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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
August 20, 2019

Know what to watch when coding bug bites, poison ivy, and heatstroke! Get ICD-10 pointers. Somehow it is mid-August already, and talk about 2020 code updates is buzzing. But summer 2019 isn’t don... [ Read More ]

August 12, 2019

Look at diagnosis history changes and Medicare’s national and local coverage determinations for greater insight into denied claims. Coverage determinations for hyperbaric oxygen therapy (HBOT) fo... [ Read More ]

August 06, 2019

Alert coders of Excludes1 conflicts to help you catch problems in problem lists and avoid costly denials and rework. By Rebecca Caux-Harry, CPC In April’s Healthcare Business Monthly (pages 56-57... [ Read More ]

August 01, 2019

Rik Salomon, CPC, CRC, CEDC, CEMA, CMCS, and I recently got into a rather spirited debate with a group of Certified Professional Coders (CPCs®) on coding guidelines and how they govern our medical... [ Read More ]

July 31, 2019

The pesky illness can be diagnosed properly by knowing the signs and symptoms and detecting it with pathology. Lyme disease is a common vector-borne illness in the United States, with more than 300... [ Read More ]

Hello!

We are getting a lot of denials for the CPT code 90714 from Medicare. We have tried every which way possible to have them cover the charges. IE: a patient co... [ Read More ]
Can someone please give me their opinion on this op report. It was billed as 28122 and 28003. 28003 was denied and the doctor is insisting it should be payable, but I know they ... [ Read More ]
Hello, I am trying to figure out how to bill the following charges? Which modifiers need to be on these charges? We billed with mod 25 on the 99214. Was advised by PPO insurance... [ Read More ]
Good morning well yesterday i have taken my CPC exam for the third time. I felt very positive going into exam. Studying and did tutoring video on youtube. This time was a little... [ Read More ]
Our surgeon took his patient back to surgery to do a revision of a fundoplication. He removed some stitches to allow the fundoplication to open and did a dilation of the esophag... [ Read More ]
If I didn't pass my CPC-H, I know I get one free re-take. How long do I have to take that re-take? Can I wait 6-9 months to really prepare?
... [ Read More ]
Looking for companies that hire newly Certified Coders. I am CPC (no longer CPC-A) but don't seem to be able to find any companies that hiring if you're not currently coding. ... [ Read More ]
I know they were doing an update to it, but I was told it would be back up this afternoon. I have been trying to log in this evening, but I keep getting a message that either m... [ Read More ]
Please help me settle a difference of opinion. Which is the correct way to bill an office visit and I&D (10060)?

A) 99213- 25 and 10060
B) 99213-25 and 1... [ Read More ]
Hi there! I have maintained my coding credentials since I passed my exam in 2010. I have not done coding as my primary position ever, (as a Practice Manager the company I worked... [ Read More ]