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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.

September 09, 2019

In a world of uncertainty, one thing medical coders can count on is ICD-10-CM yearly updates. It’s already that time of year again when the Centers for Disease Control and Prevention (CDC) releas... [ Read More ]

September 01, 2019

Timing is everything when defining and capturing the 7th character in an ICD-10-CM code. ICD-10-CM brought about new concepts for diagnosis coding, with some being straightforward and others being ... [ Read More ]

August 20, 2019

Know what to watch when coding bug bites, poison ivy, and heatstroke! Get ICD-10 pointers. Somehow it is mid-August already, and talk about 2020 code updates is buzzing. But summer 2019 isn’t don... [ Read More ]

August 12, 2019

Look at diagnosis history changes and Medicare’s national and local coverage determinations for greater insight into denied claims. Coverage determinations for hyperbaric oxygen therapy (HBOT) fo... [ Read More ]

August 06, 2019

Alert coders of Excludes1 conflicts to help you catch problems in problem lists and avoid costly denials and rework. By Rebecca Caux-Harry, CPC In April’s Healthcare Business Monthly (pages 56-57... [ Read More ]

My provider is seeing patients for testing on one date of service 96132/96133/96138/96139. A few weeks later the patient sometimes needs to come back in with family to discuss t... [ Read More ]
I wanted to make sure I was coding the units of Botox used and not used correctly with BCBS insurance. Haven't really done any and wanted to make sure I was reading all the guid... [ Read More ]
If a physician sees a patient in the office and also does an in-office trigger point injection and the injection is related to the E&M (bundled), can the physician bill the ... [ Read More ]
The patient's penis was approximately 3 inches buried within the scrotal cellulitis and edema. I initially had attempted to place a catheter as noted above. This was unsuccessfu... [ Read More ]
This is a procedure that our providers are wanting to provide for patients now. It isn't something we have done or billed for before. I am finding quite a bit of contradictory... [ Read More ]
Good afternoon, all,
We are a pain management practice who employees a LCSW in our practice, so this billing is new to our practice. She basically uses 90791 (Psych Eval)... [ Read More ]
Good morning,
I was hoping to gain some insight on the Health and Behavior Assessment codes. I work for an LPC & LCSW who use these codes to establish treatment plans... [ Read More ]
What do you we do if we have a large portion of our patient population that doesn't have internet access? Should we just create a username and password for them anyway?
... [ Read More ]
Can someone explain to me how to properly sequence modifiers? More specifically if you have an XS, FY, and LT/RT modifier? From what I have read I know the LT/RT would be listed... [ Read More ]
Several years ago the medical director stated we should be coding ADOS with CPT code 90791. As my co-worker and I are new to Behavioral Health billing and no one here is sure t... [ Read More ]