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="ltl226, post: 492622, member: 512118"]
Two different providers, same practice (dermatology), both of the providers billed an E/M with different diagnosis codes. This is the first time I have ... [ Read More ]
Two different providers, same practice (dermatology), both of the providers billed an E/M with different diagnosis codes. This is the first time I have run into this. I thought we could not bill two... [ Read More ]
If 77080 is an age-specific CPT code, then verify correct DOB on claim, or if recurring denial reason, then verify payer has correct age and DOB. So correct and resubmit. If not,
Medicare Part B co... [ Read More ]
I agree with the above two responses you received. The ICD-10 CM guidelines specifically state if you have a definitive condition that includes the symptom, the symptom is not listed separately. You c... [ Read More ]
We are having a lot of issues with our Pain Management. A patient comes in for pain management due to back, hip and leg pain due to sacroiliitis, lumbar degenerative disc disease, lumbar radiculopathy... [ Read More ]
[b]coding[/b]
I do not understand when how a viable Diagnosis based on a lab result, path BX result, or diagnostic imaging rept would not qualify to better assign an actual DX over a SX... (even if n... [ Read More ]
When a facility bills for Labor room charges without delivery, what CPT/HCPCS codes should be used with revenue code 721 and 722. We have a number of claims denied because these were billed without t... [ Read More ]
I work in risk adjustment so we are still coding in ICD-9 (charts from 2015). I would appreciate it if anyone could help for the correct coding for the following diagnoses on an op report: degenerativ... [ Read More ]
Augusta University Medical Associates has the following on site positions available:
Patient Service Center Coordinator
Oversee the functions of providing patient test results and prescription refill... [ Read More ]
The fallout from the Change Healthcare cyberattack might finally be starting to wind down. “Payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will conclude on July 12, 2024,” the Centers for Medicare [...]
Look for lots of new options for coding aortic aneurysms. Remember, new ICD-10-CM codes go into effect Oct. 1, annually. Take careful note of these new codes and other code updates to make sure your diagnosis code assignments for these [...]
Hint: You’ll see new code I20.2 for refractory angina pectoris. The Centers for Medicare & Medicaid Services (CMS) recently released the new ICD-10-CM 2023 codes. Not only will you gain 22 new aortic aneurysm codes, but you will also see [...]
Hint: You’ll see new code I20.2 for refractory angina pectoris. The Centers for Medicare & Medicaid Services (CMS) recently released the new ICD-10-CM 2023 codes. Not only will you gain 22 new aortic aneurysm codes, but you will also see [...]
At issue: Whether to report intravitreal injections with E/M services. Some eye care practices are so accustomed to tacking modifier 25 onto their E/M services that they don’t always stop to check whether their documentation supports its use. But appending [...]
Here’s your second look at how familiar codes will change in October. The time until the new ICD-10 updates go into effect is counting down, with October 1 as the official implementation date. Last month we looked at how your [...]
Question: What diagnosis codes can we submit for a patient who presents with a subluxation of the lumbar and sacral spine with degeneration of disc(s) in the lumbar region? Mississippi Subscriber Answer: You can report 739.3 (Nonallopathic lesions of lumbar region, not [...]
Question: A patient presents with a subluxation of the lumbar and sacral spine with degeneration of disc(s) in the lumbar region, and the chiropractor performs CMT to the lumbar and sacral spine. Which codes do we report? Mississippi Subscriber Answer: You can [...]
Question: A patient presents with a subluxation of the lumbar and sacral spine with degeneration of disc(s) in the lumbar region, and the chiropractor performs CMT to the lumbar and sacral spine. Which codes do we report? Mississippi Subscriber Answer: [...]
Heads up: Get ready for more choices with ICD-10. “Schmorl’s nodes” might not be a term you hear every day, but it’s actually a condition that affects about 30 percent of the population. ICD-9 includes several diagnosis codes for Schmorl’s [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.