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Optum360: Optum360 Coding Books (Optum360)

147 products found

Coding Companion OB/GYN

Retail:
ISBN: 9781622548552
Optum360: Optum360 Coding Books

Coding Companion OB/GYN

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Consolidate the coding process with the Coding Companion, your one-stop coding resource
developed exclusively for obstetrics and gynecology. This comprehensive and easy-to-use guide is
updated for 2024 and organized by specialty-specific CPT® codes. Each CPT® code includes its official
description and lay description, coding tip, Medicare edits, and relative value units and is cross-coded
to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code
information you need has never been so easy.

Key Features and Benefits
• Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in
your practice. Now with CPT® E/M Guidelines and our Optum Coding Tips, you have all the
information you need to select the correct E/M code for the service provided.
• Quickly find information. All the information you need is provided with the CPT® code, including
illustrations, lay descriptions, coding tips, clinical terms, Medicare RVUs and IOM references, and
commonly associated ICD-10-CM diagnosis codes.
• Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure
codes, making your coding process for procedures and E/M services quick and efficient.
• ICD-10-CM code icons – Icons identifying male and female only codes, as well as age-related
and laterality diagnosis codes.
• Easily determine fees for your practice and reinforce consistency in the charges. Relative
value units including the practice, work, and malpractice components with the total RVUs for nonfacility and facility are included.
• CPT® Assistant references. Identifies that an article or discussion of the CPT® code has been in
the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct
volume.
• Avoid claim denials and/or audits. Medicare payer information includes references to Internet
Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery.
• CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their
associated CCI edits are provided in a special section. Quarterly updates are available online at
Optumcoding.com Product Update page.
CPT is a registered trademark of the American Medical Association.

Coding Companion Ophthalmology

Retail:
ISBN: 9781622548569
Optum360: Optum360 Coding Books

Coding Companion Ophthalmology

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Consolidate the coding process with the Coding Companion. Your one-stop coding resource
developed exclusively for ophthalmology. This comprehensive and easy-to-use guide is updated for
2024 and organized by specialty-specific CPT® codes. Each CPT® code includes its official description
and lay description, coding tip, Medicare edits, and relative value units and is cross-coded to common
ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need
has never been so easy.

Key Features and Benefits
• Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in
your practice. Now with CPT® E/M Guidelines and our Optum Coding Tips, you have all the
information you need to select the correct E/M code for the service provided.
• Quickly find information. All the information you need is provided with the CPT® code, including
illustrations, lay descriptions, coding tips, clinical terms, Medicare RVUs and IOM references, and
commonly associated ICD-10-CM diagnosis codes.
• Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure
codes, making your coding process for procedures and E/M services quick and efficient.
• ICD-10-CM code icons – Icons identifying male and female only codes, as well as age-related
and laterality diagnosis codes.
• Easily determine fees for your practice and reinforce consistency in the charges. Relative
value units including the practice, work, and malpractice components with the total RVUs for nonfacility and facility are included.
• CPT® Assistant references. Identifies that an article or discussion of the CPT® code has been in
the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct
volume.
• Avoid claim denials and/or audits. Medicare payer information includes references to Internet
Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery.
• CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their
associated CCI edits are provided in a special section. Quarterly updates are available online at
Optumcoding.com Product Update page.
CPT is a registered trademark of the American Medical Association.

Coding Companion Orthopaedics - Lower:

Hips & Below
Retail:
ISBN: 9781622548576
Optum360: Optum360 Coding Books

Coding Companion Orthopaedics - Lower:

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Consolidate the coding process with the Coding Companion, your one-stop coding resource
developed exclusively for orthopaedics. This comprehensive and easy-to-use guide is updated for 2024
and organized by specialty-specific CPT® codes. Each CPT® code includes its official description and
lay description, coding tip, Medicare edits, and relative value units and is cross-coded to common ICD10-CM diagnosis codes to complete the coding process. Getting to the code information you need has
never been so easy.

