Key Features and Benefits
Most complete HCPCS code set available. Find information on codes from
sources that generate HCPCS codes, including CMS, OPPS addendum B, and the
Medicare fee schedule.
Table of Drugs. Locate both generic and brand-name
drugs and their corresponding codes based on the amount and route of
Comprehensive code updates.
Glossary of terms. Increase your understanding of HCPCS codes to improve
appendixes. Get additional information, such as the deleted codes
Access to Medically Unlikely Edits (MUEs). Improve
accuracy of claims by ensuring compliance with the CMS program through easy
access to codes and their associated MUE units (downloadable).
Access to Medicare Average Payment Table. Access this Medicare table online
for a baseline for payment rates (downloadable).
APC status indicators and ASC designation
symbols. Determine which codes are payable under OPPS and which codes enable
billing using ASC groupings, as well as how to accurately use each to help
ensure appropriate billing and reimbursement.
DMEPOS icon. Distinguish codes paid under the DMEPOS fee
schedule to improve efficiency when coding for supplies that should be
submitted under the system to durable medical payers.
In-depth illustrations. Enhance your
coding process and accuracy for supplies and services with detailed visual
AHA Coding Clinic®
for HCPCS references. Receive additional support with articles on
difficult-to-code HCPCS Level II codes or sections.
Color-coded bars and icons. Spot important
information to help reduce inaccurate and denied claims with informative
flags signaling Internet Only Manual (IOM, formerly Pub. 100) references, age
and gender edits, quantity alerts, new/deleted/revised code changes, and
government coverage and rules for each code.
User-friendly appendixes. Navigate
additional information easily with structured references and excerpts,
including a comprehensive drug table, acronyms/abbreviations, and
Clinics is a registered trademark of the American Hospital Association