Dependence with Withdrawal. F10.239 states that the type of withdrawal is unspecified. F10.232 states that the type of w... [ Read More ]
Hi so I have a claim that the diagnosis is F10.239; alcohol withdrawal syndrome, severe. To me that would be F10.232 because it is severe.. I am not familiar with mental health diagnosis coding if any... [ Read More ]
:confused:
LTC providers reporting ICD-9 codes (and their respective 10 codes) on the encounter. As far as I know this is definitely not allowable anymore, correct? I want to be sure before I take th... [ Read More ]
Remember the quirkiness of the Index. You probably know that a fear of confined spaces is known as claustrophobia. You might also know how to find the ICD-10 code for the condition by beginning with the entry “Fear of” in [...]
Question: Our pediatrician just saw a 4-year-old patient for a new patient well-child check. Due to a traumatic experience at a previous pediatrician’s office, the child began screaming while being touched and would not allow our physician to complete the [...]
You must prioritize your cost report accuracy. Hospice providers’ days of being cavalier about their cost report data need to come to an end ASAP. The Centers for Medicare & Medicaid Services bases its advanced care level payment rate increases [...]
Your data is leading to RHC cuts. With all the regulatory and billing pressures on hospices, it’s no surprise that cost report accuracy can sometimes get shuffled to the bottom of the priority list. But now’s the time to bring [...]
One ophthalmologist in our sampling would lose $39,000 a year under the new proposal. Although eye care practices have the option of reporting either ophthalmological services codes or E/M codes for their patient encounters, many ophthalmologists and optometrists bill the [...]
Obstetric surgical wound infection codes receive overhaul, too. 320 additions. 172 revised codes. Three deleted codes. The changes to the 2019 ICD-10 are not as extensive as they have been in previous years, but as always, the revisions will affect [...]
Inclusion terms under the new codes will direct you to the right choice. The World Health Organization (WHO) recently published its list of the new ICD-10 2019 codes, but they won’t go into effect until Oct. 1, 2018. Of these [...]
Employ these crucial codes into your radiology coding repertoire in time for 2019. Staying on top of the vast number of new and revised ICD-10 codes arriving in October should always be a priority for radiology coders. Depending on your [...]
Warning: Phishing is a very real threat. With the 2018 HH PPS final rule just out, the draft interpretive guidelines for the new Conditions of Participation set to hit in January, Targeted Probe & Educate medical review ongoing, and a [...]
Tip: Don't share your password... ever. Much of healthcare revolves around administration, paperwork, and follow-up. And as communication in the industry has moved from a paper-based system to an electronic one, the risks for exposing both patients' protected health information [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.