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.

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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 preferences ... [ 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 sch... [ 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 phys... [ 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 ]
How many elements do you see: Ms. Smith is a 55 year old female with nausea and vomiting and I was consulted by (Doctor) for assisting with further management. She has been having nausea and vomiting... [ Read More ]
If Dr. A (one specialty) sees a patient for an E&M service and then Dr. B (same practice but completely different specialty) also sees the same patient for an E&M on the same DOS, does the sec... [ Read More ]
We had a new patient come into our office from a local nursing home facility without much ppw unfortunately or send the radiographs that they were supposed to send along with her. She has dementia. ... [ Read More ]
Hello, this is an audit for a new provider, and I wanted to get some thoughts on what kind of credit to give for this? Review of Systems: A complete review of systems was performed and is unremarka... [ Read More ]
High risk on Table of Risk includes: "Drug therapy requiring intensive monitoring for toxicity." from worksheet Medical Decision Making section. What are some examples of these drugs? Does ... [ Read More ]
Hello, I have a question on the History part of E&M. Say you have a Comp HPI, a Detailed ROS, a Comp PFSH Then you would have a Detailed History correct? Is there an area or link that someone k... [ Read More ]
A patient was seen for their newborn WCC. Upon obtaining the Hx, it was found that the mother did not have adequate prenatal care and the child was born at home with no antenatal care. During the WCC,... [ Read More ]
Can 99223 and 99231 be billed during the post op period?... [ Read More ]
Good Morning, I am reaching out to you all today for some advice on how to eliminate/reduce OCE 21 Edits for G0463. The OCE 21 Edit is for a "Medical visit on same day as a type T or S procedure... [ Read More ]
One Minor procedure(10 days GP) performed in urology specialty on 09/01/2019. On same day, evaluation & management(99213) done for separate condition in Family practice specialty. Can we append 2... [ Read More ]