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CODE SETS

 * CPT® Procedure Codes
 * CPT® Modifier Codes
 * HCPCS Supply, DME & Procedure Codes
 * HCPCS Modifier Codes
 * ICD-10-CM Diagnosis Codes
 * ICD-10-PCS Procedure Codes
 * ICD-9 v1 Diagnosis Codes
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 * DRG (Diagnosis Related Group) Codes
 * APC (Ambulatory Payment Classification) Codes
 * APC Status Indicator Codes
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 * UB04 Condition Codes
 * UB04 Revenue Codes
 * Provider Taxonomy Codes
 * Type of Service (TOS) Codes
 * Berenson-Eggers Type of Service (BETOS) Codes



 * CPT® CODES & DESCRIPTIONS
   
   * CPT Code and Full Description
   * AMA Code Short and Medium Description
   * AMA Guidelines
   * Code Specific Icons
   * AMA CPT Assistant - Searchable, (1990 - present)
   * Payment Indicators (see below)
   * SNOMED CT® Relationships
   * Code History
   * Create multiple Customized, Location-based, Fee Schedules and Code Lists
   * Fees for Facility and Non-Facility - By Modifier, Location-based and
     pre-Calculated for:
     * Medicare vs. My Fee Evaluation: Medicare Allowed Amount, 155%, 200%, Your
       Fee
     * Medicare Participating - Assignment Accepted: Medicare Allowed
       Amount,Medicare 80%, Patient Pays
     * Medicare Non-Participating - Assignment Accepted: Medicare Allowed
       Amount, Medicare 80%, Patient Pays, Limiting Charge
     * Medicare Non-Participating - Assignment NOT Accepted: Medicare Allowed
       Amount, Medicare 80%, Patient Pays, Limiting Charge
   * RVUs for Facility and Non-Facility - By Modifier, Location-based and
     pre-Calculated for:
     * Practitioner Work Component:
       * Practitioner Labor - Pre-Service, Intra-Service, Post-Service, Total
         Time
       * Work RVU Components: National Unadjusted Work RVU, Work GPCI, Adjusted
         Work RVU
     * Practice Expense:
       * Clinical Labor - Direct Expense: Staff, Staff Rate, Pre Time, Intra
         Time, Post Time, Total Time
       * Equipment - Direct Expense: Item, Purchase Price, Expected Life, Total
         Time
       * Supplies - Direct Expense: Item, Unit Price, Quantity, Unit, Amount
       * Indirect Expenses
       * PE RVU Components: National Unadjusted PE RVU, PE GPCI, Adjusted PE RVU
     * Malpractice Component - National Unadjusted MP RVU, MP GPCI, Adjusted MP
       RVU
   * Tabular Drill-Down/Look-Up
   * Keyword Search on Code, Description, Chapter/Section Notes
   * New, Changed, Deleted Codes for years 2008 - current year
   * Notes & Guidelines: Chapter, Section, Code Level
   * Customizable Notes - Enter your custom notations
   * Code Alerts - New, Changed, Deleted Status
   * Coding Tips - Tips, Articles, Medicare Bulletins
   * Cross-A-Code™ (CPT to ICD-9, HCPCS, Modifiers, NCCI Edits Modifiers)
   * NCCI Edits for Facility and Non-FACILITY with Modifier Notes for:
     * Code is Comprehensive Code of...
     * Code is Component Code of...
     * Code is Mutually Exclusive to...
   * Medicare Policies & Guidelines (NCDs, LCDs, Articles, APC Info)
   * CPT & HCPCS Modifiers
   * Build-A-Code™ Code Builder Tool for CPT Codes
   * Quickly Add Codes to custom Code Lists
   * NCCI Edits Validator for CPT/HCPCS Codes
   * NCCI Edits Validator - FACILITY Edition for CPT/HCPCS Codes


