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

Develop a plan to transition to and implement ICD-11.

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Insight into the history of ICD and how it has changed over time is key to developing a plan for moving forward and embracing ICD-11.

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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 ]

Dr. did a right small finger amputation and a amputation of left ring finger. I ran the code 26951 through claims scrubber and it says this code is only payble with 1 unit. I ... [ Read More ]
Hello All, looking for some insight-- we're having difficulty getting our OB related claims to Medicare paid-- in particular our OB patient had a 59025. Medicare is denying. I... [ Read More ]
I'm having a hard time settling on a code for this procedure.

I&D of infratemporal space abscess via trans oral approach

PT had dental extraction ... [ Read More ]
I see 33224 is replacement of a ventricular lead but i am not able to find anything for a replacement of an atrial lead. Doctor replaced atrial lead for an existing generator (I... [ Read More ]
Does anyone have a CMS link on how to properly document the EKG read to support billing 93010

I saw some tips that there needs to be 3 elements documented when bill... [ Read More ]
10120 OR 26070? Patient had a hand grinder injury. Since the op note states that the extensor tendone was inspected, I feel like maybe 26070 would be more appropriate than 1... [ Read More ]
Need clarification on this please.
Patient comes in for cataract surgery. We bill 66984 procedure code, C1783 for and V2632 for Lens. Everything I read says not to put... [ Read More ]
IF MULTIPLE INJECTIONS ARE GIVEN ON THE SAME DATE OF SERVICE SUCH AS KNEE, HIP, AND SHOULDER) CAN WE BILL THE ADMIN CODE 20610 FOR ALL THREE? ALSO, HOW MUCH WILL MEDICARE REDUCE... [ Read More ]
If the dx's on an Office Visit dictation includes a pain code along with the other dx's do you code the pain code too? For example:

Diagnosis
Pain, right shou... [ Read More ]
Does anyone know if specific start/stop times have to be documented in the note to be billable for psychotherapy? I know that they must be documented when billing psychotherapy ... [ Read More ]