Key Features and Benefits
• Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in
your practice. Now with CPT® E/M Guidelines and our Optum Coding Tips, you have all the
information you need to select the correct E/M code for the service provided.
• Quickly find information. All the information you need is provided with the CPT® code, including
illustrations, lay descriptions, coding tips, clinical terms, Medicare RVUs and IOM references, and
commonly associated ICD-10-CM diagnosis codes.
• Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure
codes, making your coding process for procedures and E/M services quick and efficient.
• ICD-10-CM code icons – Icons identifying male and female only codes, as well as age-related
and laterality diagnosis codes.
• Easily determine fees for your practice and reinforce consistency in the charges. Relative
value units including the practice, work, and malpractice components with the total RVUs for nonfacility and facility are included.
• CPT® Assistant references. Identifies that an article or discussion of the CPT® code has been in
the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct
volume.
• Avoid claim denials and/or audits. Medicare payer information includes references to Internet
Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery.
• CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their
associated CCI edits are provided in a special section. Quarterly updates are available online at
Optumcoding.com Product Update page.
CPT is a registered trademark of the American Medical Association

Coding Companion Orthopaedics - Upper:

Spine & Above
Retail:
ISBN: 9781622548583
Optum360: Optum360 Coding Books

Coding Companion Orthopaedics - Upper:

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Consolidate the coding process with the Coding Companion. Your one-stop coding resource
developed exclusively for plastics and dermatology specialties. This comprehensive and easy-to-use
guide is updated for 2024 and organized by specialty-specific CPT® codes. Each CPT® code includes
its official description and lay description, coding tip, Medicare edits, and relative value units and is
cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the
code information you need has never been so easy.

Key Features and Benefits
• Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in
your practice. Now with CPT® E/M Guidelines and our Optum Coding Tips, you have all the
information you need to select the correct E/M code for the service provided.
• Quickly find information. All the information you need is provided with the CPT® code, including
illustrations, lay descriptions, coding tips, clinical terms, Medicare RVUs and IOM references, and
commonly associated ICD-10-CM diagnosis codes.
• Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure
codes, making your coding process for procedures and E/M services quick and efficient.
• ICD-10-CM code icons – Icons identifying male and female only codes, as well as age-related
and laterality diagnosis codes.
• Easily determine fees for your practice and reinforce consistency in the charges. Relative
value units including the practice, work, and malpractice components with the total RVUs for nonfacility and facility are included.
• CPT® Assistant references. Identifies that an article or discussion of the CPT® code has been in
the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct
volume.
• Avoid claim denials and/or audits. Medicare payer information includes references to Internet
Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery.
• CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their
associated CCI edits are provided in a special section. Quarterly updates are available online at
Optumcoding.com Product Update page.
CPT is a registered trademark of the American Medical Association.

Coding Companion Plastics/Dermatology

Retail:
ISBN: 9781622548590
Optum360: Optum360 Coding Books

Coding Companion Plastics/Dermatology

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Consolidate the coding process with the Coding Companion. Your one-stop coding resource
developed exclusively for plastics and dermatology specialties. This comprehensive and easy-to-use
guide is updated for 2024 and organized by specialty-specific CPT® codes. Each CPT® code includes
its official description and lay description, coding tip, Medicare edits, and relative value units and is
cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the
code information you need has never been so easy.

Key Features and Benefits
• Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in
your practice. Now with CPT® E/M Guidelines and our Optum Coding Tips, you have all the
information you need to select the correct E/M code for the service provided.
• Quickly find information. All the information you need is provided with the CPT® code, including
illustrations, lay descriptions, coding tips, clinical terms, Medicare RVUs and IOM references, and
commonly associated ICD-10-CM diagnosis codes.
• Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure
codes, making your coding process for procedures and E/M services quick and efficient.
• ICD-10-CM code icons – Icons identifying male and female only codes, as well as age-related
and laterality diagnosis codes.
• Easily determine fees for your practice and reinforce consistency in the charges. Relative
value units including the practice, work, and malpractice components with the total RVUs for nonfacility and facility are included.
• CPT® Assistant references. Identifies that an article or discussion of the CPT® code has been in
the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct
volume.
• Avoid claim denials and/or audits. Medicare payer information includes references to Internet
Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery.
• CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their
associated CCI edits are provided in a special section. Quarterly updates are available online at
Optumcoding.com Product Update page.
CPT is a registered trademark of the American Medical Association.

