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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 80230, Under Therapeutic Drug Assays

The Current Procedural Terminology (CPT) code 80230 as maintained by American Medical Association, is a medical procedural code under the range - Therapeutic Drug Assays.

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 01, 2019
AAPC’s coding expert Raemarie Jimenez gives you the scoop on next year’s updates. Code update season is always an exciting time of year. With it brings new, revised, and deleted CPT® codes and co... [ Read More ]
Hello all, I have a new client who has been billing the following for Presumptive Drug Class Screening (urine). The Laboratory Requisition indicates Drug Screen and Full Confirmation for a Comprehen... [ Read More ]
I am educating the coders on lab/path coding. The coders told me that if the lab order does not specify the episode of care, they use initial as the default per a coding webinar they listened to years... [ Read More ]
We have been receiving Medicare denials for surgical pathology codes. The remark code is M97-Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbur... [ Read More ]
I am brand new here but I am trying to help the providers get some quest bills paid and I was wondering if there is a resource to see what diagnosis covers different labs? For ex..TSH, A1C, Candida s... [ Read More ]
Hello, Is there an expert to advise how PLA codes being applied? According to AMA, PLA codes take precedence CPT Category I codes and CPT Category I code(s) should not be used to report services tha... [ Read More ]
I work for a lab and on the order it states "elevated potassium" as the Dx. Since I don't have access to the chart notes, I don't know if this was determined based on a previous lab test or ... [ Read More ]
It is my understanding that code 86328 has been introduced for COVID-19 testing. Does anyone have any information as to what POS needs to be used for this? Also is this a CLIA waived test? Does thi... [ Read More ]
Hello Anyone with experience in PGX Billing. Can you please reach out to me. I am new at this. I am not understanding which panels or how many panels to bill.... [ Read More ]
I've read the CPT assistant regarding antibody testing for COVID-19. I understand that these are all very new, but does anyone know whether this test must be specifically for patients with respiratory... [ Read More ]
What to code for multiple specimens? I've always been told it's not the number of slides or blocks we're sent but specimen sites that dictates how many billable specimens we have. What if we receive... [ Read More ]