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.

January 06, 2020

There is a lot of buzz in the healthcare industry recently about social determinants of health (SDOH) and their impact on society at large. With the expansion and updates to ICD-10-CM and the Diagn... [ Read More ]

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 ]

Good morning,

I have a coding question regarding operative fixation of a medial femoral condyle and/or medial tibial plateau insufficiency fracture(s) via inject... [ Read More ]
I have submitted billing for an e/m (99201) along with cast application (29085) and have been informed I need a modifier. This is not something we do often in our office, so I ... [ Read More ]
For the following chart note i have used S43.402A, just need to know if t hat is correct


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