CAP Practice Management Portal

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Responses to all inquiries are taken from publicly available sources.

The Practice Management Department seeks to provide current, accurate and useful advice. We cannot guarantee third-party payers will recognize and accept the recommendations. CPT, ICD-10-CM and HCPCS codes change annually and we encourage members and their staff to review current coding manuals and official guideline. While most commercial carriers follow Medicare's guidelines, AACE recommends reviewing commercial carrier's guidelines for further information and explanation on coding and billing expectations and requirements. AACE also strongly encourages members and staff to contact your coding, billing and/or compliance departments for specific coding instruction and guidelines as they will be familiar with your personal, local and state requirements and contracts.

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Requests for assistance with insurance issues and challenges are reviewed from a correct coding perspective as well as from policies available to the public from commercial and federal carriers.

While the Practice Management Department seeks to provide current, accurate and useful advice, we cannot guarantee third-party payers will recognize and accept the recommendations.

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Please accept the Insurance Inquiry Disclaimer to process your request.
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Disclaimer

Due to the abundance of these requests, responses can take up to 7 to 10 business days, following the initial receipt of the request. For any further questions, please feel free to contact us at Endocoding@aace.com or call 904-353-7878. Please note that any AACE proprietary information or intellectual property may not be shared with any third party or utilized in any manner without the expressed written consent of AACE.

AACE Disclaimer:

Comments, information or advice (collectively referred to as “information”) provided by the coding specialists and staff at the American Association of Clinical Endocrinologists (AACE) reflect our organization’s current understanding of the proper use and application of CPT®1, ICD, HCPC codes, and claims modifiers. The information provided is solely intended as general information and has been based on the limited comments provided by the requestor. Ultimately, it is the provider’s responsibility to determine medical necessity, and to correctly submit appropriate codes, charges, and modifiers for services that are rendered. The coverage and payment requirements of both government and private payor plans are quite complex, often vary and are subject to frequent change. Any information provided by AACE or its staff is intended as general guidance only. AACE and its staff cannot make any representations regarding the appropriateness of use or the likelihood of reimbursement with respect to a specific code. Any information provided by AACE and its staff is for informational purposes only and is not meant as a substitute for professional medical and/or legal advice, both of which should be obtained independently from qualified professionals.

CPT® Disclaimer:

CPT® Copyright 2018 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA. Applicable FARS/DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors, and/or related components are not assigned by the AMA, are not part of CPT®, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein