3 Days Left - FREE Study Guide + FREE Practice Exams with Exam Purchase  |  Learn More
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

Partial epilepsy with impairment of consciousness (345.4)

ICD-9 code 345.4 for Partial epilepsy with impairment of consciousness is a medical classification as listed by WHO under the range -OTHER DISORDERS OF THE CENTRAL NERVOUS SYSTEM (340-349).

Search across ICD-9 codesets. Look up medical codes using a keyword or a code. Available With a Subscription to AAPC Coder! Login to see advance features.

Request a Demo 14 Days Free Trial Buy Now
Code Descriptor and Instructional Notes
Partial epilepsy with impairment of consciousness



limbic system


secondarily generalized

with impairment of consciousness

with memory and ideational disturbances



temporal lobe

Epileptic automatism

The following fifth-digit subclassification is for use with categories 345.0, .1, .4-.9:

0 without mention of intractable epilepsy

1 with intractable epilepsy

pharmacoresistant (pharmacologically resistant)

poorly controlled

treatment resistant

refractory (medically)

Excludes: hippocampal sclerosis (348.81)

mesial temporal sclerosis (348.81)

temporal sclerosis (348.81)

ICD-9-CM Subcategories/Subclassifications
Category Notes
Chapter Specific Coding Guidelines
CC Exclusion List
Claims Edits
CMS Center

Since 1963, February has been “American Heart Month,” and the American Heart Association has been leading its awareness. The goal during this month is to acknowledge heart disease and to raise ... [ Read More ]

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 ]

MACs may be applying the multiple endoscopy rule incorrectly. In the 2020 Medicare Physician Fee Schedule (MPFS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) finalized the pro... [ Read More ]

Our Retiring BOD Chair, Cindy Stephenson As my term as chair of the Chapter Association Board of Directors comes to an end, I would like to take this opportunity to reflect on these past four years... [ Read More ]

AAPC communicates with officers on a regular basis but our communication is only as good as our ability to get to you. In this day of electronic communication, it isn’t surprising that members ar... [ Read More ]

if a pt is having an EGD w BX for dysphagia and a screening colonoscopy turned BX .... Would you code 00813 PT ?
... [ Read More ]
Hello everyone! We are getting some conflicting feedback regarding our documentation for conscious sedation. Currently, the note states:

"Moderate intravenous ... [ Read More ]
Can anyone shed some light? I have a case where an epidural was placed and was taken out after two hours on for a failed induction...four days later she came in for an emergency... [ Read More ]
Labor Epidurals - Is Post op note required by CMS?
... [ Read More ]
Some input on this claim would be greatly appreciated. I'm having a hard time finding a dx that MMO will pay on this procedure. Diagnosis used: M46.1, M53.3, M47.817. Everything... [ Read More ]
If moderate sedation is started before midnight and ends after midnight, which date do I use to bill?
... [ Read More ]
Is anyone else getting denials for billing add on codes with 2 line items per CPT guidelines? Our MAC just told us to bill 64494 with modifier 50, even though CPT guidelines n... [ Read More ]
I'm looking for some additional information on the new cpt 64625 - RFA Sacroiliac Joint, specifically if this code can be billed with multiple units? Say if the provider perform... [ Read More ]
What work comparison code will you use for newly deleted 64413?
... [ Read More ]
Would it be more appropriate to bill J0475 (Injection, baclofen, 10mg) or J3490 for a baclofen pump refill? I'm leaning more towards J3490.

The drugs used are: Bacl... [ Read More ]