Coding Companion Podiatry

Retail:
ISBN: 9781622548606
Optum360: Optum360 Coding Books

Coding Companion Podiatry

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Consolidate the coding process with the Coding Companion. Your one-stop coding resource
developed exclusively for podiatry. This comprehensive and easy-to-use guide is updated for 2024 and
organized by specialty-specific CPT® codes. Each CPT® code includes its official description and lay
description, coding tip, Medicare edits, and relative value units and is cross-coded to common ICD-10-
CM diagnosis codes to complete the coding process. Getting to the code information you need has
never been so easy.

Key Features and Benefits
• Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in
your practice. Now with CPT® E/M Guidelines and our Optum Coding Tips, you have all the
information you need to select the correct E/M code for the service provided.
• Quickly find information. All the information you need is provided with the CPT® code, including
illustrations, lay descriptions, coding tips, clinical terms, Medicare RVUs and IOM references, and
commonly associated ICD-10-CM diagnosis codes.
• Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure
codes, making your coding process for procedures and E/M services quick and efficient.
• ICD-10-CM code icons – Icons identifying male and female only codes, as well as age-related
and laterality diagnosis codes.
• Easily determine fees for your practice and reinforce consistency in the charges. Relative
value units including the practice, work, and malpractice components with the total RVUs for nonfacility and facility are included.
• CPT® Assistant references. Identifies that an article or discussion of the CPT® code has been in
the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct
volume.
• Avoid claim denials and/or audits. Medicare payer information includes references to Internet
Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery.
• CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their
associated CCI edits are provided in a special section. Quarterly updates are available online at
Optumcoding.com Product Update page.
CPT is a registered trademark of the American Medical Association.

Coding Companion Urology/Nephrology

Retail:
ISBN: 9781622548620
Optum360: Optum360 Coding Books

Coding Companion Urology/Nephrology

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Consolidate the coding process with the Coding Companion, your one-stop coding resource
developed exclusively for urology/nephrology. This comprehensive and easy-to-use guide is updated
for 2024 and organized by specialty-specific CPT® codes. Each CPT® code includes its official
description and lay description, coding tip, Medicare edits, and relative value units and is cross-coded
to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code
information you need has never been so easy.

Key Features and Benefits
• Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in
your practice. Now with CPT® E/M Guidelines and our Optum Coding Tips, you have all the
information you need to select the correct E/M code for the service provided.
• Quickly find information. All the information you need is provided with the CPT® code, including
illustrations, lay descriptions, coding tips, clinical terms, Medicare RVUs and IOM references, and
commonly associated ICD-10-CM diagnosis codes.
• Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure
codes, making your coding process for procedures and E/M services quick and efficient.
• ICD-10-CM code icons – Icons identifying male and female only codes, as well as age-related
and laterality diagnosis codes.
• Easily determine fees for your practice and reinforce consistency in the charges. Relative
value units including the practice, work, and malpractice components with the total RVUs for nonfacility and facility are included.
• CPT® Assistant references. Identifies that an article or discussion of the CPT® code has been in
the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct
volume.
• Avoid claim denials and/or audits. Medicare payer information includes references to Internet
Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery.
• CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their
associated CCI edits are provided in a special section. Quarterly updates are available online at
Optumcoding.com Product Update page.
CPT is a registered trademark of the American Medical Association.

Coding Guide for OMS

Retail:
ISBN: 9781622548637
Optum360: Optum360 Coding Books

Coding Guide for OMS

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The Coding Guide for OMS is your one-stop coding, reimbursement, and documentation resource
developed exclusively for OMS. Co-produced with the American Association of Oral and Maxillofacial
Surgeons (AAOMS), this comprehensive and easy-to-use guide is updated for 2024 and organized by
specialty-specific CDT and CPT® codes. Each code includes its official description and lay description,
coding tips, documentation and reimbursement tips, Medicare edits, and is cross-coded to common ICD10-CM diagnosis codes to complete the coding process. Getting to the code information you need has
never been so easy.

