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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 43197, Under Esophagoscopy

The Current Procedural Terminology (CPT) code 43197 as maintained by American Medical Association, is a medical procedural code under the range - Esophagoscopy.

Search across CPT® codesets. Look up medical codes using a keyword or a code. Available With a Subscription to AAPC Coder! Login to see advance features.

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December 22, 2015
Esophagogastric fundoplasty involves wrapping the upper portion of the stomach (the fundus) around the esophagus to strengthen the valve between the esophagus and stomach, thereby inhibiting acid from... [ Read More ]
December 11, 2014
December 9, the American Medical Association (AMA) released the 2015 Errata and Technical Corrections, some of which may affect how you report certain CPT® codes on claims. The most recent entries in... [ Read More ]
September 01, 2014
Understand the differences in flexible and rigid scopes and how they affect code selection. by Shelly Cronin, CPC, CPMA, CPPM, CPC-I, CANPC, CGIC, CGSC   CPT® 2014 brought us significant changes... [ Read More ]
When a cystoscopy is performed immediately after a hysterectomy it is inclusive but what if another provider performs the cystoscopy, is it billable?... [ Read More ]
Does anyone know the correct code to use for hip resurfacing? Authorizations are being requested for CPT 27130 & not sure if this is correct. Thank you.... [ Read More ]
A patient presents with a bimalleolar equivalent fracture and only the lateral malleolus is reduced and then fixed with internal fixation. There was no need to do a deltoid ligament repair so a cast ... [ Read More ]
If the ear wax is not impacted what dx code is appropriate to use?... [ Read More ]
Hello, I work for a small IPA and we are trying to figure out what is correct for the technical component of IOM. I have been denying them because I assumed the technical component was payable to the... [ Read More ]
I just started working at a FQHC (Fed. Qualified Healthcare Center) they have a RN with an NPI and are asking if she can put through charges on her own. My understanding is that she needs to bill und... [ Read More ]
Hello, I've never seen this before. During a bronch, the doc injected lidocaine with epinephrine and thrombin to stop bleeding in the lung. Would this fall under the alveolar lavage? Here is the repor... [ Read More ]
Can a Licensed MSW, bill medicare under an LCSW ? Provided the LCSW is available and on site?... [ Read More ]
I'm having trouble determining how to code these measurements of debridement's. Can someone list the proper way to address these measurements attached from an op note. I would really appreciate the in... [ Read More ]
I work with a provider who uses paracervical blocks for difficult IUD insertions and she wants to bill for the block. The description in my OBGYN coding companion for CPT 58300 states local anesthesia... [ Read More ]