Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Create a Favorite Codes List on Codify

Stop searching for the same codes again and again by creating a handy quick-reference list. Building a Favorite Codes list in Codify gives you one-click access to details about the codes you use most. Here’s how to create and access the list. Note: You can enable or disable the pop-up box any time. On the […]

The post Create a Favorite Codes List on Codify appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Update Your Skin Substitute Code List for 2023

Four new HCPCS Level II codes are payable under Medicare. The terminology to describe skin substitute products and the Medicare payment methodology did not change this year, but there are four new HCPCS Level II codes to add to your billing system. The new codes, effective Jan. 1, 2023, describe various manufactured allograft products used […]

The post Update Your Skin Substitute Code List for 2023 appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Add Office Organization to Your Yearly To-do List

Have you refreshed your office space this year? 2022 is in full swing. We have all updated our code sets and finished the annual financial reporting that comes with closing out the previous year, but have you taken the time to refresh your office space? Where to Begin? In-office and remote workforce members alike have […]

The post Add Office Organization to Your Yearly To-do List appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Inhalation Drugs Make It On OIG’s Hit List

Does your provider’s nebulizer and inhalation drug documentation pass this OIG audit test? “Since 2010, the Centers for Medicare & Medicaid Services’ (CMS’) Comprehensive Error Rate Testing (CERT) program has identified nebulizers and related drugs (i.e., inhalation drugs) among the top 20 durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items with the highest improper […]

The post Inhalation Drugs Make It On OIG’s Hit List appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

CMS Adds 11 Codes to Telehealth List

Physicians can now offer more services via telehealth and get paid. The Centers for Medicare & Medicaid Services (CMS) is adding 11 codes to the list of telehealth services payable under the Medicare Physician Fee Schedule (MPFS). Coverage is retroactive to March 1, 2020, and is effective for the duration of the public health emergency […]

The post CMS Adds 11 Codes to Telehealth List appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

CMS proposes removing six codes from inpatient-only list, seeks TKA comments

 CMS released the 2017 OPPS proposed rule on July 5 without much fanfare. On July 14, the Federal Register version was posted, and upon initial review, it seems rather short at 186 pages. 

 

HCPro.com – Briefings on APCs

Add These OIG Watch Items to Your Audit List

The government is keeping a close eye on how you are coding claims. Are you? The Office of Inspector General (OIG) is updating its Work Plan this month with new watch items that pertain to Medicare. At press time, there were five additional items the OIG intends to pursue in 2020. OIG Work Plan items […]

The post Add These OIG Watch Items to Your Audit List appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Revised NCD list Effective from January’2020


This Change Request (CR) constitutes a maintenance update of ICD-10 conversions and other coding updates specific to NCDs effective from January 2020

These NCD coding changes are the results of newly available code sets and coding revisions to NCDs released separately.

The revised NCD lists are,

NCD110.18 Aprepitant:

  • Contractors shall add J9036 as covered effective July 1, 2019. 
  • Contractors shall delete S0178 as covered effective October 1, 2015.

NCD150.3 Bone Mineral Density Studies:

  • Contractors shall make a change to CR7818.5 requirement as follows: If HUBC is received with no modifier, post as both Professional Component (PC) and Technical Component (TC). 
  • Contractors shall add Current Procedural Terminology (CPT) 0554T, 0555T, 0556T, 0557T, 0558T as covered effective July 1, 2019 and apply same rules applied to CPT 77078. 
  • Contractors shall end-date ICD-10 dx M85.9, M89.9, M94.9, Q55.4 effective December 31, 2019.
  • CWF: Remove M89.9, M94.9 from error code 5805 effective January 1, 2020.

NCD220.4 Mammography:

  • Contractors shall add ICD-10 dx N63.15, N63.25 to covered dx effective October 1, 2019. 
  • Contractors shall end-date ICD-10 dx C44.501, C44.509, C50.911, C50.912, C50.921, C50.922, D05.91, D05.92, D49.2, D49.3, M70.90, M70.98, M70.99, M79.9, N60.91, N60.92, N63.10, N63.20, S21.001A, S21.002A, S29.001A, S29.009A, S29.9xxA, S39.001A, S39.91xA effective December 31, 2019.

NCD220.13 Percutaneous Image-Guided Breast Biopsy:

  • Contractors shall add ICD-10 dx N63.15, N63.25 to covered dx effective October 1, 2019. 
  • Contractors shall end-date ICD-10 dx C50.911, C50.912, C50.921, C50.922, D05.91, D05.92, N63.10, N63.20 effective December 31, 2019.

