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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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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 15201, Under Autografts/Tissue Cultured Autograft

The Current Procedural Terminology (CPT) code 15201 as maintained by American Medical Association, is a medical procedural code under the range - Autografts/Tissue Cultured Autograft.

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January 01, 2016

When work is substantially greater than typically required, document it, and call on 22. Most surgical specialty practices are familiar with the documentation needed to report modifier 22 Increased... [ Read More ]

April 01, 2012

From A to Xenograph, specific language in the operative report should support the use of surgical prep codes. By Ken Camilleis, CPC, CPC-I, CMRS CPT® 2012 adds new instruction and definitions for ... [ Read More ]

August 31, 2011

Effective Oct. 3, Medicare contractors will implement an updated Medicare Physician Fee Schedule Database (MPFSDB), which will remain in effect until Jan. 1, 2012, according to the Centers for Medi... [ Read More ]

July 01, 2011

Crooks who choose to defraud Medicare will now have to square up against technology in uniform. Predictive modeling is the Centers for Medicare & Medicaid Services’ (CMS’) newest t... [ Read More ]

Can anyone offer any insight on how to bill 90792 and 90867 performed on the same DOS to Medicare. No specific LCD as this practice is nationwide.

We have tried:[ Read More ]
Need help w[ Read More ]
I am trying to find out how providers are documenting the IUD - J code in the EMR.
1.) Are providers enter the J code in the lot field attached the NDC - even through it f... [ Read More ]
Is there anyone who has experience billing Medicaid in Florida for vaccines in a pediatric office? I am having difficulty getting paid for the vaccines we do. We are not a VFC p... [ Read More ]
we provide psychiatry/psychology services to nursing facilities. all our patients with VA insurance are being denied die to no authorization however our entity is not able to re... [ Read More ]
Prolonged Services 99358, +99359,
Has anyone received payments from MEDICAID when billing these codes? Medicare has reimbursed us but all Medicaid payers and medicaid prim... [ Read More ]
Can someone please tell me if they have located DX for ILR specifically CPT 33285 or 33286 with in LCD or MCD

TIA
... [ Read More ]
Hello -

We are looking for any response to this inquiry, local (SC) or national.

Does the providers within your offices code out any of their visits... [ Read More ]
I am having a problem with finding a dx for the 93018 and 93016 portion of my stress echo. The reason for the tests are usually chest pain, palpitations, tachycardia, or bradyc... [ Read More ]
Hi,

I am inquiring on a modifier for behavioral screenings. The cpt code is 96127. I have been billed these codes with wellness codes 99391-99393 with a 25 modifi... [ Read More ]