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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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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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ICD-10 Code for Underdosing of unspecified primarily systemic and hematological agent, initial encounter


ICD-10 code T45.96XA for Underdosing of unspecified primarily systemic and hematological agent, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

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Official Long Descriptor
Underdosing of unspecified primarily systemic and hematological agent, initial encounter
Seventh Character Notes
Category Notes
Chapter Specific Coding Guidelines
Cross References
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Cardiovascular coding with PCI and CPT and NCCI guidelines.The post Cardiovascular Coding Solve the PCI Puzzle Using CPT and NCCI Guidelines appeared first on AAPC Knowledge Center.... [ Read More ]
Looks as there is a July 2020 NCCI update to the codes with CMS. When an occupational therapist does a re-eval (code 97168) and also does a separate treatment (code 97530) is the 59 modifier no longe... [ Read More ]
I am looking for a full-time position in auditing, but would also consider part-time employment. I have over 8 years of pro-fee auditing experience in all places of service and most specialties. I am ... [ Read More ]
Scenario: Patient in post-op for RIGHT carpal tunnel release is seen and given an injection into the LEFT carpal tunnel. I billed 20526, 79, LT and Medicare denied payment stating &... [ Read More ]
I cannot seem to square what I see as a contradiction in the NCCI edits with respect to shoulder arthroscopy. According to the change in the policy manual in 2017, “With three exceptions, shoulder a... [ Read More ]
Has anyone billed the telephone services codes 99441-99443 when a patient request the physician to call them regarding labs, questions about refills or medical questions? Patient stated they do not w... [ Read More ]
Has anyone out there heard of Arthrex injections, know what exactly it entails, and where I can locate the code. (couldn't find it in HCPCS) My physician wants to submit a claim for this a bill the pt... [ Read More ]
I am wondering if there is a way to get the the 96127 and 96160 paid together? I am adding the 25 mod to the e/m and 59 mod to the 96127. I can't seem to get both 96160 and 96127 to pay together. A... [ Read More ]
How does everyone bill Avastin to UHC? Per their policy, they want J9035, but the drug amount for the code is much higher than what is administered.... [ Read More ]
Our office is getting denied for CPT 92134 the only insurance that is denying this is Humana Medicare Adv. I have looked at the LCA's and LCD's to make sure the dx code I am linking to the CPT code is... [ Read More ]
When billing for 90649 do we bill as one unit or 0.5 mls?... [ Read More ]