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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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 81509, Under Multianalyte Assays with Algorithmic Analyses

The Current Procedural Terminology (CPT) code 81509 as maintained by American Medical Association, is a medical procedural code under the range - Multianalyte Assays with Algorithmic Analyses.

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August 07, 2020
Physician Fee Schedule proposed rule lays the groundwork for payment and policy changes in 2021. The post CMS Proposes Medicare Telehealth Coverage in 2021 appeared first on AAPC Knowledge Center. ... [ Read More ]
August 03, 2020
And that’s not all: CMS has issued new coding guidance, too. The Centers for Medicare & Medicaid Services (CMS) implemented 12 new ICD-10-PCS codes to allow Medicare and other insurers to id... [ Read More ]
August 03, 2020
Coding 3 common pediatric eye conditions with ICD-10-CM. The post Focus on Coding 3 Common Pediatric Eye Conditions appeared first on AAPC Knowledge Center. ... [ Read More ]
August 03, 2020
August is Children's Eye Health and Safety month. Ensure good vision through life. The post Ensure Good Vision Through Life appeared first on AAPC Knowledge Center. ... [ Read More ]
August 03, 2020
Cardiovascular coding with PCI and CPT and NCCI guidelines. The post Cardiovascular Coding: Solve the PCI Puzzle Using CPT® and NCCI Guidelines appeared first on AAPC Knowledge Center. ... [ Read More ]
Is it appropriate for a clinic to bill for a 81003 (automated U/A w/o microscopy) - when the reference lab separately bills 81001 (automated U/A with microscopy) the same day when specimen is sent fo... [ Read More ]
I have a medical provider (NP) that is currently ordering labs when she sees the patients, but then follows up a few days later to review the results. Currently, she is coding 99358 (E/M non-face-to-f... [ Read More ]
Does anybody know that COVID test (CPTs U0003, 87635, U0001) for SNF patients is covered under Medicare Part B or as part of consolidated billing under Part A? Our lab is testing patients in SNF, reha... [ 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, 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 am not sure if cpt 99000 applies to our office. If we collect the specimen to be sent to the lab but the lab picks it up can we charge 99000? Or is there a charge for the collection of the sample ... [ 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 ]
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 ]