; HCPCS Codes & Modifiers Lookup, HCPCS Codes List 2017
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

The Fourth of July is right around the corner, and United States friends will gather to celebrate our independence. With the celebration comes a slew of accidents and injuries. Here are some ICD-... [ Read More ]

With so many complications that involve many specialties, correct coding is essential on many levels. Diabetes mellitus (DM) is a systemic condition prevalent throughout the United States and the s... [ Read More ]

The root cause of the dementia will lead you to the correct diagnosis code. A diagnosis of “dementia” requires us to first understand the term. According to the Alzheimer’s Association: Demen... [ Read More ]

By Rebecca Caux-Harry, BFA, CPC One of the many benefits of working for a nation-wide company, such as 3M Health Information Systems, is visibility into payer actions from coast to coast. Many cust... [ Read More ]

Excludes 1 and 2 notes often hold the key to preventing claims denials. There are two type of excludes notes in the ICD-10-CM classification system: Excludes 1 and Excludes 2. Medical coders need t... [ Read More ]

Hi -

With the new code for BCG instillations beginning 7/1/19, am I correct in assuming that if a patient gets a half dose, it would be reported as J9031 0.5 units?... [ Read More ]
I have an H&P where the patient was admitted through the ED. The H&P physician has referenced the ED report for the review of systems. Can this be counted if I pull ... [ Read More ]
We are a Podiatric Surgeons office and bill for multiple x-rays at a given visit. We have been getting denials when billing 73630 with 73650 or 73630 with 73610 mainly from BCB... [ Read More ]
What is the appropriate way to bill in EVAR repairs in which a general surgeon performs the arterial exposure and then an interventional radiologist places the endograft? The g... [ Read More ]
Are the device to procedure lists still available on CMS' website?
... [ Read More ]
I have provider who wants to keep billing 93312, 93320 and 93325, but I don't see where 93320 or 93325 is valid based on the documentation, maybe someone can help me read it and... [ Read More ]
Hello everyone. I've recently started at a new practice and noticed the oncologists I work for don't always include the specific disease location in their history or assessment... [ Read More ]
If a physician conducts a level 5 complete/comprehensive History, and a complete/comprehensive Exam for an established patient after our RN has done a Wellness, does this count ... [ Read More ]
I have a provider billing codes 64450 and 77002-59 and am being told that 77002 should be payable since it was billed with a -59 modifier. 77002 does not include 64450 in the &... [ Read More ]