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.

July 07, 2020

Uninsured patients don't have to be the downfall of your practice during the COVID-19 pandemic.

The post [ Read More ]

July 01, 2020

Insight into the history of ICD and how it has changed over time is key to developing a plan for moving forward and embracing ICD-11.

The post [ Read More ]

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 ]


Iam looking for some guidance having a brain fart. When I have a detailed HPI, Expanded Exam and SF MDM what level would that be 99212 or 99213? Thank you
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Does the patient still have to initiate the telephone e/m visit during COVID-19 in order to bill Medicare? I have read the CMS Interim Final Rule and don't see any language th... [ Read More ]
DATE: 04/24/2020
1. Anastomotic stricture versus adhesive partial small bowel
2. History of necrotizing enterocoliti... [ Read More ]
DATE: 07/08/2020
Foreign body, right external iliac artery.
Foreign body, right external iliac artery.[ Read More ]
I know a mental health provider in MI that has recently enrolled in Medicare. However this is what they received back: "DENIED: 855R COMPANION DENIAL." I am not famili... [ Read More ]
Hello, I am working at a physician's practice that is seeing people to be tested for covid-19. We do not bill labs, our sister hospital does, so this question is in relation to ... [ Read More ]
MD coding 93312-26, 93320-26, 93325-26. I'm having trouble with the 93320 as documentation only states Color Flow and Doppler studies. Would documentation h... [ Read More ]
I am CPC certifed. As i compeleted my course i started working for ICD 10 and now i try to get into For E & M i m not getting opportunities. The companies where e & m wo... [ Read More ]
Can someone share wisdom on completing the HPI and ROS for Hematology/Oncology patients?
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Greetings all,
Is anyone else out there doing 3rd ventriculostomy 62201 with choroid plexus cauterization? I'v done some research and agreed that the the cauterization pa... [ Read More ]