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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 19081, Under Excision Procedures on the Breast

The Current Procedural Terminology (CPT) code 19081 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Breast.

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August 20, 2019
They came to New York City from near and afar – medical coders, billers, auditors, practice managers, and all others who work in revenue cycle integrity – to learn how to advance the business of h... [ Read More ]
October 09, 2017
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April 01, 2016
Overlooking minor changes can be a costly mistake. Within the Surgery section of CPT®, the new year brings just two new Integumentary codes, and deletes a single Musculoskeletal code. Minor changes s... [ Read More ]
February 06, 2015
Question: What is the appropriate reporting if, during breast biopsy, a radiologist performs the imaging guidance to confirm clip placement, while another phsyician performs the actual biopsy? Answer:... [ Read More ]
November 14, 2014
Get out your shiny, new CPT® 2015 codebooks. There are changes and corrections to be made. The American Medical Association (AMA) released, Nov. 11, an Errata and Technical Corrections document for r... [ Read More ]
Hello, My question is in regards to adding and an addendum to op report. The providers note has the incorrect dx documented that is not covered per cms’s LCD guidelines. However the pt does have the... [ Read More ]
There seems to be a lot of ambiguity in defining separately identifiable E/M services. We have scenarios where patients were referred to different specialtists (Cardiology, ENT, GI, etc) who come and ... [ Read More ]
I am trying to confirm something I was told today by BC Federal. If a patient is over 65 and does not have Part B coverage, the patients commercial insurance, in this case Federal BC, is only require... [ 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 option 1, stating we will b... [ Read More ]
Patient was here for only flu shot billed Aetna 90471 90658 Dx code Z23 Aetna denied the claim for PR49(this is a non-covered service because it is a routine / preventive exam or a diagnostic / sc... [ Read More ]
How do you code an evaluation and managment code for a patient seeing two different doctors in the same day from the same specialty and complaint?... [ Read More ]
Need help coding this OP report. 29870, 27422, 27350, 27428, 27350, 20680? A knee scope was inserted through the superolateral patellar portal to evaluate the joint and pictures were obtained show... [ Read More ]
I am looking for some guidance on a TMA revision. My provider has done a TMA on this pt. and now is going back to surgery to remove more of the foot. He wants to code 28122 X 5 but he's again resectin... [ Read More ]
Hello, When billing for continuous glucose management, 92951 are you also able to bill a nurse visit, 99211 on same day? Thank you!... [ Read More ]
I have a patient with a confirmed Melanoma diagnosis and a biopsy confirmed secondary cancer of lymph nodes. The patient had a CT scan that showed a liver mass and pulmonary nodules. The doctor cho... [ Read More ]