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
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 ]

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 ]

Does anyone know if there is any documentation out there specifically for Coding in a Skilled Nursing Facility?
... [ Read More ]
Can someone tell me please, what DX code I can use for xray finding of "old, healed fracture". There is no further information about the nature/cause of the fracture... [ Read More ]
Hello! I bill for Inpatient hospital visits for teaching physicians. I don't normally see abuse charges come in so I am a little bit confused about how I should code this patien... [ Read More ]
Can you code the injection of embolic material 36002 and angioplasty 36902 of stenosis of the same vessel just in two different locations?
... [ Read More ]
I am needing some assistance with proper diagnosis coding for AV Fistula Revision. If a patient presents for revision due to a tortuous vein would you code this as a complicati... [ Read More ]
Is the E.R. doctor allowed to bill 2 E&M on the same day? patient came in the morning, dx:colitis, came back in the evening same day with vomitting/nausea...
... [ Read More ]
Hi fellow facility ED coders, my question relates to use of a modifier to clear a CCI edit...... 99283 and 96374: code 9... [ Read More ]
Good Evening,
Quick question regarding the # of dx/mgmt options table, just a few examples:
1st ex: Patient presents with a complaint of sore throat along with left... [ Read More ]
Can you please post some specific examples of written notes allowed in CPT manual during CPC examination
Thanks
Lisa
... [ Read More ]
Are there any HCC Coders out there that can give me a rundown of their "day in the life?" I just got my CRC certificate and I am super interested in this side of codin... [ Read More ]