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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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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

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 ]

Alert coders of Excludes1 conflicts to help you catch problems in problem lists and avoid costly denials and rework. By Rebecca Caux-Harry, CPC In April’s Healthcare Business Monthly (pages 56-57... [ Read More ]

Does anyone have a good E/M audit tool specific to optometry/ophthalmology that you're willing to share?

Tom Cheezum, O.D., CPC, COPC
... [ Read More ]
I have a physician wanting to see patients in SNF for the monthly home dialysis visit. Am I able to bill the 90966 with POS 31?

Thanks!
Amy
... [ Read More ]
I have a physician wanting to see patients in SNF for the monthly home dialysis visit. Am I able to bill the 90966 with POS 31?

Thanks!
Amy
... [ Read More ]
In the A/P the provider puts:

E11.21-T2DM w/diabetic nephropathy
E11.42-T2DM w/ diabetic polyneuropathy
morning FBS 160-200
Plan: increase Levemir... [ Read More ]
I am working on some Medicare Dermatology claims. It was billed with 11302 and 11302-59. Is there a better way to code this to get reimbursement? Medicare is denying the first 1... [ Read More ]
Provider documents
Morbid obesity - E66.01, (HCC), 50 minutes spent with the patient, with over 50% of that spent on discussion of morbid obesity, her attempts at weight ... [ Read More ]
We have a patient who had a skin lesion removed. Then the patient came in within that global period for an office visit separate from the skin lesion removal. During this office... [ Read More ]
The official rule is No Modifiers on Unlisted codes. Which makes sense as far as pricing modifiers like -22 or -52. But what about -26 for unlisted radiology or lab procedures? ... [ Read More ]
Our provider performed a lumbar RFA 64635 on the Right side, this has a 10 day global period. He then scheduled the patient to come back in 7 days (during global period of Righ... [ Read More ]
The doctor performed a salivary duct cannulation, salivary duct dilation, sialendoscopy, and salivary duct kenalog injection. I have code 42650 for the salivary duct dilation an... [ Read More ]