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 99366, Under Medical Team Conference, Direct (Face-to-Face) Contact With Patient and/or Family

The Current Procedural Terminology (CPT) code 99366 as maintained by American Medical Association, is a medical procedural code under the range - Medical Team Conference, Direct (Face-to-Face) Contact With Patient and/or Family.

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September 05, 2018
Coding 99495 and 99496 takes more effort than deciding whether the patient is seen 7 vs. 14 days after discharge. The CPT® guidelines for transitional care management (TCM) codes 99495 and 99496 seem... [ Read More ]
April 15, 2011
The American Medical Association (AMA) released additions to its CPT® Errata on April 1 and then again on April 12. The document includes updates and corrections to the code set as reflected in the... [ Read More ]
February 01, 2008
By Suzan Berman-Hvizdash, CPC, CPC-E/M, CPC-EDS When the Centers for Medicare and Medicaid Services (CMS) defined the term “Evaluation and Management,” they clearly indicated face-to-face contact ... [ Read More ]
I’m wondering if other psychiatric offices have internal policies to suggest the minimum duration for an E/M when the add-on code for psychotherapy (90833) is also used. There is no official guideli... [ Read More ]
Can you count the statement "no acute distress" as Psych in the exam section when performing chart audits. Thank you... [ Read More ]
Is it possible for a provider to read a CT abdomen for a patient and charge an E/M the same day? The provider is part of a group of providers owning the practice.... [ Read More ]
A patient is admitted to observation and then changed to in patient on day three. Can I bill for the obs admission and one subsequent day and then the admission to inpatient or do I have to forget abo... [ Read More ]
A patient was seen for their newborn WCC. Upon obtaining the Hx, it was found that the mother did not have adequate prenatal care and the child was born at home with no antenatal care. During the WCC,... [ Read More ]
How many elements do you see: Ms. Smith is a 55 year old female with nausea and vomiting and I was consulted by (Doctor) for assisting with further management. She has been having nausea and vomiting... [ Read More ]
If Dr. A (one specialty) sees a patient for an E&M service and then Dr. B (same practice but completely different specialty) also sees the same patient for an E&M on the same DOS, does the sec... [ Read More ]
We had a new patient come into our office from a local nursing home facility without much ppw unfortunately or send the radiographs that they were supposed to send along with her. She has dementia. ... [ Read More ]
Hello, this is an audit for a new provider, and I wanted to get some thoughts on what kind of credit to give for this? Review of Systems: A complete review of systems was performed and is unremarka... [ Read More ]
High risk on Table of Risk includes: "Drug therapy requiring intensive monitoring for toxicity." from worksheet Medical Decision Making section. What are some examples of these drugs? Does ... [ Read More ]