Using AAPC Codify for Practicode can make a big difference in both accuracy and speed—but only if you use it the right way. Practicode is designed to simulate real-world coding, so your workflow matters.
Here’s a clear, practical way to use Codify effectively during Practicode:
Start With the Documentation (Not Codify)
Before you even open Codify:
- Read the case completely
- Identify:
- Diagnosis(es)
- Procedures/services
- Supplies/drugs (if applicable)
- Setting (ER, outpatient, inpatient)
This mirrors real-world coding and prevents over-reliance on tools.
Use Codify for ICD-10-CM (Diagnosis Coding)
In Codify:
- Go to the ICD-10-CM search
- Start with key terms from the case (like the Alphabetic Index)
Best Practice:
- Search broadly → then narrow down
- Always click into the Tabular section
What to check:
- Includes / Excludes1 / Excludes2 notes
- Laterality
- “Code first” or “Use additional code” notes
- Specificity (don’t stop at unspecified unless necessary)
Use Codify for CPT (Procedures)
- Search using procedure terms (NOT full sentences)
Example:
Instead of typing:
“Removal of skin lesion on arm”
Search:
“Excision lesion arm”
Then:
- Review the CPT code description carefully
- Click into:
- Guidelines
- Parenthetical notes
- Bundling edits
Check CCI Edits (Critical for Practicode)
Codify has built-in NCCI edit tools
- Use the CCI Edits Checker
- Look for:
- Bundled procedures
- Modifier indicators (0, 1, 9)
Key Tip:
If allowed, apply appropriate modifiers (like -59, -25), but ONLY if documentation supports it.
Use HCPCS (If Needed)
- Search for:
- Supplies
- Drugs
- DME
Make sure to:
- Assign correct units
- Add modifiers if required
Validate With Codify Tools
Codify includes helpful tools:
- Crosswalks (ICD ↔ CPT relevance)
- Medicare edits
- MUEs (Medically Unlikely Edits)
Use these to:
- Catch errors
- Confirm medical necessity alignment
Final QA (Do This Every Time)
Before submitting your Practicode case:
- Do codes match the documentation exactly?
- Did you:
- Verify in Tabular (ICD-10-CM)?
- Review CPT guidelines?
- Check bundling edits?
- Apply modifiers correctly?
- Is sequencing correct?
Common Mistakes to Avoid
- Searching for full sentences in Codify
- Skipping the Tabular review
- Ignoring Excludes1 notes
- Missing bundled procedures
- Overusing modifiers without support
Pro Tip for Practicode Success
Use Codify as a verification tool—not your starting point.
Your workflow should always be:
Documentation → Index mindset → Codify → Guidelines → Edits → Final QA
