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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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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 99442, Under Non-Face-to-Face Telephone Services

The Current Procedural Terminology (CPT) code 99442 as maintained by American Medical Association, is a medical procedural code under the range - Non-Face-to-Face Telephone Services.

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November 01, 2015
You’ll need to prove medical necessity and know the guidelines to bill appropriately. Patients often require follow-up care (such as medication changes) following laboratory tests. These follow-ups ... [ Read More ]
May 02, 2008
New internet and telephone codes for 2008 By Meera Mohanakrishnan, MSc, CPC Thanks to the internet, many patients have confidential contact with their health care providers. An online medical evaluati... [ 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 contact ... [ Read More ]
My urologist was asked to see a patient in the NICU who had a circ an hour prior. Do I bill 99477 or how do I bill for this?... [ Read More ]
Doctor seen patient in the ER at 10:30 p.m . on 8/20/19. He came back on 8/21/19 and seen the patient again in the ER at 11:30 a.m. and dictated a progress note. Patient then became an inpatient. How... [ Read More ]
I have a question in regards H & P documentation. Example: We schedule a patient to be admitted to the hospital to have a sotalol infusion done. Can the provider use the last office visit as th... [ Read More ]
In the Level of Risk box, how do you determine on which to use? Presenting problem, diagnostic procedure ordered, or management option selected?... [ Read More ]
Good morning, So we have a provider who submitted a 99309, which was paid, and then she added a 99358 and 99359 to the encounter, which were denied. The claim was denied, stating a modifier was need... [ Read More ]
A pt comes into the office and see's ortho Dr A in our group on 4/1, and they are sent to the ER. Orth DR A charged the pt. a e/m visit (99215), and x-rays. The ER DR. consults with ortho Dr. B from ... [ Read More ]
Need some clarification. The practice I work at does injections on patients. The visit usually consist of an office visit to discuss the issue they are having, what sites to do the injections, other h... [ Read More ]
I have a provider that will be doing these types of exams for youths that will be residing in group homes. As far as a CPT code, I think an E/M (99201-99215) using Z02.2 as primary DX, followed by a... [ Read More ]
Hi - If a patient sees one of the PAs in my group and is sent to the hospital and gets seen by one of the physicians on that same day, it's two separate visits, yes? Even if the physician is the co-s... [ Read More ]
Hello, I wanted to check if anyone has more experience billing work related injuries. I was just told that E/M code should be N/P when patient is seen for a new injury. So if patient is seen first ti... [ Read More ]