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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 99443, Under Non-Face-to-Face Telephone Services

The Current Procedural Terminology (CPT) code 99443 as maintained by American Medical Association, is a medical procedural code under the range - Non-Face-to-Face Telephone Services.

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September 05, 2018

Coding 99495 and 99496 takes more effort than deciding whether the patient is seen 7 vs. 14 days after discharge. The CPT® guidelines for transitional care management (TCM) codes 99495 and 99496 s... [ Read More ]

March 01, 2018

CPT® code and guideline changes show a shift towards collaborative care and behavioral health management. With the release of CPT® 2018, we see major changes in coding throughout the Evaluation a... [ Read More ]

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-u... [ Read More ]

May 01, 2012

With health information available online, the patient/provider relationship is changing. By Ida Landry, CPC The Internet and telephone have become increasingly popular methods for providing medical... [ 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 evalu... [ 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 ]
I need some help from some of you E & M experts. I believe the review of systems posted below would be considered a complete of review of systems. I know you have to have 10... [ Read More ]
Does anyone have experience with billing for a pre-op clinic? We have just implemented a new outpatient clinic that our specialty practices (Ortho, General Surgery, Neurosurger... [ Read More ]
This is what was said:

I have discussed the findings at great length with the patient, his wife and 3 daughters. I have had an extensive perhaps 40 minute discussio... [ Read More ]
HELLO ,

Can anyone one explain me when to consider "consult" and "office visit"?

what if in medical records below line is mentioned... [ 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 ]
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 ]