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ICD-10-CM Codes - CPT Codes - HCPCS Codes - ICD-10-PCS Codes - Online Encoder

  Code or Keyword   Code Indexes   Commercial Payer Policies   DMEPOS   Drugs   Lab Tests

Tabular    Index Search    Code Crosswalks    CCI Validator    NPI Lookup

Features of the Find-A-Code Online Encoder Solution

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
• ICD-9 v3 Procedure Codes
• ABC Codes
• DRG (Diagnosis Related Group) Codes
• APC (Ambulatory Payment Classification) Codes
• APC Status Indicator Codes
• ASC Payment Indicator Codes
• CMS1500 Place of Service Codes
• CMS1500 Condition Codes
• 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 - Coming Soon
  • 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...