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 99441, Under Non-Face-to-Face Telephone Services

The Current Procedural Terminology (CPT) code 99441 as maintained by American Medical Association, is a medical procedural code under the range - Non-Face-to-Face Telephone Services.

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August 03, 2020
And that’s not all: CMS has issued new coding guidance, too. The Centers for Medicare & Medicaid Services (CMS) implemented 12 new ICD-10-PCS codes to allow Medicare and other insurers to id... [ Read More ]
August 03, 2020
Know what to look for when auditing telehealth services rendered during the COVID-19 pandemic. The post Don’t Let Telehealth Claims Derail Your Accuracy Rates appeared first on AAPC Knowledge Center... [ Read More ]
July 01, 2020
Keep abreast of quarterly NCCI coding changes to prevent inappropriate payment of services that should not be reported together. The post NCCI Q2 Updates appeared first on AAPC Knowledge Center. ... [ Read More ]
May 01, 2020
Healthcare providers are granted even more latitude for use of telehealth services during the COVID-19 public health emergency. On a Friday, at month-end, the Centers for Medicare & Medicaid Serv... [ Read More ]
April 01, 2020
Certain telemedicine services are already covered under the Physician Fee Schedule (PFS) when provided to Medicare patients in accordance with regulations. In response to the public health emergency (... [ Read More ]
Can I & O be counted as GU under exam or how is it counted? Thanks!... [ Read More ]
Please read office note below. Provider is picking 99213. But I'm getting a 99212. MDM is 1 established problem 1 point 99212, risk one chronic stable low 99213, data Drug screening order 99212. Two o... [ Read More ]
I read the article titled Separate E/M with Screening Colonoscopy, Plus Pre-Op Screenings. I have included a link to it here: https://www.aapc.com/blog/27288-separate-em-with-screening-colonosc... [ 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 ]
https://www.cdc.gov/media/releases/2020/p0730-cms-cdc-provider-reimbursement-available-covid-19.html?deliveryName=USCDC_1_3-DM34435 CMS announced they will pay for the provider counseling... [ 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 ]
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 ]