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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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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.

August 20, 2019

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 done ... [ Read More ]

August 12, 2019

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) for ... [ Read More ]

August 06, 2019

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 ]

August 01, 2019

Rik Salomon, CPC, CRC, CEDC, CEMA, CMCS, and I recently got into a rather spirited debate with a group of Certified Professional Coders (CPCs®) on coding guidelines and how they govern our medical... [ Read More ]

July 31, 2019

The pesky illness can be diagnosed properly by knowing the signs and symptoms and detecting it with pathology. Lyme disease is a common vector-borne illness in the United States, with more than 300... [ Read More ]

I am trying to resolve a conflict between a client and other coders regarding the billing of special stains 88312 & 88313.

What is the proper coding for the fol... [ Read More ]
Quick question. When a established patient comes in for strictly wart removal. Is it common practice to add an Office Visit in addition to the procedure since it's the first tim... [ Read More ]
Hello,

I am a CPC with recent coding experience from the AAPC's Practicode program. Currently studying for the CRC certification while seeking out a full-time posit... [ Read More ]
How do I submit a claim for the following scenario: two ophthalmologists/surgeons who work for the same practice operate on the same patient/same eye at the same operative sess... [ Read More ]
Has anyone heard of Sage Moon Zenterprises LLC? If so, can you provide any feedback about the group....
... [ Read More ]
Palmetto GBA is telling me I need a modifier for CPT 61630 & 61635. I have researched and can come up with nothing that seems to work. I know these are restricted codes, but... [ Read More ]
I have a Medicare patient that received out patient physical therapy services here at our office, during a home health episode. Medicare paid and recouped due to consolidated bi... [ Read More ]
There was an article posted on AAPC, here is the web address https:... [ Read More ]
Physician ENT billed 99204 with T161XXA -99204 denied by Commercial Payer as DX Inconsistent with Place of Service. Only an E/M was performed. Surgery is to happen at a later ... [ Read More ]
Hi All,

I have been in medical coding and billing for 20+ years, had my CPC since 2005. I took that exam without any practice exams or training course and passed th... [ Read More ]