 * HCPCS PROCEDURES/LAB/SUPPLY/DME CODES
   
   * HCPCS Code and Full Description
   * Code Short and Medium Description
   * Code Specific Icons
   * Payment Indicators (see below)
   * Code History
   * Create multiple Customized, Location-based, Fee Schedules and Code Lists
   * Fees for Facility and Non-Facility - By Modifier, Location-based and
     pre-Calculated for:
     * Medicare vs. My Fee Evaluation: Medicare Allowed Amount, 155%, 200%, Your
       Fee
     * Medicare Participating - Assignment Accepted: Medicare Allowed
       Amount,Medicare 80%, Patient Pays
     * Medicare Non-Participating - Assignment Accepted: Medicare Allowed
       Amount, Medicare 80%, Patient Pays, Limiting Charge
     * Medicare Non-Participating - Assignment NOT Accepted: Medicare Allowed
       Amount, Medicare 80%, Patient Pays, Limiting Charge
   * RVUs for Facility and Non-Facility - By Modifier, Location-based and
     pre-Calculated for:
     * Practitioner Work Component:
       * Practitioner Labor - Pre-Service, Intra-Service, Post-Service, Total
         Time
       * Work RVU Components: National Unadjusted Work RVU, Work GPCI, Adjusted
         Work RVU
     * Practice Expense:
       * Clinical Labor - Direct Expense: Staff, Staff Rate, Pre Time, Intra
         Time, Post Time, Total Time
       * Equipment - Direct Expense: Item, Purchase Price, Expected Life, Total
         Time
       * Supplies - Direct Expense: Item, Unit Price, Quantity, Unit, Amount
       * Indirect Expenses
       * PE RVU Components: National Unadjusted PE RVU, PE GPCI, Adjusted PE RVU
     * Malpractice Component - National Unadjusted MP RVU, MP GPCI, Adjusted MP
       RVU
   * Tabular Drill-Down/Look-Up
   * Keyword Search on Code, Description, Chapter/Section Notes
   * New, Changed, Deleted Codes for 2008 - current year
   * Notes & Guidelines: Chapter, Section, Code Level
   * Customizable Notes - Enter your custom notations
   * Code Alerts - New, Changed, Deleted Status
   * Coding Tips - Tips, Articles, Medicare Bulletins
   * Cross-A-Code™ (HCPCS to ICD-9, CPT, Modifiers, NCCI Edits Modifiers)
   * NCCI Edits for Facility and Non-FACILITY with Modifier Notes for:
     * Code is Comprehensive Code of...
     * Code is Component Code of...
     * Code is Mutually Exclusive to...
   * Medicare Policies & Guidelines (NCDs, LCDs, Articles, APC Info)
   * HCPCS & CPT Modifiers
   * Build-A-Code™ Code Builder Tool for HCPCS Codes
   * Quickly Add Codes to custom Code Lists
   * NCCI Edits Validator for CPT/HCPCS Codes
   * NCCI Edits Validator - FACILITY Edition for CPT/HCPCS Codes


 * ICD-10-CM DIAGNOSIS CODES, DESCRIPTIONS, INCLUDES, EXCLUDES, & NOTES
   
   * ICD-10-CM Code and Full Description
   * ICD-10-CM Official Guidelines
   * ICD-10-CM Quick Reference Guide
   * Code Specific Icons
   * Tabular Drill-Down/Look-Up
   * Index Search
   * Keyword Search on Code, Description, Chapter/Section Notes
     (Includes/Excludes)
   * Includes: Chapter, Section, Code Level
   * Excludes1: Chapter, Section, Code Level
   * Excludes2: Chapter, Section, Code Level
   * Notes: Chapter, Section, Code Level
   * Customizable Notes - Enter your custom notations
   * Code Alerts - New, Changed, Deleted Status
   * Coding Tips - Tips, Articles, Medicare Bulletins
   * ICD-10 To ICD-9 Cross-A-Code™ (GEMs)
   * Medicare ICD-10 Documents:
     * ICD-10 Overview ICD-10 Myths and Facts
     * ICD-10 Basics for Medical Practices
     * The ICD-10 Transition: An Introduction
     * ICD-10 Overview Power Point
     * Talking to Your Vendors About ICD-10
     * GEMs Fact Sheet
     * GEMs/Crosswalks Basic FAQ
     * GEMs/Crosswalks Technical FAQ
     * GEMs for Technical Users
   * Build-A-Code™ Code Builder Tool for ICD-10-CM Codes
   * Quickly Add Codes to custom Code Lists


