Coding and Reimbursement

Questions?

The AAOS is your source for coding and reimbursement information. Direct specific CPT and/or ICD-10 coding questions. Member login required.

COVID-19 Member Resource Center

Telemedicine, Coding & Reimbursement Resources

Find resources to help navigate new CPT® codes and revised policies, including a new AAOS COVID-19 Coding Guide.

Coding Resources

Find a range of resources to support coding and reimbursement, including the new Orthopaedic Code-X® and 2020 Musculoskeletal Coding Guide.

Resources to Support Coding Appeals

Find resources to support your appeals of inappropriate denials, including appeals for TKA and shoulder arthroscopy.

AAOS Coding Coverage & Reimbursement Committee

Learn about the Academy’s coding committee and what they are doing for you.

AMA Current Procedural Terminology (CPT)

Learn more about the CPT coding structure.

AMA Specialty Society Relative Value Scale Update Committee (RUC)

Discover how a CPT code is valued through the RUC process.

New Code Requests

Want to request a new or revised CPT code? This page will guide you through the process.

Medicare Physician Payment System

An overview of the Resource-based Relative Value Scale, Conversion Factor, Physician Payment Formula and more.

Miscellaneous Coding & Payment Policy Activities

An overview on NCCI edits, MUE edits and ICD codes.

Education

To learn more about MACRA Delivery Reform and the Quality Payment Program (QPP) visit the AAOS MACRA Information Center.

Coding Courses

AAOS presents coding courses throughout the year in conjunction with Karen Zupko & Associates (KZA). The Friday Orthopaedic Workshop, Robust Revenue Cycle Strategies, dives deep into field-tested, efficient workflows that speed up the revenue cycle and bolster revenue. The afternoon session, Power Coding in the Office, focuses on coding for office procedures and services. On Saturday, the Power Coding in the ER and OR course will take a comprehensive look at how to code an array of services as well as reviewing the latest coding updates for 2019. Physicians, practice administrators, practice managers, billing and coding staff are encouraged to attend any or all of the courses.

AAOS Now Coding Article Archive

Click here to browse through a Table of Contents of coding articles from current and past issues of AAOS Now.