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 99381, Under New Patient Preventive Medicine Services

The Current Procedural Terminology (CPT) code 99381 as maintained by American Medical Association, is a medical procedural code under the range - New Patient Preventive Medicine Services.

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December 20, 2018

The National Correct Coding Initiative (NCCI) bundles evaluation and management (E/M) service and same day immunization administration (IA) codes, (e.g., CPT® 90460-90474). As a result, providers... [ Read More ]

October 31, 2018

Preventive medicine services, or “well visits,” are evaluation and management (E/M) services provided to a patient without a chief complaint. The reason for the visit is not an illness or injur... [ Read More ]

July 02, 2018

The only case when time may be used as the overriding factor in determining an evaluation and management (E/M) level is when counseling and/or coordinating care dominates the encounter, which means... [ Read More ]

July 02, 2018

Reimbursement depends on clearly determining why the patients coming to your office. The complementary yearly Medicare visits are tricky to get paid correctly because they require specific document... [ Read More ]

June 07, 2018

Each time you meet with a patient, you should document a chief complaint (CC). CPT defines the CC as “A concise statement describing the symptom, problem, condition, diagnosis, or other factor th... [ Read More ]

I have a PA seeing an established patient under the supervision of the physician, the PA is now ordering an MRI because the problem is worsening and this was not under an establ... [ Read More ]
I know the very initial visit, the MD needs to see the new patient to establish the 'plan of care' then as long as incident to guidelines are met, etc. then the PA or APN can se... [ Read More ]
I read in a physician magazine that CMS has stated that writing a prescription for a seven to ten day supply of an antibiotic is not considered to be a moderate complexity. Do... [ Read More ]
My providers use the below as a status and now im wondering if it can be considered a status and counted toward MDM. Patient didn't come in for cataracts and its not mentioned i... [ Read More ]
Anyone have any tips for when taking the CEMC exam? I have it this coming weekend and would appreciate any advice or tips that could be useful.

I'm worried I wo... [ Read More ]
Preface: My Physician group works at multiple hospitals in the area, mainly running the ICUs.

I have a situation where one of my providers saw a patient at Hospital... [ Read More ]
HELP!!!! I really need some help understanding can Modifier's be added to G0008, G0009, 90460, 90461, 90471 & 90472? I have and edit between 90460 and G0008 and it says I ca... [ Read More ]
If the PT has a hospital visit/consult where they are seen by the PA. The PA is employed by the Dr and works for the Dr's group/company. The note will have the HPI, the lab resu... [ Read More ]
I cannot find a crosswalk between preventative codes and the Medicare AWV codes. Is it safe to assume that 99381 - 99387 will convert to G0438 if the patient has M... [ Read More ]
When leveling a GI office visit where the reason for the visit is to plan a screening colonoscopy with no presenting problems, what information are we allowed to use unde... [ Read More ]