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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 13100, Under Repair-Complex Procedures on the Integumentary System

The Current Procedural Terminology (CPT) code 13100 as maintained by American Medical Association, is a medical procedural code under the range - Repair-Complex Procedures on the Integumentary System.

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April 21, 2019

To select an appropriate code for excision of a benign (11400-11471) or malignant (11600-11646) skin lesion, you must determine the lesion’s diameter at its widest point, and add double the widt... [ Read More ]

December 28, 2018

Lesion excision coding may seem complex, but reporting excision of benign (11400-11471) and malignant (11600-11646) skin lesions can be mastered in five steps. Step 1: Measure First, Cut Second Whe... [ Read More ]

May 02, 2017

May is Melanoma Awareness Month; Keep your eyes open for this deadly disease. It’s ironic how much a melanoma lesion looks like a sunspot. Black, irregular, and isolated, the spot seems alien on ... [ Read More ]

November 01, 2013

Find three important details in the wound repair report, and you’ve got the case all sewn up. by G.J. Verhovshek, MA, CPC When coding for wound repair (closure), you must search the clinical docu... [ Read More ]

October 01, 2013

To accurately code for skin lesion excision, you need to extract from the documentation the answers to three very important questions: Was the lesion benign or malignant? Where was the lesion locat... [ Read More ]

Having an issue getting paid by Medicare for cpt 37253 when billing over 5 units, this is an add on code and cannot use a modifier. billing 37252 with 37253
going through... [ Read More ]
Is anyone having an issue with getting IMRT code 77431 (Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only) paid by insurance? We ... [ Read More ]
In the A/P the provider puts:

E11.21-T2DM w/diabetic nephropathy
E11.42-T2DM w/ diabetic polyneuropathy
morning FBS 160-200
Plan: increase Levemir... [ Read More ]
I'm wondering if anyone out there is billing for post-operative scopes, which modifiers they are using, and if the charges are being paid? We have questions about CPT 31231 and... [ Read More ]
Hi, I recently became certified. BC Community (Illiniois Medicaid) is denying multiple DOS for CPT 11055 for included in allowance/similar procedure paid. Does this CPT have a ... [ Read More ]
The official rule is No Modifiers on Unlisted codes. Which makes sense as far as pricing modifiers like -22 or -52. But what about -26 for unlisted radiology or lab procedures? ... [ Read More ]
Do any insurers cover the routine checking of peak flows and spirometry in asthma patients q3months?
... [ Read More ]
I am billing for Critical Access Hospitals and we see incredibly too many rejections that state the following:
A7:... [ Read More ]
I am working on some Medicare Dermatology claims. It was billed with 11302 and 11302-59. Is there a better way to code this to get reimbursement? Medicare is denying the first 1... [ Read More ]
For the 24 hour holter monitor we bill in the physician's office 93224. We put on the holter and interp. Should the DOS be when the physician reads the data or the day the holt... [ Read More ]