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 38530, Under Excision Procedures on the Lymph Nodes and Lymphatic Channels

The Current Procedural Terminology (CPT) code 38530 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Lymph Nodes and Lymphatic Channels.

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September 30, 2013
As a general rule, do not separately report a biopsy and a planned tissue excision at the same location for the same session. Rather, the biopsy is bundled with the excision. For example, you would no... [ Read More ]
My co-workers and I are discussing when it is appropriate to use Modifier TC. They are saying that TC is an institutional modifier and therefore cannot be applied if the service is provided in a physi... [ Read More ]
I'm having trouble with the difference between Mod GT and Mod 95. Does anyone have any clarification on these mods?... [ Read More ]
Hello! We recently had a group of two NP's, and that group tax ID retired and the NP we kept on opened up her own tax ID new practice. When she sees the patients again for a e/m will she bill it as ... [ Read More ]
Can a physician charge for a cystoscopy (CPT 52000) when a RN performs the procedure with the physician in attendance?... [ Read More ]
Hello, looking to see if I can get a second opinion on this exam based on 95 guidelines. Does this qualify as a comprehensive exam? I'm specifically questioning the general exam (no vitals), and HEE... [ Read More ]
1. Cataract extraction with IOL placement 2. 3-Port, 25G Pars plana vitrectomy 3. Endolaser 4. Fluid-Air exchange 5. 20% Sf6 gas exchnge Dx 1. Non-clearing vitreous hemorrhage left eye 2. Nucl... [ Read More ]
Looking for suggestions / recommendations for medical billing software for 4 doctor medical practice. The practice specialty is physical medicine & rehabilitation (physiatry) and see a large perce... [ Read More ]
Looking for suggestions / recommendations for medical billing software for 4 doctor medical practice. The practice specialty is physical medicine & rehabilitation (physiatry) and see a large perc... [ Read More ]
I've just today started my CRC course for the CRC exam. I completed a quiz on Chapter 1 which consisted of 10 questions and wondered if anyone could tell me how many questions are on the actual chapt... [ Read More ]
I work for a wound care clinic that applies free samples given to us by pharmaceutical rep to patients. I wanted to know if there's a way to receive reimbursement from Medicare for the application onl... [ Read More ]