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

Differentiate migraines from common headaches for proper ICD-10-CM coding. A migraine is more than just a headache. Although migraines are not completely understood, scientists believe the pain is ... [ Read More ]

In a world of uncertainty, one thing medical coders can count on is ICD-10-CM yearly updates. It’s already that time of year again when the Centers for Disease Control and Prevention (CDC) releas... [ Read More ]

Timing is everything when defining and capturing the 7th character in an ICD-10-CM code. ICD-10-CM brought about new concepts for diagnosis coding, with some being straightforward and others being ... [ Read More ]

Know what to watch when coding bug bites, poison ivy, and heatstroke! Get ICD-10 pointers. Somehow it is mid-August already, and talk about 2020 code updates is buzzing. But summer 2019 isn’t don... [ Read More ]

Look at diagnosis history changes and Medicare’s national and local coverage determinations for greater insight into denied claims. Coverage determinations for hyperbaric oxygen therapy (HBOT) fo... [ Read More ]

Can we use E11.21 at same time with E11.22?
Having a N18.3 or any other stage. Or are we suppost to use only E11.22? Thanks
... [ Read More ]
I got a flyer from McVey about documentation changes coming soon. Has anyone heard from CMS or other insurances on what could it be? Is it drastic?
... [ Read More ]
Hello, one of my providers is trying to bill for an Office Visit, EKG, and Pacemaker Check on the same date of service. There is a CCI edit for the Pacemaker check and EKG and ... [ Read More ]
Good Morning all,

My physicians read nuclear stress studies for the local hospital while they are on call. In the past few weeks I have received denials from Cigna,... [ Read More ]
Can I send a corrected claim to Blue Cross (Florida) after an appeal gets denied?
... [ Read More ]
Is it possible for a provider to read a CT abdomen for a patient and charge an E/M the same day? The provider is part of a group of providers owning the practice.
... [ Read More ]
Physician documented:

Acute hypoxic hypocapnic respiratory failure -
COPD exacerbation
Respiratory Alkalosis
Pulmona... [ Read More ]
I need a second opinion on the documentation requirements for moderate sedation. I feel that the operative note must state that the physician: 1) administered or supervised the ... [ Read More ]
What do you think?
I was thinking
93458, 36215, 75710?
Honestly im never really sure when to use the 75710 so any help/info on it would be greatly appreciate... [ Read More ]
I was wondering if any of the more mature coders feel their resume is overlooked because of age?

I lost my position, due to downsizing and I have 20 years of great... [ Read More ]