Contents on these pages can be viewed by hovering over the links with your mouse. These links should be valid as of 1/25/2019. Please let us know if any don’t work. Thanks for visiting!
Center for Disease Control (CDC)
ICD-9 – From Center for Disease Control (CDC). Download the Official ICD-9-CM Coding Guidelines and the entire ICD-9-CM Manual from 1996 to 2011, the very last year.
Medicare Part B Services
Calculators & Tools – From NGS Medicare, for Timely Filing, Appeals, Podiatry, Enrollment, G0179 Frequency, and more.
Incident To/Shared/Split Billing (Q&As) – FAQs from First Coast Options (FL) Medicare.
How to Document Split-Shared visits in 2022 from NAMAS (National Association for Medical Auditing Specialists)
Medicare Preventive Services CY – in an interactive chart format, per subject, with ICD-10-CM and CPT codes and pertinent documentation and utilization information.
NCCI procedure to procedure (PTP) Edits Current Year from CMS, links at the bottom for Hospitals and Practitioners.
NCCI “How To” – Excellent guide on “How to Use the Medicare National Correct Coding Initiative (NCCI) Tools” from Medicare Learning Network.
NCCI Policy Manual for Medicare Services – Scroll to the bottom to find the current year & some past years of the NCCI Policy Manual. This is a zipped file covering every chapter of the CPT book and tells the CCI bundling logic & how to code many procedures. Start with “TOC” = Table of Contents. A MUST READ for anyone using CPT codes
LAB NCDs to current year from CMS.
Other Coding Links
AHA Coding Clinic– Webinar Schedule.
American Chiropractic Association– Clinical Documentation Guidelines
American College of Emergency Physicians (ACEP)– Coding and Reimbursement Pearls
ACEP: Templated Letters for Appealing Denied Claims – Great Samples!
American Congress of Obstetricians and Gynecologists (ACOG) – OBGyn Coding and Billing tips
DCFirst.com– Chiropractic Clinic & Exam Forms in Word and PDF formats.
HCC Calculator– From HCC University by SCAN Health Plan
HCC Crosswalk– International Classification of Diseases to Hierarchical Condition Category (HCC)Crosswalk from 2004 to current year.
Lab Tests & Information -Searchable Test Menu. This service provides general reference information for many of the tests offered by Sonora Quest Laboratories, including:
- CPT Codes
- General specimen requirements for specific methodologies
- Specimen transport considerations
- Methodology information
Medtronic 2022Coding resource for Selected cardiothoracic procedures
NCCI Edits Lookup Tool – From First Coast Options – THANK YOU!
NCQA– HEDIS Measures and Technical Resources
Physicians Advocacy Institute (PAI) has collaborated with the American College of Emergency Physicians (ACEP) to develop a Toolkit for Physicians Facing Medical Audits.
Vaccines/Toxoids and Immune Globulins – Commonly Administered Pediatric Vaccines – Excellent ICD-10 & CPT coded immunization chart effective 2022-2023. HIGHLY RECOMMENDED if you do any coding for vaccines/immunizations.
California Worker’s Comp – Fee schedules from 2005 through current year for various specialties:
- Ambulance, Ambulance fees
- Durable medical equipment, prosthetics, orthotics and supplies
- Inpatient hospital
- Outpatient hospital
- Pathology and clinical laboratory
- Physician services
Illinois Worker’s Comp – Medical Coding and Medical Billing Resources and links to the Fee Schedule lookup tool and Regions information.
Rhode Island Worker’s Comp – Medical & Hospital Fee schedules from 2004 to current year.
Wyoming Worker’s Comp – Rules, Regulations and Fee Schedules to current year.