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.

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 ]

December 02, 2019

Know the stages of HIV, prevention, detection, and its associated conditions for proper coding and better patient care. With Dec. 1 being World AIDS Day, the topic of human immunodeficiency virus (... [ Read More ]

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 ]

If a patient presents to the clinic for a suspected fracture and the provider applies a splint, we report the CPT code for the splint application and append the appropriate HCPC... [ Read More ]
I took my CPC exam on 8/21 and so far the status has said "in transit to AAPC" and today it finally changed to "received"... How long did it take to get your... [ Read More ]
Patient was seen in our OR for EXCISION PILONIDAL CYST/SINUS COMPLICATED. The patient follows up weekly for wound care treatment. The wound clinic is in the same hospital as t... [ Read More ]

male presents to check for DM. Pt states he has a strong... [ Read More ]
I'm new to spine surgery and was hoping someone could please let me know if I am coding this correctly. Any help or guidance would be appreciated. This is my 1st spine surgery.<... [ Read More ]
I have been having an issue with trying to find information on when patients have Medicare and Medicaid.
An example is that the patient has Medicare and Medicaid, but Medi... [ Read More ]
I have been having an issue with trying to find information on when patients have Medicare and Medicaid.
An example is that the patient has Medicare and Medicaid, but Medi... [ Read More ]
I have been having an issue with trying to find information on when patients have Medicare and Medicaid.
An example is that the patient has Medicare and Medicaid, but Med... [ Read More ]
A new doctor at our practice sees a patient and we bill for a New Patient. The insurance denies the New Patient E&M stating the doctor saw this patient previously. But he ... [ Read More ]
Hey all,

Can anyone clarify on this:

If a SNF patient is admitted to the hospital for 4 days and then returns to the SNF, can the SNF provider bill 993... [ Read More ]