2022 Hcpcs Level Ii Expert Professional Edition

Organized for quick and accurate coding, HCPCS Level II 2022 Professional Edition codebook includes the most current Healthcare Common Procedure Coding System (HCPCS) codes and regulations for accurate medical billing and maximum permissible reimbursement

CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.

UNIQUE! Current Dental Terminology (CDT) codes from the American Dental Association (ADA) offer one-step access to all dental codes. UNIQUE! Full-color anatomy plates (including Netter's Anatomy illustrations) enhance your understanding of specific coding situations by helping you understand anatomy and physiology. Easy-to-use format optimizes reimbursement through quick, accurate, and efficient coding. At-a-glance code listings and distinctive symbols make it easy to identify new, revised, and deleted codes. Full-color design with color tables helps you locate and identify codes with speed and accuracy. Jurisdiction symbols show the appropriate contractor to be billed when submitting claims to Medicare carriers and Medicare Administrative Contractors (MACs). Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System to ensure accurate reporting and appropriate reimbursement. Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators address reimbursement for durable medical equipment, prosthetics, orthotics, and supplies. Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other Food and Drug Administration (FDA) approved drugs. Age/sex edits identify codes for use only with patients of a specific age or sex. Quantity symbol indicates the maximum allowable units per day per patient in physician and outpatient hospital settings, as listed in the Medically Unlikely Edits (MUEs) for enhanced accuracy on claims. The American Hospital Association Coding Clinic(R) for HCPCS citations provide a reference point for information about specific codes and their usage. Physician Quality Reporting System icon identifies codes that are specific to PQRS measures.

ICD-10-CM 2022: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, correct documentation, determining coverage and ensuring appropriate reimbursement. Each of the 22 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official 2022 coding guidelines are included in this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the CY2022 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. Chapter 22 features U-codes and coronavirus disease 2019 (COVID-19) codes Improved icon placement for ease of use New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a "placeholder X" for three-, four- and five-character codes requiring a seventh character extension. Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk-adjustment coding, pharmacology, and Z-codes.

If your practice bills for Medicare services, durable medical equipment (DME), injections, drugs, and other medical supplies, you need to stay on top of HCPCS coding information. You'll do that and prevent denials, audits and payment delays with the 2022 HCPCS Level II Expert. With the newest 2022 edition, have everything you need to know about each HCPCS code including new changes, DMEPOS, PQRS and Pub 100 information and modifiers. Not to mention helpful advice, and code-specific details, such as icons and helpful reimbursement indicators, all at your fingertips for easy access within seconds. Features include: NEW! Plain English definitions--for the most common HCPCS DME and drug codes to help you quickly identify these supplies to enhance coding and critical-thinking skills UPDATED! New, revised and deleted HCPCS Level II Codes--with icons to identify changes UPDATED! Expanded alphabetical index-- organized with guidance and input from experienced coding and billing professionals UPDATED! DMEPOS icons--identify Medicare allowed billing opportunities for durable medical equipment, prosthetics, orthotics and supplies UPDATED! Deleted codes crosswalks--display valid codes that have replaced temporary codes and other deletions UPDATED! National Coverage Determination (NCD) policy code-level citations--ensure compliance with Medicare coverage policy for certain procedures and professional services UPDATED! Medicare Pub 100 information--with associated code and an Appendix of full descriptions UPDATED! Table of Drugs Appendix--with J codes cross-referenced to brand names UPDATED! APC and ASC payment icons--show those codes payable under Outpatient Prospective Payment Systems (OPPS) and those that can use 18 ASC groupings UPDATED! AHA Coding Clinic for HCPCS-- identify where to find critical guidance on challenging HCPCS Level II codes or sections UPDATED! Age and sex edit icons--indicate code restrictions at a glance, based on patient information UPDATED! Icons for specific payment rules-- indicate coverage rules and patient responsibility for drugs and services not reimbursed by Medicare High-quality illustrations--provide visual insight into specific equipment, supplies and services