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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HCPCS Codes

HCPCS: COMMON PROCEDURE CODING SYSTEM "HICK-PICKS"

AAPC Coder is so important to medical coders navigating the Healthcare Common Procedure Coding System (HCPCS) Level II code set because of all it helps you accomplish.

HCPCS Level II touches all types of coding in many settings thanks to its inclusion of supply, service, drug, ambulance, nuclear medicine media, quality reporting, durable medical equipment, Blue Cross Blue Shield, Medicaid, pathology and laboratory, glasses and hearing aids, and other codes. This government coding system is updated throughout the year, making it the most dynamic code set.

Because so many coding and billing rules define how the more than 6,000 alphanumeric codes will be used to report claims and the quality of services being performed, it helps to have an electronic tool like AAPC Coder to enable speedy, accurate reimbursement. In addition to allow you to search by keyword, code, or code range, AAPC Coder offers these advantages to medical coders:

  • Presentation by Code Chapters, which are then broken into Categories
  • Based on AAPC's unique expanded HCPCS Level II Index and Table of Drugs
  • Updates every quarter so you have the latest codes
  • Add-ons that include lay descriptions, fee schedule, and other resources
  • Complete set of HCPCS Level II modifiers
  • Payment and other information unique to each code

Understand what the physician is documenting to improve coding accuracy. Since the beginning of grade school, we are encouraged to expand our vocabulary, read literature, and improve our grammar. W... [ Read More ]

Understand the many nuances of this blood disease to code it correctly. Anemia, according to Mayo Clinic, is a condition in which the body isn’t making enough healthy red blood cells to carry ade... [ Read More ]

Lobar pneumonia references a form of pneumonia that affects a specific lobe or lobes of the lung. This is a bacterial pneumonia and is most commonly community acquired. Antibiotics are almost alway... [ Read More ]

There is a lot of buzz in the healthcare industry recently about social determinants of health (SDOH) and their impact on society at large. With the expansion and updates to ICD-10-CM and the Diagn... [ Read More ]

Part 1: Know the limitations of EMRs and the importance of quality data collection. Patients with gender conflict have stereotyping and depression to overcome; don’t let staff and billing be anot... [ Read More ]

I have a pt that had PROM at 20w5d, the physician was in the room preparing to exam patient. When they pulled the blanket back, the infant had delivered, alive. They were unabl... [ Read More ]
Is the post-treatment imaging (Abdomen/Pelvis SPECT/SPECT CT Scan), to confirm hepatic radioembolization distribution within 24 hours of treatment, included in the pre-imaging c... [ Read More ]
Hello there AAPC fam!

I am in need of some help. I just recently had received some EOB's from an insurance carrier whose patient's we have seen for over 10 years wi... [ 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 comfortab... [ Read More ]
Can you bill out 90853 and 90846 for one client in the same day? The client is in group (90853) and then the family is having separate counseling without client present (90846)?... [ Read More ]
Hi

The provider listed and addressed Age related Cataract and DM with diabetic Cataract. Can she keep both or does she need to specify which is the correct diagnosi... [ Read More ]
Hello,

We are researching billing a possible new parent group using code 90849 - Multiple-Family Group Therapy while the child participates in 90853-Group Psychothe... [ Read More ]
What would you do in this scenario? I have a provider that has done phone only visits with a patient every 5 days. Since guidelines for phone only services state "They may... [ Read More ]
Hello,

How would you all code the following op report? This was has been coded a couple different ways and the payor has denied charges as not supported.
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Can a facility charge for or minutes and same day surgery on the same dos.
... [ Read More ]