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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 99409, Under Behavior Change Interventions, Individual Services

The Current Procedural Terminology (CPT) code 99409 as maintained by American Medical Association, is a medical procedural code under the range - Behavior Change Interventions, Individual Services.

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November 01, 2017

Knowing which services are included and which are separately reportable ensures appropriate reimbursement. By Cindy Hughes, CPC, CFPC In the first years of life, preventive services play an importa... [ Read More ]

February 10, 2012

Most patients don’t realize the differences among screening, diagnosis, and treatment. When a patient comes into the office for a preventive visit and it turns into acute care, many patients thin... [ Read More ]

September 01, 2011

New preventive medicine mandates call for healthy coding habits of these services. By Shelly Cronin, CPC, CPMA, CANPC, CGSC, CGIC With the Centers for Medicare & Medicaid Services’ (CMS’) r... [ Read More ]

August 01, 2008

Be Ready as More Patients Seek Help By Meera Mohanakrishnan, MSc, CPC There are two codes for tobacco use cessation counseling and two codes for alcohol and/or substance abuse screening and brief i... [ Read More ]

February 01, 2008

By Suzan Berman-Hvizdash, CPC, CPC-E/M, CPC-EDS When the Centers for Medicare and Medicaid Services (CMS) defined the term “Evaluation and Management,” they clearly indicated face-to-face conta... [ Read More ]

CMS has what they expect, what OIG expects for E&M code distribution in an office/outpatient primary care setting. Does anyone know where I could find the same data specific... [ Read More ]
Hi Team,
We need clarification for HPI element.
Patient came for abd pain, knee pain,shoulder pain. Provider managed by x-ray abd-abd pain,x -ray Knee-knee p... [ Read More ]
Hi, I am new to EM coding, have below queries, 1. Patient seen by physician A at ED and physician ask orthopedic physician B to consult at ER. Then upon review physician B state... [ Read More ]
cc: Patient come for multiple sites pain.
Assement : Knee,ankle,wrist,hand diagnosised as pain

Separate X-rays ordered for these four conditions.

[ Read More ]
Can I bill 99214 and 90962 in the same month? My doctor brought an outpatient dialysis patient into the office to discuss labs and if patient needed to stay on dialysis, which ... [ Read More ]
Can anyone direct me to the guideline...

can you still bill a consult for same specialty, DIFFERENT dx, different provider , same group ??
... [ Read More ]
When billing for time based E/M, does the documentation first need to meet a 99213 - 99215, and then look at the time or can you go directly to the time that the provider has d... [ Read More ]
Hello, I had a question regarding split/share services. If an MD examines a patient in an inpatient setting and bills a subsequent visit and on the same day the NP discharges t... [ Read More ]
Physician has hospital inpatient visit with patient. The patient later transfers to nursing home and the same physician sees patient there. Is the nursing home visit considere... [ Read More ]
If my physician reviewed an ultrasound image and then a kub image and documented their interpretation, would they receive 4 total points? Are these counted as 2 points each?[ Read More ]