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 99472, Under Inpatient Neonatal and Pediatric Critical Care Services

The Current Procedural Terminology (CPT) code 99472 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 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 ]
Good Evening, Quick question regarding the # of dx/mgmt options table, just a few examples: 1st ex: Patient presents with a complaint of sore throat along with left ear pain which was diagnosed as ac... [ Read More ]
Hello everyone, I hope this is the right place to post this question. Anyways, I have about 12 case studies which involve coding the correct EM Level only. The cases aren't asking for the ICD-10 C... [ Read More ]
We have a provider that does the CC, HPI and the PFSH but rarely the ROS. My question is would his E/M be a brief visit a 99212?... [ Read More ]
Hello, My boss wants us to charge a 99213 any time a pt gets a med rx or rx to therapy. She said those are automatically level 3s. I told her that MDM is the main driver of the e/m levels, and just b/... [ Read More ]
If a patient has Sickle Cell Anemia with pain crisis, or crisis of any kind, and it's being actively managed by an MD, would this be considered a moderate or high risk if being treated with medication... [ Read More ]
I am coding for a neurologist that is doing consults at the hospital. He has been seeing several patients that are showing no brain activity. I am stuck on the MDM part of the equation for the E/M. ... [ Read More ]
I am relatively new at E/M coding...I have a hospitalist who cuts & pastes his HPI from his initial H & P for his progress notes, with no updates. I questioned this and was told that he is all... [ Read More ]
So I was told by an auditor once that this was a good rule of thumb for most instances: 99231- stable doing well--no changes 99232- new problem, not responding adequately to therapy and additional wo... [ Read More ]
My provider had a NEW patient come in and did a great HPI-complete history and all the elements needed for the acute problem. However, on the ROS all she wrote was "ROS as noted in the HPI"... [ Read More ]
In order to bill for both of these on the same day, is there supposed to be two separate physical exams documented? And does the reason for the E/M need to be an "acute" problem? Some of my... [ Read More ]