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.
CPT 99394, Under Established Patient Preventive Medicine Services
The Current Procedural Terminology (CPT) code 99394 as maintained by American Medical Association, is a medical procedural code under the range - Established Patient Preventive Medicine Services.
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.
Be on the lookout for clues to submit a successful appeal. Denials and appeals can be the most frustrating parts of a coder’s job. I have been on both sides of the fence — working pro-fee for a he... [ Read More ]
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 injury (... [ Read More ]
Follow best practices to meet annual exam documentation requirements. By Ellen Risotti-Hinkle, CPC, CPC-I, CPMA, CEMC, CFPC, CIMC, CSCG, AAPC Fellow Unlike other evaluation and management (E/M) servic... [ Read More ]
Follow the correct edit to promote payment and avoid denial. By Samantha Prince, BSHCM, COC, CPC, CPMA National Correct Coding Initiative (NCCI) edits for Medicare and Medicaid are not the same. If yo... [ Read More ]
Here are three tips to help you report preventive medicine services successfully. Tip 1: Diagnosis Must Reflect the Reason for Visit Always match preventive medicine codes with an appropriate diagnosi... [ Read More ]
Hello! This may have been answered somewhere but I couldn't find anything using the search. I am wondering what the best way to go about coding new patient visits when the provider has previously perf... [ Read More ]
Can a nurse practitioner bill a 99215 as long as the documentation supports that code selection? Are there certain insurances that will deny a 99215 from a nurse practitioner?... [ 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. Does anyone know about th... [ Read More ]
Documentation #1 Would points be given for Lymph under 1995 Guidelines?
Exam
Neck- supple, nontender. No adenopathy
Documentation #2 Would points be given for Lymph under 1995 Guidelines?
Exam
Lymph... [ Read More ]
Scenario:
- Visit A - patient comes to office to discuss test results. MD discusses treatment options- discusses surgery, complications. postop recovery, etc. The patient decides to have hysterectomy... [ Read More ]
E&M
Hi,
am in need of help ! I need help on what level of E & M is this for GI..
HPi-Pt is here for a follow up for symptoms ,pt has history of annal fissure and hemorrhoids he has been takin... [ Read More ]
I'm struggling to understand more of the medical decision making portion of an E/M visit. For example, how do I know if the illness is complicated or not complicated if the provider doesn't say the wo... [ Read More ]
Hi all, I need help with a coding debate...
We all know that medical necessity is the over-arching criteria for selecting codes... My question is regarding prescription drug management and how this... [ Read More ]