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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ICD-9 Codes

INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REVISION, CLINICAL MODIFICATION ICD-9-CM VOLUMES 1 & 2 (DIAGNOSES) is the code set used by Non-HIPAA covered entries (Workers’ Compensation and auto insurance companies) that were not required to convert to ICD-10. Auditors who are reviewing claims prior to 2015 and HCC Medicare Advantage Risk Adjustment coders still need access to this extensive code set. AAPC Coder makes this simple and easy to accomplish. ICD-9-CM Volumes 1 and 2 represent the diagnosis/reason a procedure is done.

The format for ICD-9 diagnoses codes is a decimal placed after the first three characters and two possible add-on characters following: xxx.xx. ICD-9 PCS were used to report procedures for inpatient hospital services from Volume 3, which represent procedures that were done at inpatient hospital facilities. AAPC Coder give you ready access to these legacy codes making your audit work faster and more accurate.

July 31, 2020

Develop a plan to transition to and implement ICD-11.

The post [ Read More ]

July 07, 2020

Uninsured patients don't have to be the downfall of your practice during the COVID-19 pandemic.

The post [ Read More ]

July 01, 2020

Insight into the history of ICD and how it has changed over time is key to developing a plan for moving forward and embracing ICD-11.

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May 01, 2020

Understand what the physician is documenting to improve coding accuracy. Since the beginning of grade school, we are encouraged to expand our vocabulary, read literature, and improve our grammar. W... [ Read More ]

May 01, 2020

Understand the many nuances of this blood disease to code it correctly. Anemia, according to Mayo Clinic, is a condition in which the body isn't making enough healthy red blood cells to carry adequ... [ Read More ]

We are new to Utah Medicaid, and unfortunately they do not accept H0015 for IOP for SUD. I am at a loss for what I am supposed to bill. Does anyone have any guidance with Utah M... [ Read More ]
Hello,
I have 12 years experience in coding physician ED charges along with ED facility coding. I am looking for new opportunities due to being laid off because of Covid. ... [ Read More ]
1. US guided puncture of right upper extremity AVG
2. US guided puncture additional site of right upper extremity AVG
3. Fistulogram with mechanical thrombectomy bal... [ Read More ]
Do the same guidelines for OP facility coding on UB04's pertain as profee 1500? I am new to auditing facility and wondered if the E/M's should have a 57 modifier and a 54 on pr... [ Read More ]
Some input on this claim would be greatly appreciated. I'm having a hard time finding a dx that MMO will pay on this procedure. Diagnosis used: M46.1, M53.3, M47.817. Everything... [ Read More ]
Dr. did a left knee arthroscopy with partial medial meniscetomy and chondroplasty of medial femoral condyle.

I came up with 29881 the 1st procedure but the second h... [ Read More ]
Can I & O be counted as GU under exam or how is it counted?

Thanks!
... [ Read More ]
With the increasing health scare of CoVid-19 we have many patients that do not want to come in to the office to be seen. Most of these are elderly patients and are not comfortab... [ Read More ]
My company will be transitioning a sleep center that's currently owned by a hospital to an ambulatory (office) practice. Is there anything billing related that we should be awar... [ Read More ]
Pt gets a typical Axillary to femoral bypass with PTFE

and then after the bypass was placed there was no pulse in the left posterior tibial artery. Open approach a... [ Read More ]