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.
I work in respiratory and were billing 99213, office charge with Z01.811 as primary. Claim is rejecting at clearing house. any suggestions?... [ Read More ]
Hi Linton
This is permissible per the CPT guidelines. See pages 49 and 811 of CPT manual year 2021 for CPT 99441 and 98960 .
I hope this helped you
Lady T... [ Read More ]
Does anyone have a list of which devices are under which status codes: Z95.1 = pacemaker, this one I get... How about Z95.811 and Z95.810? These still mix me up when it comes to devices like the Watch... [ Read More ]
My Ophthalmologists use diagnosis codes: H25.811 and H25.812 instead of the bilateral code. I have not been able to find guidelines that state they have to use the bilateral diagnosis code instead of... [ Read More ]
Is there a specific guideline that instructs us to use a bilateral diagnosis code of H25.813 instead of using the diagnosis codes H25.811 and H25.812? I know there is a guideline for glaucoma coding ... [ Read More ]
I have a question about retained foreign body? Everything I am reading is stating that it is a surgical item that is left behind after surgery. We have a pt that was shot with a BB and it was embedded... [ Read More ]
Hi Everyone,
From my past experience if the patient had [B]symptom [/B]to warrant a colonoscopy..put that as first dx. So let us say the patient had fecal abnormalities dx R19.5 or bleeding K92 dx, th... [ Read More ]
[QUOTE="emonet01, post: 502136, member: 136057"]
I am reaching out today on behalf of our coding team looking for some advice...
We have been struggling with coding Zometa for Osteopenia lately. One ... [ Read More ]
I am reaching out today on behalf of our coding team looking for some advice...
We have been struggling with coding Zometa for Osteopenia lately. One of our struggles are the pt's that have a Hx of B... [ Read More ]
Code for quality of care, not just reimbursement. According to the Agency for Healthcare Research and Quality (AHRQ), over 2.5 million people in the United States are affected by pressure ulcers each year, with the total annual cost for treatment [...]
Question: How will the new ICD-10-CM codes for childhood obesity, which became effective October 1, 2024, improve diagnosis and treatment for children and adolescents? What are some of those codes? North Carolina Subscriber Answer: Obesity is a complex, chronic condition [...]
Question: I’ve been using code F50.8- pretty regularly for years, but I tried to use it on a claim recently and it was denied. What’s going on? AAPC Forum Participant Answer: When ICD-10-CM codes were updated in 2024, that code [...]
Go beyond documentation to help end the stigmatization of your obese patients. On Oct. 1, 2024, ICD-10-CM introduced a new option to code obesity by class. But why were these codes needed? For example, prior to the release of the [...]
Specify obesity classes with new codes. With more than 250 new diagnosis codes, the 2025 ICD-10 code set affects almost every category. On Oct. 1, 2024, the Centers for Medicare & Medicaid Services (CMS) updated the code set, and as [...]
See how obesity coding is getting more precise. With more than 250 new diagnosis codes, the 2025 ICD-10-CM code set affects almost every category. On Oct. 1, 2024, the Centers for Medicare & Medicaid Services (CMS) will update the code [...]
Also, synovitis/tenosynovitis combo code expands. ICD-10-CM has released its list of new, revised, and deleted codes for 2025. Impact: Code sets have been expanded for type 1 diabetes and several eating disorders, among others. You’ll want to know the changes [...]
Also, synovitis/tenosynovitis combo code expands. ICD-10 has released its list of new, revised, and deleted codes for 2025. Impact: Code sets have been expanded for type 1 diabetes and several eating disorders, among others. You’ll want to know the changes [...]
Prep now to hit the ground running on Oct. 1, 2024. The Centers for Medicare & Medicaid Services (CMS) unveiled the 2025 ICD-10 changes on July 9, 2024. The changes include 252 codes added, 36 existing codes deleted, and 13 [...]
Also, synovitis/tenosynovitis combo code expands. ICD-10 has released its list of new, revised, and deleted codes for 2025. Impact: Code sets have been expanded for type 1 diabetes and several eating disorders, among others. You’ll want to know the changes [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.