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 like ... [ 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), — one... [ 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 preferences ... [ 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 telehe... [ 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 seem... [ Read More ]
According to CMS guidelines for teleheath, they have said that your E/M level can be based on MDM or time. Is this for commerical payers too? So if a physical exam is not done for a new patient, can a... [ Read More ]
If a PA and a Physician both see an inpatient (subsequent visit), the PA performs and documents HPI, Exam and Assessment and Plan. Then the physician sees the patient and adds an addendum to the PA’... [ Read More ]
I've been seeing claims denied by insurance because it is the second claim for the same date of service that has the same CPT code (e.g. 99282) but the two E/M services were billed by different provid... [ Read More ]
Help. I have been told too many things on these codes. If my provider is not the admitting physician can he bill these codes for his consult for his initial visit? I have been told yes without the AI ... [ Read More ]
My provider dictated this: I did review the review of systems done by Dr. A this morning. I agree with this and as per my HPI. Do I give credit for this? Dr. A did a 14 point ROS.... [ Read More ]
With the increasing health scare of CoVid-19 we have many patients that do not want to come in to the office to be seen. Most of these are elderly patients and are not comfortable with video-chatting ... [ Read More ]
My physicians will list 1. Urge Incontinence 2. Nocturia 3. Urgency as their diagnoses. According to the ICD 10 book urge incontinence and urgency have an exclude 1 and you can't use them together. Ca... [ Read More ]
Does anyone have any examples aside from what CMS has on when a provider should be using 99358-99359, I would greatly appreciate it ... [ Read More ]
Hello, looking to see if I can get a second opinion on this exam based on 95 guidelines. Does this qualify as a comprehensive exam? I'm specifically questioning the general exam (no vitals), and HEE... [ Read More ]
So we have a physician that saw a patient and preformed a 10060, 3 days later he had the patient come back for a follow up. Can the e/m be billed. The reason I am asking this is the 10060 does have ... [ Read More ]