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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 99475, Under Inpatient Neonatal and Pediatric Critical Care Services

The Current Procedural Terminology (CPT) code 99475 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 ]
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 ]
Hi There. I code for a group of Critical care physicians that float around various area hospitals and LTACs. Now I understand that a group of physicians bill critical care as one provider. My question... [ 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 ]
Patient seen by oncologist as a consult on an in-patient basis. When patient is discharged from the hospital and has a follow-up visit with the oncologist a week later is the patient considered a new... [ Read More ]