Key Features and Benefits
• Optum Edge—Co-produced with AAOMS. The only resource produced with the American
Association of Oral and Maxillofacial Surgeons.
• Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in
your practice. Now with CPT® E/M Guidelines and our Optum Coding Tips, you have all the
information you need to select the correct E/M code for the service provided.
• Quickly find information. All the information you need is provided, including CPT® and CDT full
code descriptions, lay descriptions, coding tips, procedure code-specific documentation and
reimbursement tips, clinical terms, Medicare edits and IOM references, CPT® Assistant
references, and commonly associated ICD-10-M diagnosis codes.
• Procedure code icons. Quickly identify new, revised, add-on, and telemedicine procedure
codes, making your coding process for procedures and E/M services quick and efficient.
• ICD-10-CM code icons. Icons identify male and female only codes, as well as age-related and
laterality diagnosis codes.
• Easily determine fees for your practice and reinforce consistency in the charges. Relative
value units including the practice, work, and malpractice components for CPT codes and total
RVUs for non-facility and facility are included.
• CPT® Assistant references. Identify that an article or discussion of the CPT® code has been in
the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the
correct volume.
• CCI edits by CPT®
, CDT and HCPCS procedure code. CPT®
, CDT and HCPCS procedure
codes with their associated CCI edits are provided in a special section. Quarterly updates are
available online at the Optumcoding.com Product Update page.
• Helpful illustrations. Detailed illustrations provide a better understanding of the anatomy in your
specialty.
CPT is a registered trademark of the American Medical Association. CDT © 2022 American Dental Association.

Complete Guide Interventional

Radiology (Spiral)
Retail:
ISBN: 9781622549726
Optum360: Optum360 Coding Books

Complete Guide Interventional

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Interventional radiology and cardiology coding can baffle even the most experienced coders. Developed
to simplify coding for imaging-assisted surgical services, the Complete Guide for Interventional
Radiology is a resource that provides specific direction for coding complex interventional procedures with
guidelines and references for both physicians and facility-based institutions. Includes diagrams and
colored images.

Key Features and Benefits
• ICD-10-CM, CPT®
, and HCPCS Level II information specific to interventional radiology and
cardiology. Save time by reviewing only the code sets related to interventional procedures.
• Current coding and billing regulations. Make the most appropriate code selection for
interventional procedures with the most up-to-date information, codes, reimbursement guidance, and
tips.
• Additional anatomical diagrams added. Provides a better understanding of the medical
procedures referenced by the codes and data. The graphics offer coders a visual link between the
technical language of the operative report and the cryptic descriptions accompanying the codes.
• Medicare Correct Coding Initiative (CCI) edits. Reduce the risk of audits and spend less time
correcting claims by identifying which coding combinations cannot be billed together.
• Case examples. Learn through real-world scenarios of interventional procedures based on common
methods of practice. Reportable codes are indicated to illustrate code selection based on
documentation for both the physician and the facility.
For Facilities:
• Benchmarking information. Optimize revenue for your facility with detailed data on oftenoverlooked codes while capturing all charges possible and allowable.
• Facility coding tips. Provides information on how codes should be used, as well as when not to use
a code, plus other codes frequently associated with the procedure, HCPCS codes reported instead
of or in addition to the procedure, and modifier assignment.
For Physicians:
• Physician payment methodology. Get all the details on how payment is established or determined.
• Detailed information regarding radiology services. Learn the difference in modifier reporting for
radiology procedures for which the physician provides the supervision and interpretation versus the
procedure itself.
• Summaries of anti-kickback laws and Stark legislation. Review Stark legislation history and
regulations to help understand patient referrals and services provided.
• Physician coding tips. Provides information on how the code should be used, lists related CPT®
codes, and offers help concerning common billing errors and modifier usage.
CPT is a registered trademark of the American Medical Association.

Current Procedural Coding Expert

Prof Edition (Softbound)
Retail:
ISBN: 9781622548644
Optum360: Optum360 Coding Books

Current Procedural Coding Expert

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Turn to the resource that goes beyond basic coding with the Current Procedural Coding Expert –
Professional Edition, your CPT® coding resource.
Equipped with the entire 2024 CPT® code set with easy-to-use coding that includes and excludes notes
for coding guidance and Medicare icons for speedy coding, billing, and reimbursement, this easy-tonavigate resource will benefit physician practices, outpatient hospitals, and ASCs.
You will also find a comprehensive listing of annual code additions, revisions, 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® code book.

