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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-10-PCS Code Lookup

Facility medical coders and billers rely on the ICD-10-Procedure Coding System (PCS) to completely describe the procedures performed in the inpatient setting. Based on 'smart codes' that describe the anatomical regions, body part, approach, device used, and any qualifiers, the ICD-10-PCS coding system uses tables to help the medical coder find one of 87,000 codes that best describes the service.

The ICD-10-PCS coding system is essential to hospital coding because it is often paired with the ICD-10-CM diagnosis code to determine the Diagnostic Related Group (DRG) through the hospital reports to be paid. AAPC Coder helps determine the proper code via table and operation, along with the following aids:

  • Official ICD-10-PCS Guidelines from the current set to 2015, when the codes became effective
  • Official CMS Index linked to tables
  • Search by keyword, operation, or code
  • Current and previous changes to the code set
  • Up-to-date changes as released by CMS
  • Ability to cross-walk to DRGs
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 ade... [ 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 ]

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 anot... [ Read More ]

This is ridiculous I cannot go to Denver, which was why I chose Charleston, SC. I cannot afford $275 a night nor can I just join virtually that does not cut the mustard. You are... [ Read More ]
Patient infused with 500ml NS for 30 minutes then started another 500ml NS for 25 minutes on same date of service.
Am I able to charge for hydration?
14:30 – 15:... [ Read More ]
Can someone please explain the difference between these two books? Does anyone use them? Are they actually helpful with coding?
... [ Read More ]
If the patient has an ultrasound to confirm pregnancy and how far along they are and the doctor goes over the ultrasound report and talks to the patient over the "do and do... [ Read More ]
A patient was seen in the ER, and an ER visit 99284 was billed. An EKG was done that was ordered by the ER doctor, who reviewed it but did not do a formal interpretation. A ca... [ Read More ]
For Exam counting: For EPF, we need 2-4, Detailed: 5-7, and Comprehensive: 8 or more body/organ systems. Must we have 2 points at least per body/organ system for 1995 guidelin... [ Read More ]
Exam level: For EPF, we need 2-4 body/organ systems, Detailed: 5-7 body/organ systems, and Comprehensive: 8 or more body/organ systems. Must we have 2 points at least per body... [ Read More ]
hi
this is completely new to me and I wonder if I can get some help?
I am looking at 21462 but like I said this area of coding is completely new to me
thank yo... [ Read More ]
Hello, Our provider performed an arthroscopy of the knee and we billed 29873 and 29875-59. The claim was process and paid. Our provider had an assistant surgeon and the charg... [ Read More ]
How do we bill for scenario where provider spoke with patient on the phone and email on the same day? So far insurances have denied the phone and paid the email. They seem to ... [ Read More ]