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 99378, Under Care Plan Oversight Services

The Current Procedural Terminology (CPT) code 99378 as maintained by American Medical Association, is a medical procedural code under the range - Care Plan Oversight Services.

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June 01, 2014
Learn the rules and track the time to receive Level 4 payment for these services. By Maryann C. Palmeter, CPC, CENTC Physicians and qualified non-physician practitioners (NPPs) spend a lot of time fol... [ Read More ]
Hello, looking to see if I can get a second opinion on this exam based on 95 guidelines. Does this qualify as a comprehensive exam? I'm specifically questioning the general exam (no vitals), and HEE... [ Read More ]
Does anyone have any examples aside from what CMS has on when a provider should be using 99358-99359, I would greatly appreciate it ... [ Read More ]
So we have a physician that saw a patient and preformed a 10060, 3 days later he had the patient come back for a follow up. Can the e/m be billed. The reason I am asking this is the 10060 does have ... [ Read More ]
If an Occupational Medicine provider bills an E/M code along with an X-ray and the documentation states that he performed the preliminary reading of the X-ray and sent it to a radiologist for a final ... [ Read More ]
Could someone help me out here, ok it states for prolonged services for 99205/99215 for each additional 15 minutes we would code a 99XXX Well the time frame it's giving for a 99205 is 60-74 minutes, ... [ Read More ]
So if a provider did not document a family history at all in PFSH section, but the patient is established since we saw him in the office 1 year ago. For other areas of Past, Family & Social Histo... [ Read More ]
Good afternoon AAPC members. I am working to find out if anyone out there is in discussion yet with your EHR Vendor about the changes for 2021 E/Ms. If so, would you mind sharing the name of your EH... [ Read More ]
With the increasing health scare of CoVid-19 we have many patients that do not want to come in to the office to be seen. Most of these are elderly patients and are not comfortable with video-chatting ... [ Read More ]
Hello all, I hope someone could shine a light on the following question for me..Which code should be billed for a consultation (a new patient that has never been seen before) Here is a scenario...I wo... [ Read More ]
Is there a timeframe for a problem to be counted as a new problem again (regarding medical decision making)? Is it the same as new patient - > 3 years? Scenario: Patient seen 2015 for pagets dise... [ Read More ]