Key Features and Benefits
• New — Extended Understanding Modifiers Appendix. Provides easy-to-understand guidance for
some of the more difficult modifiers, assisting in appropriate usage and reimbursement.
• 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.
• Evaluation and Management (E/M) Services Guidelines. AMA CPT® section guidelines for the
Evaluation and Management (E/M) Services Guidelines are provided in their entirety.
• Extended Evaluation and Management Appendix. Easy-to-use grids and extended guidelines to
facilitate E/M code selection.
• Icons/color bars. Familiar icons or color bars used for new, revised, add-on, resequenced,
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.
• 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® code book.
• 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.
• Medicare coverage rules with icons and IOM references at the code level. Understand which
CMS policies apply to CPT® codes before to claim submission. Some of these icons include CCI and
Provider MUE edits, ASC payment and OPPS status indicators, and IOM references.
• 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 that identify 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 in accurate coding for medications.
• Appendix with codes used to report inpatient-only procedures. Avoid payment denials by making
coding errors.
• Glossary of terms. Increase your understanding of coding, billing, and reimbursement terms to
improve coding accuracy.
• Product Updates. CPT® code changes and updates, as well as other significant updates, will be
made available on the Optum Product Update page on Optumcoding.com for our valued Current
Procedural Coding Expert customers.
• Softbound. Less bulky for travel and easy-to-see title on your bookshelf.
CPT is a registered trademark of the American Medical Association.

Current Procedural Coding Expert-Spiral

Retail:
ISBN: 9781622548651
Optum360: Optum360 Coding Books

Current Procedural Coding Expert-Spiral

View

Turn to the resource that goes beyond basic coding with the Current Procedural Coding Expert –
Expert Edition your CPT® coding resource.
Equipped with the entire 2024 CPT® code set with easy-to-use coding that includes and excludes notes
for coding guidance and Medicare icons for speedy coding, billing, and reimbursement, this easy-tonavigate resource will benefit physician practices, outpatient hospitals, and ASCs.
You will also find a comprehensive listing of annual code additions, revisions, 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® code book.

Key Features and Benefits
• New — Extended Understanding Modifiers Appendix. Provides easy-to-understand guidance for
some of the more difficult modifiers, assisting in appropriate usage and reimbursement.
• 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.
• Evaluation and Management (E/M) Services Guidelines. AMA CPT® section guidelines for the
Evaluation and Management (E/M) Services Guidelines are provided in their entirety.
• Extended Evaluation and Management Appendix. Easy-to-use grids and extended guidelines to
facilitate E/M code selection.
• Icons/color bars. Familiar icons or color bars used for new, revised, add-on, resequenced,
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.
• 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® code book.
• 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.
• Medicare coverage rules with icons and IOM references at the code level. Understand which
CMS policies apply to CPT® codes prior to claim submission. Some of these icons include CCI and
Provider MUE edits, ASC payment and OPPS status indicators, and IOM references.
• 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 only procedures. Avoid payment denials and coding
errors by using this unique reference.
• Glossary of terms. Increase your understanding of coding, billing, and reimbursement terms to
improve coding accuracy.
• Product Updates. CPT® code changes and updates, as well as other significant updates, will be
made available on the Optum Product Update page on Optumcoding.com for our valued Current
Procedural Coding Expert customers.
• 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 as an appendix of grids detailing vascular family order for more
accurate radiology coding.
CPT is a registered trademark of the American Medical Association.

Customized Fee Analyzer - All Codes

Retail:
ISBN: CFAA24
Optum360: Optum360 Coding Books

Customized Fee Analyzer - All Codes

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Customized Fee Analyzer provides physicians with percentiles of physician charge data for their
geographic area by Geozip and the CPT® codes most frequently used in their specialty. Underpriced fees
can cost a practice thousands of dollars each year. To set the most appropriate fees, you need specific
information for your geographic locality, as fees vary widely across the country. Relying on national
averages can result in reimbursement that is too low or billed charges that are too high. This resource
provides defensible data when revising your fee schedules and negotiating contracts.

Key Features and Benefits
• Seven reference points of charge data (50th, 60th, 75th, 80th, 85th, 90th, and 95th). Perform
competitive analyses with confidence and make more accurate adjustments of charges.
• Real-life charge data from the FAIR Health database of over 1.3 billion current charge
records. Develop and maintain competitive fees while having defensible data during contract
negotiations.
• Follow-up days listed by procedure. Quickly identify the number of days a physician is
responsible for services under a CPT code.
• Professional (PC) and technical (TC) component splits of global services for all CPT®
codes. Estimate allocation and reimbursement for the physician and technical portion of a
specific service.
• Available by specialty or for all CPT® codes. Data for the codes applicable to your specialty
with a one- or two-specialty order or for all CPT® codes. (Anesthesia codes not included.)
• Printed book or data file. Choose from two format options.
CPT is a registered trademark of the American Medical Association.

