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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 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.

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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 ]

DX : Depression with Anxiety(both are established conditions).

Dr evaluated and prescribed one common medication(diazepam) for both conditions.

In this... [ Read More ]
Hi - I have a physician who is attempting to bill 99222 based on this documentation. I don't agree ...looking for some support. Thank you

Consultation Report
... [ Read More ]
If a PT was seen by the PA in the Emergency room and later admitted inpatient to the hospital, can we bill under the Dr's NPI if the Dr signs an attestation on the PA's note? Or... [ Read More ]
I have a PA seeing an established patient under the supervision of the physician, the PA is now ordering an MRI because the problem is worsening and this was not under an establ... [ Read More ]
I know the very initial visit, the MD needs to see the new patient to establish the 'plan of care' then as long as incident to guidelines are met, etc. then the PA or APN can se... [ Read More ]
I read in a physician magazine that CMS has stated that writing a prescription for a seven to ten day supply of an antibiotic is not considered to be a moderate complexity. Do... [ Read More ]
My providers use the below as a status and now im wondering if it can be considered a status and counted toward MDM. Patient didn't come in for cataracts and its not mentioned i... [ Read More ]
Anyone have any tips for when taking the CEMC exam? I have it this coming weekend and would appreciate any advice or tips that could be useful.

I'm worried I wo... [ Read More ]
Preface: My Physician group works at multiple hospitals in the area, mainly running the ICUs.

I have a situation where one of my providers saw a patient at Hospital... [ Read More ]
HELP!!!! I really need some help understanding can Modifier's be added to G0008, G0009, 90460, 90461, 90471 & 90472? I have and edit between 90460 and G0008 and it says I ca... [ Read More ]