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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
    • 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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