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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.

November 07, 2019

Changes to diagnosis codes mean NCD coding changes. Diagnosis codes changes went into effect Oct. 1, as usual, and the Centers for Medicare & Medicaid Services (CMS) is updating National Covera... [ Read More ]

October 09, 2019

Differentiate migraines from common headaches for proper ICD-10-CM coding. A migraine is more than just a headache. Although migraines are not completely understood, scientists believe the pain is ... [ Read More ]

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 ]

I am a CPC-A looking for a remote medical coding job. I have a year of experience from my AAPC training. I have also taken the billing course, but have not yet passed the test.... [ Read More ]
I work for a pain management clinic, and we're trying to get a handle on RFL's. We have the LCD down for 64633-64636 cervical/thoracic/lumbar/sacral. We know it's at least 80 de... [ Read More ]
I understand that the long-term insulin code (Z79.4) should be used when appropriate. But, I am being asked, if the patient has DM2 with neuropathy which maps to an HCC of 18,... [ Read More ]
Has anyone used the Q6 modifier for locum coverage? One of my physicians wants to use locum coverage for his on call days. The physician is not credentialed with Medicare, jus... [ Read More ]
Curious.....

If you don't renew your membership, you lose your credentials?? I thought you would lose credentials if you did not keep your CEU's up to date!!! I r... [ Read More ]
I have over 35 years in the medical field-occupational therapy assistant,health unit coordinator,medical receptionist,scheduler,referral clerk,registration coordinator and more.... [ Read More ]
Can anyone tell me if I can use a 25 modifier with a 25 modifier?

Thank you,
LLR
... [ Read More ]
My physicians are discussing an on call arrangement (to share call) with another OB group here in town; has anyone done this and how did you handle billing? I am concerned about... [ Read More ]
So after coding Gen Surg for nearly 17 years, I have branched off to ORTHO which is relatively new to me at this point in time. Can anyone w/ortho knowledge guide me in which CP... [ Read More ]
Hi - Can anyone tell me if a provider can charge a patient for a second surgical assist if Medicare only allows for one surgical assist? The patient would sign an ABN with opti... [ Read More ]