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 88161, Under Cytopathology Procedures

The Current Procedural Terminology (CPT) code 88161 as maintained by American Medical Association, is a medical procedural code under the range - Cytopathology Procedures.

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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January 23, 2020
Medicare patients are receiving calls from telephone solicitors who are phishing for private identification information for nefarious purposes. The ruse is facilitated by the issuance of new Medicare ... [ Read More ]
January 22, 2020
Quite a few code changes and revisions were made to the Radiology section of CPT® for 2020. Less confusing language and expanded code categories will make life easier for medical coders. Here’s a q... [ Read More ]
January 21, 2020
New patient evaluation and management (E/M) claims are being denied when the patient was previously seen by a specialty physician assistant or specialty nurse practitioner on staff. This is happening ... [ Read More ]
January 16, 2020
I am a doctor, and my medical practice focuses on primary care and preventive medicine, in addition to inpatient management. To keep up with the constant changes in the healthcare industry, government... [ Read More ]
January 16, 2020
Step #1 – Hold an officers’ meeting right away: Get acquainted with one another. The most successful chapters have leaders who work as a team and communicate openly. Together, review the r... [ Read More ]
I would like to learn coding specifically for Pathology and Laboratory on my own. I currently and learning to review CCI edits for laboratory and pathology. Part of my job description is to verify t... [ Read More ]
I am trying to resolve a conflict between a client and other coders regarding the billing of special stains 88312 & 88313. What is the proper coding for the following? Is it 88313 X 2 or 88313 X... [ 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 ]
The lab manager at our facility has decided that the venipunctures don't need to be ordered, it will be assumed that in order to get the blood draw this has to be done so now the coders have to put th... [ Read More ]
I work for a reference lab. Per NCDs, diagnosis Z11.3 is required for STI screening and Z11.59 is required for HPV screening. The coders are adding GY to the CPT’s when the diagnosis is on the CMS I... [ Read More ]
If there is a report in the patient's records that indicates there was surgery/removal or cancer/cancerous tumor, can we assume the patient's cancer is now personal history instead of current. Also, d... [ Read More ]
If documents/reports show a family member has a positive mutation on a gene tested as part of a panel, is it appropriate to add Z84.81 to the panel code (example 81432 or 81479) when only one gene in ... [ Read More ]
For Personal History of Colon Polyps the code Z86.010 is available but would this be appropriate to use if only one colon polyp was present. Also, Medicare guidelines state that more than 10 polyps ar... [ Read More ]
Some payers are rejecting/denying a Ductal Carcimona In Situ when submitted with an invasive breast cancer code, on the same breast. DCIS is technically considered Stage 0 cancer, but would it be requ... [ Read More ]
Hello, I recently started a new job and I'm auditing my provider's billing for CPT: 80307 (presumptive drug screening). Sometimes the urine is contaminated and the lab cannot complete the drug screen... [ Read More ]