 * ICD-10-PCS PROCEDURE CODES (PLUS THE FIRST ICD-10-PCS CODE BUILDER TOOL -
   BUILD-A-CODE™)
   
   * ICD-10-PCS Code and Full Description
   * ICD-10-PCS Coding Guidelines
   * Code Specific Icons
   * Tabular Drill-Down/Look-Up
   * Keyword Search on Code, Description, Chapter/Section Notes
     (Includes/Excludes)
   * Includes: Chapter, Section, Code Level
   * Excludes1: Chapter, Section, Code Level
   * Excludes2: Chapter, Section, Code Level
   * Notes: Chapter, Section, Code Level
   * Customizable Notes - Enter your custom notations
   * Code Alerts - New, Changed, Deleted Status
   * Coding Tips - Tips, Articles, Medicare Bulletins
   * ICD-10 To ICD-9 Cross-A-Code™ (GEMs)
   * Build-A-Code™ Code Builder Tool for ICD-10-PCS Codes
   * Quickly Add Codes to custom Code Lists


 * ICD-9-CM VOL 1 DIAGNOSIS CODES
   
   * ICD-9-CM Code and Full Description
   * ICD-9-CM Code Short Description
   * ICD-9-CM Official Guidelines
   * Code Specific Icons
   * Tabular Drill-Down/Look-Up
   * Index Search (vol 2)
   * Keyword Search on Code, Description, Chapter/Section Notes
     (Includes/Excludes)
   * New, Changed, Deleted Codes for 2008 - current year
   * Includes: Chapter, Section, Code Level
   * Excludes: Chapter, Section, Code Level
   * Notes: Chapter, Section, Code Level
   * Customizable Notes - Enter your custom notations
   * Code Alerts - New, Changed, Deleted Status
   * Coding Tips - Tips, Articles, Medicare Bulletins
   * ICD-9 To ICD-10 Cross-A-Code™ (GEMs)
   * Cross-A-Code™ (ICD-9 to CPT and HCPCS)
   * Medicare Policies & Guidelines (NCDs, LCDs, Articles)
   * Build-A-Code™ Code Builder Tool for ICD-9-CM Codes
   * Quickly Add Codes to custom Code Lists


 * ICD-9-CM VOL 3 PROCEDURE CODES
   
   * ICD-9-CM v3 Code and Full Description
   * ICD-9-CM Code Short Description
   * Code Specific Icons
   * Tabular Drill-Down/Look-Up
   * Index Search (vol 3)
   * Keyword Search on Code, Description, Chapter/Section Notes
     (Includes/Excludes)
   * New, Changed, Deleted Codes for 2008 - current year
   * Includes: Chapter, Section, Code Level
   * Excludes: Chapter, Section, Code Level
   * Notes: Chapter, Section, Code Level
   * Customizable Notes - Enter your custom notations
   * Code Alerts - New, Changed, Deleted Status
   * Coding Tips - Tips, Articles, Medicare Bulletins
   * ICD-9 To ICD-10 Cross-A-Code™ (GEMs)
   * Build-A-Code™ Code Builder Tool for ICD-9-CM v3 Codes
   * Quickly Add Codes to custom Code Lists


 * DRGS (DIAGNOSIS-RELATED GROUPS)
   
   * Code Description
   * DRG Relative Weight
   * Length of Stay (Geometric/Arithmetic)
   * Procedure Type
   * DRG Payment Calculator (specific to your provider)
   * Customizable Notes - Enter your custom notations


 * APCS (AMBULATORY PAYMENT CLASSIFICATIONS)
   
   * Code Description
   * Status Indicator
   * APC Relative Weight
   * Payment Rates
   * APC Payment Calculator (specific to your CBSA)
   * Customizable Notes - Enter your custom notations
   * APC Status Indicators - list of all codes
   * ASC Payment Indicators - list of all codes


 * PROVIDER TAXONOMY CODES
   
   * Code, specialty name, description, status, changes, notes
   * Look up code information by code number
   * Create a code by selecting it's attributes
   * View all codes in a specific classification
   * Full code lists for 2004-present (PDF format)


 * CODE ICONS FOR:
   
