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 ]
I am relatively new at E/M coding...I have a hospitalist who cuts & pastes his HPI from his initial H & P for his progress notes, with no updates. I questioned this and was told that he is all... [ Read More ]
So I was told by an auditor once that this was a good rule of thumb for most instances:
99231- stable doing well--no changes
99232- new problem, not responding adequately to therapy and additional wo... [ Read More ]
I am coding for a neurologist that is doing consults at the hospital. He has been seeing several patients that are showing no brain activity. I am stuck on the MDM part of the equation for the E/M. ... [ Read More ]
My provider had a NEW patient come in and did a great HPI-complete history and all the elements needed for the acute problem. However, on the ROS all she wrote was "ROS as noted in the HPI"... [ Read More ]
In order to bill for both of these on the same day, is there supposed to be two separate physical exams documented? And does the reason for the E/M need to be an "acute" problem? Some of my... [ Read More ]
Hello, my provider stated he removed partial toe nail via nail clippers. 2% lidocaine was used and the nail was sent out to bx. Does this method of removal (nail clippers) qualify as a 11730? Thank yo... [ Read More ]
Hello all,
I have a provider that has just started using CPT code 99358. She has wanted me to look at her documentation to make sure she is doing it correctly, but I'm ignorant of the code. I've look... [ Read More ]
