Key Features and Benefits

·      Optum Edge — Code-specific definitions, rules, and references. Reference comprehensive information compiled from the Centers for Medicare and Medicaid Services (CMS), the AMA, Optum, and other sources to assist with accurate coding and speed 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, Revised, and Deleted codes appendix. Easily identify changes to CPT^® code descriptions, including code changes made mid-year by the AMA, but not found in the AMA’s CPT^® code book.

·      CPT^® Assistant references. Identifies that an article or discussion of a CPT^® code exists in the AMA’s CPT^® Assistant newsletter. Use the citation to locate the correct volume.

·      Medicare coverage rules with icons and IOM references at the code level. Understand which CMS policies apply to CPT^® codes prior to claim submission. Some of these icons include ASC payment and OPPS status indicators and Internet Only Manual references.

·      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-only procedures. Avoid payment denials and coding errors by using this unique reference.

·      Glossary of terms. Increase your understanding of coding, billing, and reimbursement terms to improve coding accuracy.

·      Spiral binding. Allows the book to lay flat for ease of use and durability.

·      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.

·      Access to Medically Unlikely Edits (MUEs). Improve claims accuracy by ensuring CMS compliance through easy-to-access codes and their associated MUE units. These will be available via electronic download.

CPT^® is a registered trademark of the American Medical Association.