AAPC Coder Complete
AAPC Coder Complete provides all the coding and reimbursement tools needed for inpatient coders, outpatient coders and CDI experts. Quickly view the OPPS fee schedules for freestanding ASCs and hospital based outpatient services in one place. For each CPT® code, you can identify the applicable modifiers, status indicators and payment indicators. For procedures that require devices, you can view if there is a credit adjustment policy for the device. Avoid bundling and determine proper modifier use by using the Medicare OPPS CCI checker for up to 25 codes at one time. The cross-reference tools allow you to forward and backward map CPT® to ICD-9-CM Volume 1 and 3, ICD-9-CM Volume 1 to ICD-10-CM and ICD-9-CM Volume 1 to the appropriate DRG options. Easily identity the DRG options, including CC and MCC, for each ICD-9-CM Volume 1 code.

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APC look up provides necessary detail on one page including long descriptor, payment and coverage info and more.

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CPT Assistant
CPT® Assistant is the official word from the AMA on proper CPT® code usage. AAPC Coder's Code Connect add-on allows you to search all CPT® Assistant articles from 1990 to present by CPT® code to narrow the options to only related articles for quick coding guidance.

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Coding Clinic
The HCPCS Coding Clinic delivers the official guidance published quarterly by the American Hospital Association (AHA) Central Office on correct HCPCS level II code usage. Each issue offers consistent and accurate advice for the proper use of HCPCS and includes information on HCPCS reporting for hospitals HCPCS Level 1 (CPT®) and Level II codes, the latest code assignments from emerging technologies, and real examples.

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CPT® Codes

No provider of outpatient services gets paid without reporting the proper CPT® codes. AAPC Coder helps you accurately select the CPT® codes needed for the service patients receive.

CPT®, published by the American Medical Association (AMA), is the primary way provision of medical services is reported. It consists of three types of five -character codes: general Category 1, which describe services and procedures performed by providers; Category 2, which are used to track follow up and outcomes; and Category 3, which indicate the use of emerging technologies. Supporting these codes are rules and guidelines. Two-character modifiers appended to the CPT® codes explain changes to the procedure.

AAPC Coder includes all the up-to-date CPT® codes, modifiers, and guidelines, but we know you need more. In the same way keeping a current copy of CPT® protects you from errors and compliance concerns, AAPC Coder's frequent updating helps you when changes are made, when AMA updates, their errata, and when federal and commercial payers change payment decisions. AAPC Coder's CPT® resources also help your productivity. Our research shows that coders and billers taking advantage of AAPC Coder report 33 percent faster.


Here are some of the ways AAPC Coder helps you:

  • AAPC Coder includes all current CPT® codes, modifiers, rules, guidelines, and appendices, so you can count on having the correct.
  • An expanded index by service eases looking for a procedure or service.
  • Deleted codes back to 1993 and their replacements, if applicable, add context to old or unfamiliar codes.
  • Easy access CPT® Assistant archives, published by the AMA, and the AHA Coding Clinic, provide a library of expert, quotable resources about using CPT® as it was intended.
  • A Fee Schedule Lookup permits calculating the reimbursement for services.
  • Medicare decisions and National Correct Coding Initiative (NCCI) lookups help you report CPT® codes for federal reimbursement.

AAPC Coder's support of CPT® procedural coding is what you need to succeed.

July 31, 2020

Develop a plan to transition to and implement ICD-11.

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July 07, 2020

Uninsured patients don't have to be the downfall of your practice during the COVID-19 pandemic.

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July 01, 2020

Insight into the history of ICD and how it has changed over time is key to developing a plan for moving forward and embracing ICD-11.

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May 01, 2020

Understand what the physician is documenting to improve coding accuracy. Since the beginning of grade school, we are encouraged to expand our vocabulary, read literature, and improve our grammar. W... [ Read More ]

May 01, 2020

Understand the many nuances of this blood disease to code it correctly. Anemia, according to Mayo Clinic, is a condition in which the body isn’t making enough healthy red blood cells to carry ade... [ Read More ]

Dr. did a left knee arthroscopy with partial medial meniscetomy and chondroplasty of medial femoral condyle.

I came up with 29881 the 1st procedure but the second h... [ Read More ]
Can I & O be counted as GU under exam or how is it counted?

Thanks!
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With the increasing health scare of CoVid-19 we have many patients that do not want to come in to the office to be seen. Most of these are elderly patients and are not comfortab... [ Read More ]
My company will be transitioning a sleep center that's currently owned by a hospital to an ambulatory (office) practice. Is there anything billing related that we should be awar... [ Read More ]
Pt gets a typical Axillary to femoral bypass with PTFE

and then after the bypass was placed there was no pulse in the left posterior tibial artery. Open approach a... [ Read More ]
It does not appear on the fee schedule for BCBS or Medicaid but bulletins I've read are stating that as of July it's a new code that is approved for COVID 19 testing etc. Any f... [ Read More ]
Our podiatrist is constantly wanting to bill 11055-11057 for the debridement of keratomas/hyperkeratotic tissue for diabetic patients or patients with peripheral vascular diseas... [ Read More ]
Not sure about coding, whether its 26045, 26123/26125
Here is body of op note

A Zigzag incision made on volar aspect of ring finger, beginning at distal metac... [ Read More ]
We are billing company and we have a client that is billing for swab collection and handling. Currently they are using CPT 99001 and 99211. The 99001 is being denied as inclusi... [ Read More ]
We bill incident to billing for our NP & PA for new pt's and new pt preventive visits to all insurances to all insurances except Medicare. When billing a NP or PA new pt vis... [ Read More ]