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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.

November 07, 2019

Changes to diagnosis codes mean NCD coding changes. Diagnosis codes changes went into effect Oct. 1, as usual, and the Centers for Medicare & Medicaid Services (CMS) is updating National Covera... [ Read More ]

October 09, 2019

Differentiate migraines from common headaches for proper ICD-10-CM coding. A migraine is more than just a headache. Although migraines are not completely understood, scientists believe the pain is ... [ Read More ]

September 09, 2019

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) releases... [ Read More ]

September 01, 2019

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 ]

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 ]

When 97597 is billed with an additional procedure is a modifier (XS) required? Also, if this is performed during a post op period is a modifier required? I continue to have cl... [ Read More ]
Since the update of the ICD 10 in October 2019 Medicare had denied the code G0250 for Afib. code I48.20. This was covered before October with I48.2. I cannot find any NEW gui... [ Read More ]
I am a CPC-A looking for a remote medical coding job. I have a year of experience from my AAPC training. I have also taken the billing course, but have not yet passed the test.... [ Read More ]
I work for a pain management clinic, and we're trying to get a handle on RFL's. We have the LCD down for 64633-64636 cervical/thoracic/lumbar/sacral. We know it's at least 80 de... [ Read More ]
I understand that the long-term insulin code (Z79.4) should be used when appropriate. But, I am being asked, if the patient has DM2 with neuropathy which maps to an HCC of 18,... [ Read More ]
Has anyone used the Q6 modifier for locum coverage? One of my physicians wants to use locum coverage for his on call days. The physician is not credentialed with Medicare, jus... [ Read More ]
Curious.....

If you don't renew your membership, you lose your credentials?? I thought you would lose credentials if you did not keep your CEU's up to date!!! I r... [ Read More ]
I have over 35 years in the medical field-occupational therapy assistant,health unit coordinator,medical receptionist,scheduler,referral clerk,registration coordinator and more.... [ Read More ]
Can anyone tell me if I can use a 25 modifier with a 25 modifier?

Thank you,
LLR
... [ Read More ]
My physicians are discussing an on call arrangement (to share call) with another OB group here in town; has anyone done this and how did you handle billing? I am concerned about... [ Read More ]