Customized Fee Analyzer - One Specialty

Retail:
ISBN: CFA124
Optum360: Optum360 Coding Books

Customized Fee Analyzer - One Specialty

View

Customized Fee Analyzer provides physicians with percentiles of physician charge data for their
geographic area by Geozip and the CPT® codes most frequently used in their specialty. Underpriced fees
can cost a practice thousands of dollars each year. To set the most appropriate fees, you need specific
information for your geographic locality, as fees vary widely across the country. Relying on national
averages can result in reimbursement that is too low or billed charges that are too high. This resource
provides defensible data when revising your fee schedules and negotiating contracts.

Key Features and Benefits
• Seven reference points of charge data (50th, 60th, 75th, 80th, 85th, 90th, and 95th). Perform
competitive analyses with confidence and make more accurate adjustments of charges.
• Real-life charge data from the FAIR Health database of over 1.3 billion current charge
records. Develop and maintain competitive fees while having defensible data during contract
negotiations.
• Follow-up days listed by procedure. Quickly identify the number of days a physician is
responsible for services under a CPT code.
• Professional (PC) and technical (TC) component splits of global services for all CPT®
codes. Estimate allocation and reimbursement for the physician and technical portion of a
specific service.
• Available by specialty or for all CPT® codes. Data for the codes applicable to your specialty
with a one- or two-specialty order or for all CPT® codes. (Anesthesia codes not included.)
• Printed book or data file. Choose from two format options.
CPT is a registered trademark of the American Medical Association.

Customized Fee Analyzer - Two Specialty

Retail:
ISBN: CFA224
Optum360: Optum360 Coding Books

Customized Fee Analyzer - Two Specialty

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Customized Fee Analyzer provides physicians with percentiles of physician charge data for their
geographic area by Geozip and the CPT® codes most frequently used in their specialty. Underpriced fees
can cost a practice thousands of dollars each year. To set the most appropriate fees, you need specific
information for your geographic locality, as fees vary widely across the country. Relying on national
averages can result in reimbursement that is too low or billed charges that are too high. This resource
provides defensible data when revising your fee schedules and negotiating contracts.

Key Features and Benefits
• Seven reference points of charge data (50th, 60th, 75th, 80th, 85th, 90th, and 95th). Perform
competitive analyses with confidence and make more accurate adjustments of charges.
• Real-life charge data from the FAIR Health database of over 1.3 billion current charge
records. Develop and maintain competitive fees while having defensible data during contract
negotiations.
• Follow-up days listed by procedure. Quickly identify the number of days a physician is
responsible for services under a CPT code.
• Professional (PC) and technical (TC) component splits of global services for all CPT®
codes. Estimate allocation and reimbursement for the physician and technical portion of a
specific service.
• Available by specialty or for all CPT® codes. Data for the codes applicable to your specialty
with a one- or two-specialty order or for all CPT® codes. (Anesthesia codes not included.)
• Printed book or data file. Choose from two format options.
CPT is a registered trademark of the American Medical Association.

Dental Customized Fee Analyzer-One

Specialty
Retail:
ISBN: DCFA124
Optum360: Optum360 Coding Books

Dental Customized Fee Analyzer-One

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Dental Customized Fee Analyzer provides dentists and oral surgeons with a customized report for a
specific geographic area by Geozip and the CPT® and CDT codes most frequently used in a dental and/or
OMS practice. Under-priced fees can cost a practice thousands of dollars each year. To set the most
appropriate fees, you need specific information for your geographic locality, as fees vary widely across the
country. Relying on national averages can result in reimbursement that is too low or billable charges that
are too high. This resource will provide defensible data when revising your fee schedule, negotiating
contracts, and conducting competitive analysis.

