3 Days Left - FREE Study Guide + FREE Practice Exams with Exam Purchase  |  Learn More
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.

To get access to this feature.
APC look up provides necessary detail on one page including long descriptor, payment and coverage info and more.

To get access to this feature.
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.

To get access to this feature.
This add-on is available with
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.

To get access to this feature.
This add-on is available with

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

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 ]

Know the stages of HIV, prevention, detection, and its associated conditions for proper coding and better patient care. With Dec. 1 being World AIDS Day, the topic of human immunodeficiency virus (... [ Read More ]

Changes to diagnosis codes mean NCD coding changes. Diagnosis codes changes went into effect Oct. 1, as usual, and the Centers for Medicare & Medicaid Services (CMS) is updating National Covera... [ Read More ]

Does anyone know the correct code to use for hip resurfacing? Authorizations are being requested for CPT 27130 & not sure if this is correct.
Thank you.
... [ Read More ]
A patient presents with a bimalleolar equivalent fracture and only the lateral malleolus is reduced and then fixed with internal fixation. There was no need to do a deltoid lig... [ Read More ]
If the ear wax is not impacted what dx code is appropriate to use?
... [ Read More ]
Hello,

I work for a small IPA and we are trying to figure out what is correct for the technical component of IOM. I have been denying them because I assumed the tec... [ Read More ]
I just started working at a FQHC (Fed. Qualified Healthcare Center) they have a RN with an NPI and are asking if she can put through charges on her own. My understanding is tha... [ Read More ]
Hello, I've never seen this before. During a bronch, the doc injected lidocaine with epinephrine and thrombin to stop bleeding in the lung. Would this fall under the alveolar la... [ Read More ]
Can a Licensed MSW, bill medicare under an LCSW ? Provided the LCSW is available and on site?
... [ Read More ]
I'm having trouble determining how to code these measurements of debridement's.
Can someone list the proper way to address these measurements attached from an op note.
[ Read More ]
I work with a provider who uses paracervical blocks for difficult IUD insertions and she wants to bill for the block. The description in my OBGYN coding companion for CPT 58300 ... [ Read More ]
NOTE (Tuesday April 2, 2019 03:17 PM)
Chief Complaint: Three week recheck, feeling a little better from her sinus surgery.
History of Present Illness:
is now a... [ Read More ]