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="DGgirll20, post: 501039, member: 693252"]
For CPT codes 64492 and 64495, the need for a three-level procedure may be considered under unique circumstances and with sufficient documentation of ... [ Read More ]
Can M54.16 - lumbar radiculopathy be billed with M47.816 or M47.817 - other spondylosis lumbar [B]without radiculopathy/ other spondylosis lumbosacral without radiculopathy. [/B]To me this is contradi... [ Read More ]
Can M54.16 - lumbar radiculopathy be billed with M47.816 or M47.817 - other spondylosis lumbar [B]without radiculopathy/ other spondylosis lumbosacral without radiculopathy. [/B]To me this is contradi... [ Read More ]
Can [URL='https://www.aapc.com/codes/icd-10-codes/M54.16']M54.16[/URL] - lumbar radiculopathy be billed with M47.816 or M47.817 - other spondylosis lumbar [B][COLOR=rgb(184, 49, 47)]without[/COLOR] r... [ Read More ]
For CPT codes 64492 and 64495, the need for a three-level procedure may be considered under unique circumstances and with sufficient documentation of medical necessity on appeal.
The KX modifier sho... [ Read More ]
[QUOTE="jrclark1987@yahoo.com, post: 495648, member: 343518"]
yes i have been successful with sending in the notes. if done at the L5-S1 level I make sure and distinguish that 3rd level with lumbosacr... [ Read More ]
[QUOTE="rheaton, post: 492529, member: 173157"]
Has anyone had any feedback from their physicians regarding the new Medicare LCD put out for colonoscopies? The LCD does not have Iron De as a covered ... [ Read More ]
[QUOTE="kimmcelderry@gmail.com, post: 495066, member: 605208"]
Are you getting them paid? I have the same M47.816 dx on all three levels.
[/QUOTE]
yes i have been successful with sending in the note... [ Read More ]
I am getting from denials from BCBS because of invalid diagnosis codes. The CPT code is 99213 and the diagnosis codes are M47.817, M54.41, M46.1 and M51.16. I don't understand why they keep doing this... [ Read More ]
What diagnosis would be appropriate to use? Our Mohs surgeon performed the surgery and is seeing the patient every two weeks for a wound check. I'm thinking this is an aftercare code Z48.817. My pr... [ Read More ]
Question: A year after undergoing a mastectomy, the patient returns for a scar revision that includes a complex closure in the left underarm area because of discomfort and pain. The mastectomy led to a C50.212 diagnosis. The patient continues to receive [...]
See whether pediatric stomach pain is coded differently. When it comes to stomach issues, patients can experience a lot of different symptoms, and providers can document a lot of terms and codes for the different stomach ailments. All of these [...]
Also: find several GI symptom codes for quick reference. Gastrointestinal problems can present a seemingly infinite number of symptoms and diagnoses, which can make coding these types of encounters challenging. Primary care practitioners (PCPs) see a lot of bellyaches that [...]
Question: A 31-year-old patient saw our gastroenterologist complaining of abdominal pain lasting about 24 hours. The pain was accompanied by flatulence, but no vomiting or diarrhea. The patient’s last bowel movement was that morning, but it was hard to pass. The [...]
Question: A 31-year-old patient saw our gastroenterologist complaining of abdominal pain lasting about 24 hours. The pain was accompanied by flatulence, but no vomiting or diarrhea. The patient’s last bowel movement was that morning, but it was hard to pass. [...]
Are you familiar with the term eFAST? Trauma patients are a given in the ED setting, and a number of the patients who report with traumatic impact injuries are candidates for a FAST exam. There are several components to a [...]
Potential headache: Hospices must wait on MA submissions for payment when patients disenroll. You can’t count on that payment for a patient enrolled in a Medicare Advantage VBID plan to stay yours forever, according to new Medicare Administrative Contractor guidance. [...]
How long will hospices wait for a CWF correction? Watch out: If you serve a patient enrolled in a Medicare Advantage VBID plan, you could find Medicare hospice payments for that patient pulled back down the line. A newly posted [...]
Find out if 72149 covers the S1 region. Lower back pain can be, well, a pain to diagnose, treat, and code. Finding the correct code to match which area of the spine the provider imaged or remembering that spondylosis with [...]
Hint: You may need to rely on signs and symptoms instead of a distinct Dx. One of the foundational aspects of ICD-10-CM coding is looking to the documentation for a specific diagnosis. But sometimes, when coding gastrointestinal (GI) conditions, you [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.