Key Features and Benefits
• Seven reference points of charge data (50th, 60th, 75th, 80th, 85th, 90th, and 95th). Perform
competitive analyses with confidence and make more accurate adjustments of charges.
• Real-life charge data from the FAIR Health database of over 1.7 billion medical and dental
charge records. Develop and maintain competitive fees while having defensible data during
contract negotiations.
• Follow-up days listed by procedure. Quickly identify the number of days a physician is
responsible for services under a CPT® code.
• Professional (PC) and technical (TC) component splits of global services for all CPT®
codes. Estimate allocation and reimbursement for the professional and technical portion of a
specific service.
• Printed book or downloadable data file. Choose from two format options.
CPT is a registered trademark of the American Medical Association. CDT © American Dental Association

Dental Customized Fee Analyzer-Two

Specialty
Retail:
ISBN: DCFA224
Optum360: Optum360 Coding Books

Dental Customized Fee Analyzer-Two

View

Dental Customized Fee Analyzer provides dentists and oral surgeons with a customized report for a
specific geographic area by Geozip and the CPT® and CDT codes most frequently used in a dental and/or
OMS practice. Under-priced fees can cost a practice thousands of dollars each year. To set the most
appropriate fees, you need specific information for your geographic locality, as fees vary widely across the
country. Relying on national averages can result in reimbursement that is too low or billable charges that
are too high. This resource will provide defensible data when revising your fee schedule, negotiating
contracts, and conducting competitive analysis.

Key Features and Benefits
• Seven reference points of charge data (50th, 60th, 75th, 80th, 85th, 90th, and 95th). Perform
competitive analyses with confidence and make more accurate adjustments of charges.
• Real-life charge data from the FAIR Health database of over 1.7 billion medical and dental
charge records. Develop and maintain competitive fees while having defensible data during
contract negotiations.
• Follow-up days listed by procedure. Quickly identify the number of days a physician is
responsible for services under a CPT® code.
• Professional (PC) and technical (TC) component splits of global services for all CPT®
codes. Estimate allocation and reimbursement for the professional and technical portion of a
specific service.
• Printed book or downloadable data file. Choose from two format options.
CPT is a registered trademark of the American Medical Association. CDT © American Dental Association

Dental/OMS

Retail:
ISBN: 19047
Optum360: Optum360 Coding Books

Dental/OMS

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The ICD-10-CM Fast Finders utilize our Optum Xpress Coding Matrix with ICD-10-CM codes
presented by specialty and updated with the 2024 valid ICD-10-CM codes, in an easy-to-use table format
that maximizes the number of codes contained in the fast finder and simplifies code selection. These
convenient and reliable coding tools provide complete and valid code selections at your fingertips.
Use this coding tool to determine the most specific ICD-10-CM codes for your specialty – codes that
accurately identify the patient condition and level of severity as well as support medical necessity.

Key Features and Benefits
• Optum Edge — Optum Xpress Coding Matrix (designed and used exclusively by Optum). Our
easy-to-use, streamlined tables present valid code options for each condition.
• Optum Edge — Compact 6” x 9” accordion format. More codes, less space in our compact
accordion format which provides 8–10 pages of specialty specific codes.
• Optum Edge — Alphabetically organized tables. Body systems and main diagnostic terms are
organized alphabetically in tables that contain a comprehensive list of valid codes out to the 4th, 5th, 6th
or 7th characters.
• Complete and comprehensive coverage by specialty. The Fast Finders provide commonly used
ICD-10-CM codes for each specialty as well a comprehensive list of valid codes within diagnostic
categories for your specialty.
• Valid codes. Updated with ICD-10-CM codes for 2024, code directly from the tables contained in the
Optum Xpress Coding Matrix with confidence.
• Coding Instructions. Code first, use additional code and other coding instructions are included in the
tables to ensure correct sequencing of all relevant codes.
• Productivity tool. The logical look-up format makes finding the right code easier.
• Convenient work flow coding tool. Rely on one at every work station. 

DRG Desk Reference

Retail:
ISBN: 9781622548668
Optum360: Optum360 Coding Books (2023)

DRG Desk Reference

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With the implementation of ICD-10 codes in October 2015, the 2023 DRG Desk Reference (ICD-10-CM)
gives access to crucial information to improve MS-DRG assignment practices, guidance on how to
accurately assign DRGs under the MS-DRG system and focuses on the Optimizing section of the DRG
Desk Reference based on ICD-10 codes.
The DRG Desk Reference (ICD-10-CM) is designed to work hand-in-hand with DRG Expert and the
Guide to Clinical Validation, Documentation and Coding, which is the clinical section from the DRG
Desk Reference based on ICD-10 codes. This product is needed to answer all your DRG questions for
all inpatient stays starting after October 1, 2023, as those claims will use the MS-DRG methodology
based on ICD-10-CM.

