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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 99461, Under Newborn Care Services

The Current Procedural Terminology (CPT) code 99461 as maintained by American Medical Association, is a medical procedural code under the range - Newborn Care Services.

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February 20, 2020
Will your utilization data pre- and post-PDGM make you stand out to authorities? As the weeks under the Patient-Driven Groupings Model (PDGM) wear on, more reports of home health agencies (HHAs) cutti... [ Read More ]
February 19, 2020
The New York Post ran a story that caught my attention regarding a recent study conducted by a research team led by University of Pennsylvania psychologist and author Angela Duckworth, PhD. Dr. Duckwo... [ Read More ]
February 12, 2020
Since 1963, February has been “American Heart Month,” and the American Heart Association has been leading its awareness. The goal during this month is to acknowledge heart disease and to raise mon... [ Read More ]
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Lobar pneumonia references a form of pneumonia that affects a specific lobe or lobes of the lung. This is a bacterial pneumonia and is most commonly community acquired. Antibiotics are almost always n... [ Read More ]
February 11, 2020
MACs may be applying the multiple endoscopy rule incorrectly. In the 2020 Medicare Physician Fee Schedule (MPFS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) finalized the propos... [ Read More ]
I have a physician who works in conjunction with an NP (we have an Ortho walk-in clinic). On the days he's in the OR, he wants her to see the patient and do the history/exam. Once he's out of surger... [ Read More ]
Hello, Any help would be greatly appreciated. If you have a new patient visit would you consider under number of diagnoses/management options all the diagnoses as "new problems" even if the... [ Read More ]
Hi MFM specialty billers I am new to the specialty and would like to know if a Dr has seen a patient within the 3 year period and is now seeing them again for (2nd pregnancy) can the provider still b... [ Read More ]
Anoscopy with hemorrhoid banding was performed so we billed 46221 so what is the anesthesia CPT code for this case?... [ Read More ]
My provider listed these are diagnoses: 1. Gross Hematuria 2. Acute Cystitis with hematuria 3. Prostate Cancer. This patient has been having recurrent infections. When patients have recurring infect... [ Read More ]
Good morning, can anyone clarify the requirements for inpatient hospital follow up PFSH..... Is documentation required in this category or no? I know for new patients there must be at least 1 item fr... [ Read More ]
The claims under NP that Dr didn’t co- sign those can be billed under Dr with a reduction of service believing we would still receive 80% for these claims. Please suggest coding for such cases.i am... [ Read More ]
Good Morning Everyone, I have a question regarding billing office visits and minor procedures on the same day. A physician at our practice has asked us to start billing office visits and minor proc... [ Read More ]
If a patient is being seen exactly 3 years to the day from last visit example last seen 02/10/2017 and is seen again 02/10/2020 would this be considered established or new?... [ Read More ]
hello, When billing critical care - can multiple drs. from the same practice accumulate their critical care time together (on same day) to make up critcal care time for cpt 99291 (30-74 mins) or is i... [ Read More ]