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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.

February 11, 2020

Lobar pneumonia references a form of pneumonia that affects a specific lobe or lobes of the lung. This is a bacterial pneumonia and is most commonly community acquired. Antibiotics are almost alway... [ Read More ]

January 06, 2020

There is a lot of buzz in the healthcare industry recently about social determinants of health (SDOH) and their impact on society at large. With the expansion and updates to ICD-10-CM and the Diagn... [ Read More ]

December 05, 2019

Part 1: Know the limitations of EMRs and the importance of quality data collection. Patients with gender conflict have stereotyping and depression to overcome; don’t let staff and billing be anot... [ Read More ]

December 02, 2019

Know the stages of HIV, prevention, detection, and its associated conditions for proper coding and better patient care. With Dec. 1 being World AIDS Day, the topic of human immunodeficiency virus (... [ Read More ]

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 ]

Hello, does anyone see 44604 (suture in large instestine) in the below procedure? I cannot locate supporting documentation.

A limited upper midline incision was mad... [ Read More ]
My cardiologist office opted out of Medicare but there are 3 participating providers in that practice that takes these commercial insurances like BC/BS, Aetna, Cigna, UHC and Ox... [ Read More ]
Hello everyone!

I have been looking at jobs for coding and I am seeing that everyone is looking for at least one year of experience in order to get the job. Does an... [ Read More ]
What location address are you reporting in Box 32 on the CMS1500 claim form when billing telehealth services with POS 02?
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With the crisis of Covid-19 our Practice is going to start doing TeleHealth so our older patients do not need to travel out. We are confused on the use of the -GT modifier and ... [ Read More ]
I work in a primary care physician office looking to limit patient interaction and primarily use phone or video capabilities. These services are entirely new and never billed p... [ Read More ]
Not sure if this will be allowed but I thought I'd let everyone know that I have put together a telemedicine coding webinar which is available on line by demand. Even though I t... [ Read More ]
The patient presents for complaint of lesions.
The provider documents 1 skin tag on the glute, and 2 skin tag/ or Condylomata on the labia, 1-2 mm, and a vaginal polyp. [ Read More ]
I have a provider who documented 'unstable type 2 diabetes, improving (HbA1c has come down from 9.2 to 8.8). Start on new meds as prescribed'.

I was auditing a code... [ Read More ]
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