Key Features and Benefits
• Optum360 Edge — Optimizing tips. Know the major factors involved in moving a patient from a
lower-paying MS-DRG to a higher one to receive optimal payment while staying in compliance.
• Most commonly missed CC and MCC references. Perform accurate audits by knowing the most
commonly missed CCs in the medical record.
• ICD-10-CM codes for common diagnoses and procedures. Quickly identify the key diagnosis or
procedure by ICD-10-CM code.
• Case mix index section. Discusses the importance of calculating and tracking case mix on a
regular basis as well as tips for documenting case mix index changes and their causes.
• Complete CC and MCC list. Know how codes considered MCCs and CCs will affect DRG
assignment—helping to legitimately improve reimbursement.
• Relative weights of every valid DRG. A quick reference of the relative weights of all DRGs
presented as options for optimizing.
• List of ICD-10 codes driving MS-DRG assignment.

DRG Expert - eBook

Retail:
ISBN: 9781622548699
Optum360: Optum360 Coding Books

DRG Expert - eBook

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The DRG Expert has been a trusted and comprehensive reference to the DRG classification system for
more than 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book
layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to
verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on
ICD-10-CM methodology, which goes into effect October 1, 2023.

Key Features and Benefits
• Optum Edge — Visual indicators notify you of special alerts. Easily identify CC and MCC
restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other
requirements.
• Optum Edge — Medicare CMS rate structure. Updated to provide current relative weight (RW),
geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MSDRG under IPPS.
• Optum Edge — MS-DRG structure. Every diagnosis and procedure code that defines each DRG is
listed.
• Optum Edge — LTC-DRG crosswalk and current rate structure. Know what the RW and lengthof-stay data are for each MS-DRG under the LTCH prospective payment system.
• Optum Edge — MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each
MDC.
• Optum Edge — Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may
be paid at the per diem rate.
• Optum Edge — Average national payment. Listed for every MS-DRG as a quick benchmark
comparison.
• Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG
based on its diagnosis or procedure code.
• Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you
assign the code that reflects the greatest resource utilization.
• Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast
look-up.
• Icons indicate which CC subclass the DRG belongs to based on the presence or absence of
CCs or major CCs (MCCs).
• Complete list of diagnoses considered CCs and MCCs.
• List of those principal diagnoses that are their own CC and their own MCC.
• Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and
complete description.

DRG Expert (2 Vol set, shrink wrapped)

Retail:
ISBN: 9781622548682
Optum360: Optum360 Coding Books

DRG Expert (2 Vol set, shrink wrapped)

View

The DRG Expert has been a trusted and comprehensive reference to the DRG classification system for
more than 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book
layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to
verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on
ICD-10-CM methodology, which goes into effect October 1, 2023.

Key Features and Benefits
• Optum Edge — Visual indicators notify you of special alerts. Easily identify CC and MCC
restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other
requirements.
• Optum Edge — Medicare CMS rate structure. Updated to provide current relative weight (RW),
geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MSDRG under IPPS.
• Optum Edge — MS-DRG structure. Every diagnosis and procedure code that defines each DRG is
listed.
• Optum Edge — LTC-DRG crosswalk and current rate structure. Know what the RW and lengthof-stay data are for each MS-DRG under the LTCH prospective payment system.
• Optum Edge — MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each
MDC.
• Optum Edge — Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may
be paid at the per diem rate.
• Optum Edge — Average national payment. Listed for every MS-DRG as a quick benchmark
comparison.
• Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG
based on its diagnosis or procedure code.
• Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you
assign the code that reflects the greatest resource utilization.
• Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast
look-up.
• Icons indicate which CC subclass the DRG belongs to based on the presence or absence of
CCs or major CCs (MCCs).
• Complete list of diagnoses considered CCs and MCCs.
• List of those principal diagnoses that are their own CC and their own MCC.
• Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and
complete description.

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