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.

To get access to this feature.
APC look up provides necessary detail on one page including long descriptor, payment and coverage info and more.

To get access to this feature.
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.

To get access to this feature.
This add-on is available with
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.

To get access to this feature.
This add-on is available with

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 05, 2019

Physicians are better equipped to correctly diagnose Medicare patients with hypertension thanks to a new national coverage policy. The Centers for Medicare & Medicaid Services (CMS) issued, Jul... [ Read More ]

June 21, 2019

The Centers for Medicare & Medicaid Services (CMS) released on June 20 the ICD-10-CM code descriptions, tables and index, and addendum for fiscal year 2020. There are 273 additions, 21 deletion... [ Read More ]

June 18, 2019

The Fourth of July is right around the corner, and United States friends will gather to celebrate our independence. With the celebration comes a slew of accidents and injuries. Here are some ICD-... [ Read More ]

June 10, 2019

With so many complications that involve many specialties, correct coding is essential on many levels. Diabetes mellitus (DM) is a systemic condition prevalent throughout the United States and the s... [ Read More ]

June 01, 2019

The root cause of the dementia will lead you to the correct diagnosis code. A diagnosis of “dementia” requires us to first understand the term. According to the Alzheimer's Association: Dementi... [ Read More ]

Post of diagnosis ; 1.RT calcaneal bone spur. 2. RT Achilles tendinitis. Procedure : RT calcaneal bone spur removal & RT Achilles tendon detachment ,debridement of the tendo... [ Read More ]
Hello Members, I am looking for some guidance for MIPS coding in Internal Medicine. I am unable to understand the Denominator exclusion part which is present in the guidelines a... [ Read More ]
I've been coding for OB/GYN for almost 5 years, prior to that I coded & billed for family practice for about 8 years. I also do surgery auths and several other duties.
... [ Read More ]
auditing records prior to billing and dr billed 99213 and record audited 99214, dr does not want to change code to 99214. is this ok?
... [ Read More ]
Hi,

i need your help please ....... i was requested by the hospital i work in to do a training sessions for our physician about documentation improvement.
[ Read More ]
Would you bill closed treatment with manipulation of metatarsal fractures (28475) along with the multiplane fixation 20692
... [ Read More ]
Should I just bill E/M code for aftercare sx that was performed by another physician in another state?

Thanks in advance for any help.,
... [ Read More ]
I'm trying to get an answer from BCBS but they really don't know either. I did put this as patient responsibility and billed them for it, but I'm sure the patient is going to a... [ Read More ]
Having difficulty getting my Medicare deductibles paid by PA Medicaid as a secondary, I am aware of the QMB programs. Can anyone offer any billing information I may be missing?<... [ Read More ]
Are coders including vaping(F17.290) as part of counseling on cessation from nicotine ?
... [ Read More ]