   * New (CPT, HCPCS, ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
   * Changed (CPT, HCPCS, ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
   * Deleted (CPT, HCPCS, ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
   * Reactivated (CPT, HCPCS, ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
   * Age Edits (CPT)
   * Maternity Edits (CPT, ICD-9-CM, ICD-9-CM v3)
   * Newborn (ICD-9-CM, ICD-9-CM v3)
   * Pediatric (ICD-9-CM)
   * Adult (ICD-9-CM)
   * Male Only (CPT, ICD-9-CM, ICD-9-CM v3)
   * Female Only (CPT, ICD-9-CM, ICD-9-CM v3)
   * Manifestation (ICD-9-CM)
   * Code Also (ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
   * Code First (ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
   * Unspecified (ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
   * Includes (ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
   * Excludes (ICD-9-CM, ICD-9-CM v3)
   * Excludes 1 (ICD-10-CM, ICD-10-PCS)
   * Excludes 2 (ICD-10-CM, ICD-10-PCS)
   * Add On (CPT)
   * Mod 51 Exempt (CPT)
   * Mod 63 Exempt (CPT)
   * Moderate (Conscious) Sedation (CPT)
   * Awaiting FDA Approval (CPT)
   * AMA CPT Assistant Articles (CPT)
   * Medicare: Not Payable (HCPCS)
   * Medicare: Not Covered (CPT, HCPCS)
   * Medicare: Not Covered by Statute (HCPCS)
   * Medicare: Carrier Priced (CPT)
   * Medicare: Carrier Determined Coverage (HCPCS)
   * Medicare: Special Coverage Instructions Apply (CPT, HCPCS)
   * APC Status Indicator A-Y (CPT, HCPCS)
   * ASC Payment Indicator A2-Z3 (CPT, HCPCS)
   * PQRI (CPT)
   * PUB100 Reference (CPT)


 * PAYMENT INDICATORS FOR CPT® & HCPCS CODES
   
   * Medicare Coverage Indicator
   * APC Status Indicator
   * ACS Payment Indicator
   * Status Code
   * Global Days
   * PC/TC Indicator (26)
   * Multiple Procedures (51)
   * Bilateral Surgery (50)
   * Physician Supervisions
   * Assistant Surgeon (80, 82)
   * Co-Surgeons (62)
   * Team Surgery (66)
   * Non-Facility MUEs
   * Facility MUEs
   * Diagnostic Imaging Family
 * Cross-A-Code™ (ICD-9 to CPT, CPT to ICD-9, etc.)
   * CPT to HCPCS
   * HCPCS to CPT
   * CPT to Modifiers - Based on Medicare Payment Data
   * HCPCS to Modifiers - Based on Medicare Payment Data
   * CPT to NCCI Edits Modifiers - Based on Medicare Payment Data
   * HCPCS to NCCI Edits Modifiers - Based on Medicare Payment Data
   * CPT to CPT - Based on ASA CROSSWALK® and ASA Reverse CROSSWALK® Data
   * ICD-9-CM to CPT - based on Medicare NCDs, LCDs, Articles
   * CPT to ICD-9-CM - based on Medicare NCDs, LCDs, Articles
   * ICD-9 to HCPCS - based on Medicare NCDs, LCDs, Articles
   * HCPCS to ICD-9-CM - based on Medicare NCDs, LCDs, Articles
 * Click-A-Dex™ Tool - Index Searching
   * CPT Index
   * HCPCS Index
   * ICD-9-CM Index (v2)
   * ICD-9-CM v3 Index
   * ICD-10-CM index
 * Build-A-Code™ Tool - Code Builder
   * Build codes for:
     * CPT Codes
     * HCPCS Codes
     * ICD-9-CM Codes
     * ICD-9-CM v3 Codes
     * ICD-10-CM Codes
     * ICD-10-PCS Codes
     * ABC Codes Codes
   * View Code Description, RVU and Fee for each code built
   * Add or Remove codes to any of your Fee Schedules/Code Lists
   * Send codes in Builder List to NCCI Edits Validator


