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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 80048, Under Organ or Disease Oriented Panels

The Current Procedural Terminology (CPT) code 80048 as maintained by American Medical Association, is a medical procedural code under the range - Organ or Disease Oriented Panels.

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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March 01, 2017
Modifier L1 Separately payable lab test was implemented in 2014 by the Centers for Medicare & Medicaid Services (CMS) as part of the July Outpatient Prospective Payment System (OPPS) package updat... [ Read More ]
March 01, 2014
When it comes to meeting “first dollar coverage” requirements using CPT®, the two are at odds. By Kenneth D. Beckman, MD, MBA, CPC, CPC-P, CPC-H, CPE The Affordable Care Act (ACA), or Obamacare, ... [ Read More ]
August 11, 2011
The Centers for Medicare & Medicaid Services (CMS) is updating requirements regarding independent laboratory billing. The policy update applies to automated multi-channel chemistry (AMCC) organ di... [ Read More ]
July 01, 2009
Billable or Not? By G. John Verhovshek, MA, CPC A payer representative recently wrote to Coding Edge with a problem: “A clinical pathologist is also the medical director of a hospital-based laborato... [ Read More ]
December 01, 2007
Get ready for an above average year of code additions, deletions, and revisions. By Michael Beebe, Director of CPT® at AMA and AAPC National Advisory Board member It may look like an average CPT® ma... [ Read More ]
I'm new to pathology coding. The pathologist will often grade lesion or biopsies specimen that are dysplasia like VIN or VAIN as II/III. When they do that which one am I suppose to code the lesser o... [ Read More ]
An ordering provider sends COVID-19 testing to an independent laboratory. The results are positive. The independent laboratory bills insurance. Should they use the diagnosis codes provided by the orde... [ Read More ]
Hi - I am being told that U0002 crosswalks to 87635 but U0001 crosswalks to 87999. Do you agree or should both HCPCS be able to crosswalk to 87635 depending on payer preference?... [ Read More ]
Good Morning! I have my pathologist stating on the report "It is uncertain the tumor being primary or metastatic, Clinical correlation is required." Now, seeing that he can't decide if it ... [ Read More ]
When a biopsy is performed and the dermatologist reads their own slides before sending it to pathology can the dermatologist use D48.5 on the requisition or is unspecified behavior or signs and sympto... [ Read More ]
Is anyone having difficulty on billing 36415 and 84153 together? Lately, I have been getting a denial for 84153 from Blue Shield when billed with 36415. Health plan states to use modifier 59 on this, ... [ Read More ]
Right now we do not bill anything for blood collection for labs when that blood is drawn from a port. I work in Oncology and Hematology and we have a lab onsite. When patients come in for lab work o... [ Read More ]
How do I bill for a blood draw where no blood was taken? The note states there was very poor venous access and could not get a good stick. The patient was sent home and scheduled to come back in a cou... [ Read More ]
Help! We have 6 locations, but only 1 lab. CLIA number is associated with lab location. We have always billed out pathology based on location the sample was taken, not the location where the sample... [ Read More ]
Our hospital recently began performing flu/RSV testing. We are using CPT 37631. We are having trouble meeting medical necessity for this test. The list of covered codes is mainly immunocompromised ... [ Read More ]