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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 99487, Under Complex Chronic Care Coordination Evaluation and Management Services

The Current Procedural Terminology (CPT) code 99487 as maintained by American Medical Association, is a medical procedural code under the range - Complex Chronic Care Coordination Evaluation and Management Services.

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June 10, 2019

As home-based primary care makes a comeback, be sure physicians’ payment for services isn’t obsolete. Many of us are old enough to remember “Marcus Welby, M.D.,” and the doctors on shows li... [ Read More ]

April 04, 2019

Medical coders and auditors are essential to their employer’s outcome in the Cost performance category. Of the four performance categories in the Merit-based Incentive Payment System (MIPS), — ... [ Read More ]

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 ]

December 06, 2018

What Does it Take to Get Paid? AMA Morning Rounds (Dec. 5, Henry) discusses remote patient monitoring (RPM) and the “pitfalls you will want to avoid” as your practice implements this latest tel... [ Read More ]

September 05, 2018

Coding 99495 and 99496 takes more effort than deciding whether the patient is seen 7 vs. 14 days after discharge. The CPT® guidelines for transitional care management (TCM) codes 99495 and 99496 s... [ 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 ]
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 ]
Can anyone offer clarification regarding the use of Behavior Change Intervention Codes 99406-99409? There is a 'Telemedicine' Symbol next to these codes. After reading the preface to Appendix P in the... [ Read More ]