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 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.

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May 02, 2019
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 ]
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 injury (... [ Read More ]
October 01, 2017
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 ]
October 01, 2017
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 ]
June 09, 2014
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 ]
Does anyone have a recent power point on EM's? I have three new physicians that need a review, and I don't have the time right now to create one. Your assistance would be greatly appreciated.... [ Read More ]
For E/M codes prior to the changes in 2021, does anyone know of any sources that definitively state that you may (or may not) choose between time or MDM when time is documented? Do you have to code b... [ Read More ]
A telemedicine encounter specifically for COVID concerns (possible exposure, asking for an order for testing, discussing test results) that the doctor writes "10 min": level 99212 or 99213?... [ Read More ]
Hello, I was wondering if anyone has heard if the CEMC credential will change to reflect the E/M changes going into effect in 2021? I’m interested in obtaining it; however I would like it based on ... [ Read More ]
I'm see lots of discussion about the office/outpatient codes and using MDM and history to support the code level during the PHC. But this temporary exemption does not include HOME/ALF/SNF visits whic... [ Read More ]
Am I understanding this correctly ? If you see a patient prior to midnight and that service is continuous past midnight you would add your time and bill with the service date prior to midnight. If y... [ Read More ]
Can anyone tell me with the pandemic relaxed rules on telemedicine if CMS eliminated the requirement to do a physical exam on a new patient? Any links to source information is greatly appreciated. T... [ Read More ]
What am I supposed to bill for when a patient comes in for an injection of a drug and sees the nurse...IF no doctor is in the building? Do I JUST use a 99211 with the drug? Or do I use an injection ... [ Read More ]
Moderate MDM in the ED can be 99283 or 99284. I'm looking for guidance on how to determine which is the appropriate level.... [ Read More ]
When a physician lists this: 1. Prostate Cancer 2. Renal Mass 3. Elevated PSA Would I count each of these as 1 point, or would the elevated psa be a sign/symptom under prostate cancer and this would ... [ Read More ]