2021 Current Procedural Coding Expert (Spiral)

Optum360 | 2021 | Elizabeth Leibold



108.95
List Price

Item #: CE21
ISBN: 9781622545513
Available: Dec 2020



Turn to the resource that goes beyond basic coding with the Current Procedural Coding Expert, your CPT® coding resource.

Equipped with the entire 2021 CPT® code set with easy-to-use coding includes and excludes notes for coding guidance and Medicare icons for speedy coding, billing and reimbursement, this easy-to-navigate resource will benefit physician practices, outpatient hospitals and ASCs.

You will also find a comprehensive listing of annual code additions, changes, deletions and reinstatements in the appendix; new code icons and notes; plus reimbursement information and mid-year changes not found in the American Medical Association’s (AMA) CPT® codebooks.
  • Optum360 Edge — Code-specific definitions, rules and references. Reference comprehensive information compiled from the Centers for Medicare and Medicaid Services (CMS), the AMA, Optum360 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, 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 AMA’s 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.
  • 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.
  • Snap-in tabs. Mark often-used sections for easy reference.

CPT is a registered trademark of the American Medical Association.

Elizabeth Leibold, RHIT

Ms. Leibold has more than 25 years of experience in the healthcare profession. She has served in a variety of roles, ranging from patient registration to billing and collections, and has an extensive background in both physician and hospital outpatient coding and compliance. She has worked for large health care systems and health information management services companies, and has wide-ranging experience in facility and professional component coding, along with CPT® expertise in interventional procedures, infusion services, emergency department, observation, and ambulatory surgery coding. Her areas of expertise include chart-to-claim coding audits and providing staff education to both tenured and new coding staff. She is an active member of the American Health Information Management Association (AHIMA).

CPT is a registered trademark of the American Medical Association.