The ICD-10-PCS Professional is Optum's original softbound version with the complete ICD-10-PCS code set and all of the supplementary appendixes required for reporting of inpatient procedures. In addition you will find the familiar Optum360 coding and reimbursement alerts you have come to rely upon including the Medicare Code Edits (MCE) for the ICD-10 MS-DRG reimbursement system.
Intuitively organized into 17 sections of code tables with supplementary definitions tables and device and body part keys, the Optum360 ICD-10-PCS code book sets the standard for coding accuracy which is the cornerstone of healthcare analytics and revenue cycle management.
Key features and benefits of this ICD-10-PCS
- New — Optum360 Edge — Approach
illustrations. The approach illustrations show components that
determine the approach including: access location, method, and
- Optum360 Edge — Body
part definitions included in root operation tables. All terms
listed in the body part definition appendix are included in the root
operation tables for the Medical/Surgical section eliminating the need to
reference the appendixes when selecting the correct body part value.
- Optum360 Edge — Color-coding
and symbols for Medicare Code Edits. Includes Optum360's hallmark
color-coding and symbols identifying ICD-10 MS-DRG MCEs for non-covered
procedures, limited coverage procedures, combination only procedures,
non-operating room procedures affecting MS-DRG assignment, non-operating
room procedures NOT affecting MS-DRG assignment, and hospital acquired
condition (HAC) related procedures
- Optum360 Edge — Illustrations. Illustrations of body parts with body part values
accompany the Character Meaning tables in the Medical/Surgical section.
- Optum360 Edge — Procedure
combination tables. Identify ICD-10-PCS code combination
requirements needed to satisfy certain MS-DRG requirements.