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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 99469, Under Inpatient Neonatal and Pediatric Critical Care Services

The Current Procedural Terminology (CPT) code 99469 as maintained by American Medical Association, is a medical procedural code under the range - Inpatient Neonatal and Pediatric Critical Care Services.

Search across CPT® codesets. Look up medical codes using a keyword or a code. Available With a Subscription to AAPC Coder! Login to see advance features.

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February 21, 2019

Advance care planning (ACP) is “learning about and considering the types of decisions that will need to be made at the time of an eventual life-ending situation and what the patient’s preferenc... [ Read More ]

May 22, 2017

Medicare covers advanced care planning (ACP) as a separate service when provided by physicians and other health professionals (such as nurse practitioners who bill Medicare using the physician fee ... [ Read More ]

May 16, 2016

Since Jan. 1, Medicare covers advance care planning (ACP) as a separate service when provided by physicians and other health professionals (such as nurse practitioners who bill Medicare using the p... [ Read More ]

January 06, 2016

As of Jan. 1, 2016 the Centers for Medicare and Medicaid Services (CMS) will cover advance care planning (ACP) as a separate service, when provided by physicians and other qualifying providers (e.g... [ Read More ]

November 01, 2014

When choosing codes, factor in age, time, CMS, CPT®, and bundling rules. by Holly Cassano, CPC Proper documentation and coding of critical care services depend not only on the Centers for Medicare... [ 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 ]
Subject: Immediate Job Opening : Outpatient Coder, Fairchild AFB, WA We are seeking a full-time medical coder to fill a vacancy at Fairchild AFB, WA. Here are some details: Monday - Friday... [ 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 ]
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 ]
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 ]
When combining Body areas and Organ systems what are the rules? I have a provider selected 7 Organ systems and 1 Body area, however I thought the Body area had to state a relative Organ system: Exampl... [ Read More ]