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 00470, Under Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle)

The Current Procedural Terminology (CPT) code 00470 as maintained by American Medical Association, is a medical procedural code under the range - Anesthesia for Procedures on the Thorax (Chest Wall and Shoulder Girdle).

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July 01, 2016
Part 1: Arm yourself with bundling rules and medical policy knowledge. Cost control and denials are common in orthopedic care. Over the next two months, we’ll review common mistakes that lead to ort... [ Read More ]
August 01, 2013
Know the full scope of scrutiny when claiming same-day, separately identifiable E/M services. By Tricia Radatz, CPC “Be Aggressive with Same-day E/M and Office Procedures” (June 2012, pages 14-15)... [ Read More ]
February 13, 2009
The National Provider Identifier (NPI), requested on all claims submitted to Medicare since May 2007 and required since May 2008, is a Health Insurance Portability and Accountability Act (HIPAA) manda... [ Read More ]
One of our urologists performed a surgery under local only, no anesthesia. However, patient became diaphoretic, bradycardic and hypotensive. Our Anesthesiologist came in and began resuscitation effort... [ Read More ]
I want to make sure that I'm interpreting the CPT guidelines correctly. Let's say the physician blocks 3 levels in the thoracic area - T2/T3 - RT, T3/T4 -50, and T4/T5 - 50 Is is appropriate to rese... [ Read More ]
Hello! I'm planning on sitting for my CANPC test in 2020, but I have a question regarding the RVG and crosswalk. I see that ASA sells a combo book. Does anyone have a preference about using these as s... [ Read More ]
The office authorization personnel got an authorization for Aetna Duals insurance for J2274/C9290 for a pain pump refill. From what I'm finding C9290 is only billable in an ASC setting and not an offi... [ 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 degrees centigrade. the C... [ Read More ]
Does anyone bill for providers office that has an anesthesiologist hired as a contractor ? He is not credentialed with any of the major insurance plans . He mentioned we can bill anesthesia services u... [ 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, just out of residency. It... [ Read More ]
For CPT 00910 - are there units or time measured involved or is it a one and done? Here's my situation: when the urology docs I code for do a TUNA (CPT 53852, trans-urethral destruction of prostate b... [ Read More ]
Hello! Do any of you have experience in billing for a dentist (DDS) that is Texas Board of Dental Examiners - Certified to perform anesthesia for high-risk or pediatric patients? I have reviewed the ... [ Read More ]
Hi, Is anyone familiar with resolving clearinghouse rejections for 93312? Thanks, Jessica Sims, CPC, CRCR... [ Read More ]