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.
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®
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.
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 Internet Only Manual references.
and non-facility RVUs and global/follow-up days. Evaluate your fees and understand the impact on
standard post procedure coverage.
illustrations. Detailed color
anatomy illustration appendix. Plus, many illustrations at the code level identifying
specific code-related anatomy.
appendix. Includes CPT®
and HCPCS Level II modifiers and descriptions for easy reference for Medicare
vaccinations associated with CPT®
codes. Vaccine names are
listed by the CPT® code to aid accurate coding for medications.
with codes used to report inpatient-only procedures. Avoid payment denials by making coding
of terms. Increase your understanding of coding, billing, and
reimbursement terms to improve coding accuracy.
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.
Less bulky for travel and easy-to-see title on your bookshelf.
CPT® is a registered trademark of the
American Medical Association.