- Optum360 Edge: Code-specific definitions, rules, and references.
Reference comprehensive information compiled from the Centers for Medicare and Medicaid Services (CMS), the American Medical Association (AMA), Optum360, and other sources to assist with accurate coding and reimbursement. - Icons/color bars.
Familiar icons or color bars used for new, revised, add on, re-sequenced, telemedicine and for correct modifier usage. Also identify which new or revised CPT codes are valid, but not in the current CPT book.
- Extensive user-friendly index.
Find codes in a flash with our accurate and expansive alphabetic index with terms listed in a variety of ways.
- CCI edit icon.
Quickly identify those CPT codes with corresponding CCI edits.
- Evaluation and Management appendix.
Easy-to-use grids and extended guidelines to facilitate E&M code selection.
- New, Changed, and Deleted codes appendix.
Easily identify changes to CPT code descriptions, including code changes made mid-year by the AMA not found in the AMA s CPT codebook.
- CPT Assistant references.
Identifies that an article or discussion of a CPT code exists in the AMAs CPT Assistant newsletter. Use the citation to locate the correct volume.
- Medically Unlikely Edits (MUEs) appendix.
Improve claims accuracy by ensuring CMS compliance through easy-to-access codes and their associated MUE units.
- Medicare coverage rules with icons and IOM references.
Understand which CMS policies apply to CPT codes prior to claim submission. Some of these icons include ASC payment and OPPS status indicators and IOM policies.
- Facility and non-facility RVUs and global/follow-up days.
Evaluate your fees, and understand the impact on standard post procedure coverage.
- Helpful illustrations.
Detailed color anatomy illustration appendix. Plus many illustrations at the code level identifying specific code-related anatomy.
- Modifier appendix.
Includes CPT and HCPCS Level II modifiers and descriptions for easy reference for Medicare coding.
- Brand-name vaccinations associated with CPT codes.
Vaccine names are listed by the CPT code to aid accurate coding for medications.
- Appendix with codes used to report inpatient procedures only.
Avoid payment denials by making coding errors.
- Glossary of terms.
Increase your understanding of coding, billing, and reimbursement terms to improve coding accuracy.
- Interventional radiology guidance.
Access an appendix of illustrations showing interventional radiology vascular families, as well an appendix of grids detailing vascular family order for more accurate radiology coding.
- Spiral binding.
Allows the book to lay flat for ease of use and durability.
Please note: This item does not come with snap in tabs.
CPT is a registered trademark of the American Medical Association.
