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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 99416, Under Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision

The Current Procedural Terminology (CPT) code 99416 as maintained by American Medical Association, is a medical procedural code under the range - Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision.

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.

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March 01, 2016

Meet criteria to report two new codes for prolonged clinical staff observation services in the outpatient and office settings. Prior to 2016, observation care services provided by clinical staff un... [ Read More ]

February 01, 2016

Medically unlikely edits add restrictions to these codes. The American Medical Association (AMA) focused on prolonged services for 2016 CPT®. New codes were created and guidelines have been update... [ Read More ]

December 01, 2015

See what procedural coding changes will affect you most. The release of the 2016 CPT® codebook brings us approximately 350 new, revised, or deleted codes, as well as many new guidelines, coding ti... [ 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 ]