 * NCCI EDITS & NCCI EDITS VALIDATOR™ TOOL - NON-FACILITY & FACILITY VERSIONS
   
   * Allows entry of 2+ CPT or HCPCS Codes
   * Compares each code with each other code for NCCI Edits
   * Shows Code Description, Icons, and RVU
   * Shows Cross-A-Code™ Section
   * Shows Correct Coding Modifier (CCM) Indicators (allowed or none-allowed)
   * Calculates RVUs based on current Fee Schedule/Code List (location-based)
   * Lists codes in descending RVU order
   * Remembers the codes entered the last time it was used
 * Medicare Contractor Information
   * NCDs - National Coverage Determinations
   * Contractor Address & Contact Information
   * Contractor Jurisdictions
   * Contractor-based LCDs - Local Coverage Determinations
   * Contractor-based Articles


 * MEDICARE DOCUMENTS & MANUALS
   
   * PUB 100 Manuals, Guides and Documents - PDF Files
   * E&M Guidelines & Manuals - PDF Files
   * NCCI Edits - Guides & Manuals - PDF Files
   * Paper-Based Manuals - PDF Files
   * Forms (CMS1500, UB04/CMS1450, etc.) - PDF Files
   * PQRI Information (2007+)
   * FAQs - Frequently Asked Questions
   * Medicare Newsletters
   * Medicare Transmittals


 * HEALTHCARE LEGISLATION - DOCUMENTS & INFORMATION
   
   * Healthcare Legislation Information Information
   * PSQIA - Patient Safety & Quality Improvement Act HIPAA - Health Information
     Portability and Accountability Act
 * Search
   * Simple "search engine"-style interface, just type your words and press the
     "Search" button
   * Search in a single category/sub-category or any combination of multiple
     categories/sub-categories
   * Search categories/sub-categories:
     * CPT Code, Description, and Guidelines
     * CPT Chapter/Section Notes
     * AMA CPT Assistant (Title, Codes, & Full Text)
     * CPT Modifier and Description
     * HCPCS Code and Description
     * HCPCS Chapter/Section Notes
     * HCPCS Modifier and Description
     * ICD-9-CM Vol 1 Code and Description
     * ICD-9-CM Vol 1 Chapter/Section Notes (Includes & Excludes also)
     * ICD-9-CM Vol 3 Code and Description
     * ICD-9-CM Vol 3 Chapter/Section notes (Includes & Excludes also)
     * UB04 Revenue Code and Description
     * UB04 Condition Code and Description
     * DRG Code and Description
     * APC Code and Description
     * ICD-10-CM Code and Description
     * ICD-10-CM Chapter/Section Notes (Includes & Excludes1/2 also)
     * ICD-10-PCS Code and Description
     * ABC Code and Description
     * Medicare NCDs (Title, Codes, & Full Text)
     * Medicare LCDs (Title, Codes, & Full Text)
     * Medicare Articles (Title, Codes, & Full Text)
     * Subscriber Notes (Customizable "My Notes" Section for each code)
     * Subscriber Keywords (Customizable "My Notes" Section for each code)
     * Subscriber Account Administrator Notes (Customizable "My Notes" Section
       for each code)
     * Subscriber Account Administrator Keywords (Customizable "My Notes"
       Section for each code)
   * Search results displays:
     * Data/Code Set
     * Data/Code Sub-Set
     * Code & Short Description
     * Hilighted search words/phrases in context
     * Link to code information, article or other related page
     * Up to 15 pages of results showing 10 results per page
   * Results are separated by "Complete Matches" and "Partial Patches" sections
     when more than one word is entered
   * Easily add more words to further refine your results
   * See the number of results by sub-category when viewing in "Expanded Search"
     mode
   * "GOTO" Search: In the search box, enter an exclamation point "!" in front
     of a code to go directly to that code's information, example: !99201
   * Identifies & recognizes misspelled words and suggests alternatives
   * Correct or alternate words can be added the the search words and searched
     on with a single click of the mouse


 * CPT® MODIFIERS & DESCRIPTIONS


 * HCPCS MODIFIERS & DESCRIPTIONS

 * ABC Codes and Descriptions


 * CMS1500 PLACE OF SERVICE CODES & DESCRIPTIONS


 * CMS1500 CONDITION CODES & DESCRIPTIONS


 * UB04 CONDITION CODES


 * UB04 REVENUE CODES

 * Type of Service Codes & Descriptions
 * Berenson-Eggers Type of Service (BETOS) Codes & Descriptions
 * much more...

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