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

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.

Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the Ingenix HCPCS Level II Professional. Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement. Organized to enhance coding capability without added complexity, this user-friendly book provides coders with a reference to increase efficiency and reduce workload by helping them locate the right code the first time.

ICD-10-PCS Official Guidelines for Coding and Reporting (OGCR) provide easier reference to coding rules when they are needed most. Convenient Guide to the 2022 Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the coding changes. Unique! Full-color anatomy plates (including Netter’s Anatomy art) are included in the front of the book to help you understand complex anatomic information and how it may affect choosing codes. American Hospital Association's Coding Clinic® citations include official ICD-10-PCS coding advice relating to specific codes and their usage. Hospital Acquired Condition (HAC) symbol notes procedures related to HACs as outlined in the MS-DRG. Symbols for Non-Covered and Limited-Coverage Procedures indicate related material outlined in the Definitions of Medicare Code Edits. Sex edits from the Definition of Medicare Code Edits denote codes that are used only with patients of a specific sex. Non-Operating Room Procedure symbols identify procedures that do and do not affect MS-DRG assignment. Combinations symbol identifies procedures that can affect MS-DRG assignment. Online Appendix: Procedure Combination Table displays each procedure cluster and the corresponding DRG, as well as a few procedure combinations that are designated as non-OR. NEW! Updated 2022 Official Code set reflects the latest ICD-10 codes needed for procedural coding.

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

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

This AMA-authored resource helps health care professionals correctly report and bill medical procedures and services.