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.

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 ]

February 11, 2020

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 ]

January 06, 2020

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 ]

December 05, 2019

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 anothe... [ Read More ]

I have a pt that had PROM at 20w5d, the physician was in the room preparing to exam patient. When they pulled the blanket back, the infant had delivered, alive. They were unabl... [ Read More ]
Is the post-treatment imaging (Abdomen/Pelvis SPECT/SPECT CT Scan), to confirm hepatic radioembolization distribution within 24 hours of treatment, included in the pre-imaging c... [ Read More ]
Hello there AAPC fam!

I am in need of some help. I just recently had received some EOB's from an insurance carrier whose patient's we have seen for over 10 years wi... [ 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 ]
Can you bill out 90853 and 90846 for one client in the same day? The client is in group (90853) and then the family is having separate counseling without client present (90846)?... [ Read More ]
Hi

The provider listed and addressed Age related Cataract and DM with diabetic Cataract. Can she keep both or does she need to specify which is the correct diagnosi... [ Read More ]
Hello,

We are researching billing a possible new parent group using code 90849 - Multiple-Family Group Therapy while the child participates in 90853-Group Psychothe... [ Read More ]
What would you do in this scenario? I have a provider that has done phone only visits with a patient every 5 days. Since guidelines for phone only services state "They may... [ Read More ]
Hello,

How would you all code the following op report? This was has been coded a couple different ways and the payor has denied charges as not supported.
[ Read More ]
Can a facility charge for or minutes and same day surgery on the same dos.
... [ Read More ]