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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.

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 ]

August 01, 2019

Rik Salomon, CPC, CRC, CEDC, CEMA, CMCS, and I recently got into a rather spirited debate with a group of Certified Professional Coders (CPCs®) on coding guidelines and how they govern our medical... [ Read More ]

July 31, 2019

The pesky illness can be diagnosed properly by knowing the signs and symptoms and detecting it with pathology. Lyme disease is a common vector-borne illness in the United States, with more than 300... [ Read More ]


Does anyone know, in order to code multiple Breast biopsies, is it based on the number of incisions or each mass/lesion? Example: Lt Breast 2 o'c middle depth and 2 o'c p... [ Read More ]
I'm a CPC-A who's often at a loss as to whether I should report LT or RT, or just leave them out.

I see lots of guidance on how to correctly use LT/RT modifiers whe... [ Read More ]
Where do all of you go for Podiatry coding references and education??

What coding companion books do you use as well??

Any advice would be helpful![ Read More ]
Hello, I am trying to figure out how to bill the following charges? Which modifiers need to be on these charges? We billed with mod 25 on the 99214. Was advised by PPO insurance... [ Read More ]
I am new to facility billing and my boss wanted to see if there is a book or if I can find a way to get pricing for procedures done in the ASC. Would anyone be able to help me i... [ Read More ]
"Right common carotid to distal brachial artery bypass with PTFE graft"
I'm wondering which CPT to code to use...
35510 is a carotid-brachial bypass graft... [ Read More ]
Can someone please guide me to the rules of billing an office visit with modifier on top of a preventive (annual wellness) exam? Thanks
... [ Read More ]
I have an LCPC who would like to bill under an LCSW in IL to Medicare for psychotherapy services. I don't think this is allowed, but I cannot locate the information online. Ca... [ Read More ]
we are billing a lab 88305 same day as mohs surgery 17311 and Medicare wants an unbundled modifier on the lab we usually us tc , they don't want that they said that's not it....... [ Read More ]
Does anyone know, in order to code multiple Breast biopsies, is it based on the number of incisions or each mass/lesion? Example: Lt Breast 2 o'c middle depth and 2 o'c posterio... [ Read More ]