NCD270.3 Blood Derived-Products for Chronic, Non-Healing Wounds:

  • Contractors shall add ICD-10 dx as covered effective October 1, 2019: L89.016, L89.026, L89.116, L89.126, L89.136, L89.146, L89.156, L89.216, L89.226, L89.316, L89.326, L89.46, L89.516, L89.526, L89.616, L89.626, L89.816, L89.896

NCD20.7 Percutaneous Transluminal Angioplasty:

  • Contractors shall end-date ICD-10 procedure codes effective September 30, 2019: 037G346, 037G356, 037G366, 037G376, 037G3D6, 037G3E6, 037G3F6, 037G3G6, 037G446, 037G456, 037G466, 037G476, 037G4D6, 037G4E6, 037G4F6, 037G4G6, 037H346, 037H356, 037H366, 037H376, 037H3D6, 037H3E6, 037H3F6, 037H3G6, 037H446, 037H456, 037H466, 037H476, 037H4D6, 037H4E6, 037H4F6, 037H4G6, 037J346, 037J356, 037J366, 037J376, 037J3D6, 037J3E6, 037J3F6, 037J3G6, 037J446, 037J456, 037J466, 037J476, 037J4D6, 037J4E6, 037J4F6, 037J4G6, 037K346, 037K356, 037K366, 037K376, 037K3D6, 037K3E6, 037K3F6, 037K3G6, 037K446, 037K456, 037K466, 037K476, 037K4D6, 037K4E6, 037K4F6, 037K4G6, 037L346, 037L356, 037L366, 037L376, 037L3D6, 037L3E6, 037L3F6, 037L3G6, 037L446, 037L456, 037L466, 037L476, 037L4D6, 037L4E6, 037L4F6, 037L4G6, 037M346, 037M356, 037M366, 037M376, 037M3D6, 037M3E6, 037M3F6, 037M3G6, 037M446, 037M456, 037M466, 037M476, 037M4D6, 037M4E6, 037M4F6, 037M4G6, 037N346, 037N356, 037N366, 037N376, 037N3D6, 037N3E6, 037N3F6, 037N3G6, 037N446, 037N456, 037N466, 037N476, 037N4D6, 037N4E6, 037N4F6, 037N4G6.

NCD110.23 Stem Cell Transplantation:

  • Contractors shall end-date ICD-10 procedure codes 30250G0, 30250Y0, 30253G0, 30253Y0, 30260G0, 30260Y0, 30263G0, 30263Y0, 30250G1, 30250Y1, 30253G1, 30253Y1, 30260G1, 30260Y1, 30263G1, 30263Y1 effective September 30, 2019.

Click here for more information

Reference: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM11392.pdf


Coding Ahead

New CLIA Waived Tests – Modifier QW not Required List effective from October 1, 2019


CR 11354 informs MACs of new Clinical Laboratory Improvement Amendments of 1988 (CLIA) waived tests approved by the Food and Drug Administration (FDA). Since these tests are marketed immediately after approval, the Centers for Medicare & Medicaid Services (CMS) must notify the MACs of the new tests so that they can accurately process claims. Make sure your billing staffs are aware of these CLIA-related changes.

CR 11354 presents the latest tests approved by the FDA as waived tests under CLIA. 
The Current Procedural Terminology (CPT) codes for these new tests must have the modifier “QW” to be recognized as a waived test. 

The tests mentioned on the first page of the list attached to CR 11354,do not require a “QW” modifier to be recognized as a waived test. The CPT codes are,

81002 URINALYSIS NONAUTO W/O SCOPE
81025 URINE PREGNANCY TEST
82270 OCCULT BLOOD FECES
82272 OCCULT BLD FECES 1-3 TESTS
82962 GLUCOSE BLOOD TEST
83026 HEMOGLOBIN COPPER SULFATE
84830 OVULATION TESTS
85013 SPUN MICROHEMATOCRIT
85651 RBC SED RATE NONAUTOMATED

The CPT code, effective date, and description for the latest tests approved by the FDA as waived tests under CLIA include,

80305QW, December 13, 2018, Shenzhen Bioeasy Biotechnology Co., Ltd, BIOEASY Multi-Drug Test Cup
80305QW, April 18, 2019, Mercedes Scientific Inc., Platinum+ Multi-Drug Urine Test Cup
80305QW, April 18, 2019, Mercedes Scientific Inc., Platinum+ Multi-Drug Urine Test Dip Card
87880QW, May 9, 2019, McKesson Consult Strep A Test Cassette
87502QW, May 28, 2019, Alere ID NOW Instrument {Nasal and Nasopharyngeal swabs}, for Influenza A/B
87634QW, May 29, 2019, Alere ID NOW Instrument {Nasopharyngeal swabs}, for respiratory syncytial virus


Source: New Waived Tests


Coding Ahead