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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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National Codes Established for State Medicaid Agencies HCPCS Code range T1000-T5999

The HCPCS codes range National Codes Established for State Medicaid Agencies T1000-T5999 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.

HCPCS Code range (T1000-T5999), National Codes Established for State Medicaid Agencies, contains HCPCS codes for independent nursing service, Nursing assessment, Clinic visit, Administration of medication, Non-emergency transportation, air ambulance and non-emergency vehicle.

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HCPCS Code Range T1000- T5999

Search across CPT®, ICD-9, ICD-10 & HCPCS codesets. Look up medical codes using a keyword or a code with AAPC Coder

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  • Lay Descriptions
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  • Code Crosswalks
  • Medicare CCI Edits Checker
  • Medicare LCDs and NCDs
  • CMS Transmittals

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What is Lobar Pneumonia?

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 ]

Diagnosing Social Determinants of Health

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 ]

Overcome Gender Identity Barriers in Healthcare

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 ]

December Brings AIDS Awareness to the World

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 ]

Check NCDs for ICD-10-CM Code Updates

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 ]

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CPT for Hip Resurfacing?
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 ]
Bimalleolar equivalent fracture
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 ]
Cerumen diagnosis code
If the ear wax is not impacted what dx code is appropriate to use?
... [ Read More ]
Intra-operative monitoring technical component
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 ]
Nurse visit charge by RN with NPI
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 ]
Bronchoscopy w/treatment of bleeding with lidocaine
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 ]
Behavioral Health
Can a Licensed MSW, bill medicare under an LCSW ? Provided the LCSW is available and on site?
... [ Read More ]
How to measure debrided lesions?
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 ]
IUD insertion w/paracervival block
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 ]
Based on the documentation what codes would you report?
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 ]
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