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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 99496, Under Transitional Care Evaluation and Management Services

The Current Procedural Terminology (CPT) code 99496 as maintained by American Medical Association, is a medical procedural code under the range - Transitional Care Evaluation and Management 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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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 ]
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 ]
July 13, 2018
The transitional care management initial communication requirement stipulates that to report TCM services (CPT® 99495 and 99496), “An interactive contact must be made with the beneficiary and/or ca... [ Read More ]
For Exam counting: For EPF, we need 2-4, Detailed: 5-7, and Comprehensive: 8 or more body/organ systems. Must we have 2 points at least per body/organ system for 1995 guidelines? ie shouldn't there... [ Read More ]
Do we consider Telemed visit as a initial note since it's a non face to face one and if yes, shall we code the subsequent visit as a follow up note?... [ 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 physicians are asking me when nursing procedures are done and there is no provider in the office, can it be billed under a provider's name? For example, if a patient comes in for an injection or a ... [ Read More ]
If anyone could help to clarify I'd appreciate it... My provider admitted a patient to the hospital but the documentation in the H&P does not support the level she wants to charge. HX = EPF, EXAM... [ Read More ]
I am looking for any guidance on billing for AWV done via telephone only. I have seen some info that CMS loosened the requirements during the Covid PHE to allow AWV via audio/visual, but nothing speci... [ Read More ]
If you are conducting a telehealth visit when the connection becomes poor and the visit is finished up as telephonic (audio only), what are the time requirements where I can still bill it out as teleh... [ Read More ]
Inpatient consultation - When a provider is unable to obtain a ROS and documents why but doesn't say anything about trying to get it from other sources, can I still give credit for a comprehensive his... [ Read More ]
Feeling a bit dumb here. Home visits 99341 - 99350. When are these applicable, what circumstances? thx... [ Read More ]
I have this neurology doctor who does EEG to inpt on 5/1, he also does phone call visit on 5/1 and sees patient on 5/2. Patient is in hospital all this times. Physician bills 95822 (EEG), 99447 for 5/... [ Read More ]