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 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.

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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 under... [ 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 updated. ... [ 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 tips,... [ Read More ]
Good Evening, Quick question regarding the # of dx/mgmt options table, just a few examples: 1st ex: Patient presents with a complaint of sore throat along with left ear pain which was diagnosed as ac... [ Read More ]
Hello everyone, I hope this is the right place to post this question. Anyways, I have about 12 case studies which involve coding the correct EM Level only. The cases aren't asking for the ICD-10 C... [ Read More ]
We have a provider that does the CC, HPI and the PFSH but rarely the ROS. My question is would his E/M be a brief visit a 99212?... [ Read More ]
Hello, My boss wants us to charge a 99213 any time a pt gets a med rx or rx to therapy. She said those are automatically level 3s. I told her that MDM is the main driver of the e/m levels, and just b/... [ Read More ]
If a patient has Sickle Cell Anemia with pain crisis, or crisis of any kind, and it's being actively managed by an MD, would this be considered a moderate or high risk if being treated with medication... [ 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 ]
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 ]
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 ]