This unique manual shows what the medical record must contain for correct coding and billing of specific
medical and diagnostic services and procedures. It provides coders and anyone concerned about coding
with an auditor’s perspective on the clinical detail, regulatory instructions, and coding protocol needed for
code assignment. Avoid the devastating effects of outside audits and reviews with this detailed coding
tool.

Key Features and Benefits
• Optum Edge — Get online access to customizable audit worksheets. Protect your revenuecritical services and procedures.
• Conduct skilled internal audits. Ensure proper reimbursement.
• Differentiate between similar procedures. Compare and contrast seemingly similar, but different,
procedures.
• Completely updated for 2024 code set and regulatory changes.
• Increase Revenue. Learn the appropriate way to report telehealth services.
• Provides coders with an auditor’s perspective. Know the clinical detail, regulatory instructions,
and coding best practices needed for code assignment.
• Know what information needs to be in the medical record and on the claim form to capture
appropriate reimbursement.
• Know the key terms that need to be mentioned in the medical record to support code
assignment.
• See the medical conditions that are indicated for diagnostic, therapeutic, and surgical
purposes.
• Gain valuable code intelligence. Confirm the correct code assignment.
• Train your staff. This resource is thorough and can easily be used to train staff on how to assign
codes appropriately.
• Correct modifier assignment. Modifier decision-making trees assist with assigning correct
modifiers.
• Supports Best Practices.

This unique manual shows what the medical record must contain for correct coding and billing of specific medical and diagnostic services and procedures. It provides coders and anyone concerned about coding with an auditor’s perspective on the clinical detail, regulatory instructions, and coding protocol needed for code assignment. Avoid the devastating effects of outside audits and reviews with this detailed coding tool.

Key Features and Benefits

• Optum Edge — Get online access to customizable audit worksheets. Protect your revenuecritical services and procedures.

• Conduct skilled internal audits. Ensure proper reimbursement.

• Differentiate between similar procedures. Compare and contrast seemingly similar, but different, procedures.

• Completely updated for 2023 code set and regulatory changes.

• Increase Revenue. Learn the appropriate way to report telehealth services.

• Provides coders with an auditor’s perspective. Know the clinical detail, regulatory instructions, and coding best practices needed for code assignment.

• Know what information needs to be in the medical record and on the claim form to capture appropriate reimbursement.

• Know the key terms that need to be mentioned in the medical record to support code assignment.

• See the medical conditions that are indicated for diagnostic, therapeutic, and surgical purposes.

• Gain valuable code intelligence. Confirm correct code assignment.

• Train your staff. This resource is thorough and can easily be used to train staff how to assign codes appropriately.

• Correct modifier assignment. Modifier decision-making trees assist with assigning correct modifiers.

• Supports Best Practices.

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. 

The ICD-10-CM Fast Finders utilize our Optum Xpress Coding Matrix with ICD-10-CM codes presented by specialty and updated with the 2023 valid ICD-10-CM codes, in an easy-to-use table format that maximizes the number of codes contained in the fast finder and also 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.

• 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 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 2023, 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 workstation. 

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. 

The ICD-10-CM Fast Finders utilize our Optum Xpress Coding Matrix with ICD-10-CM codes presented by specialty and updated with the 2023 valid ICD-10-CM codes, in an easy-to-use table format that maximizes the number of codes contained in the fast finder and also 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 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 2023, 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 workstation. 

Clinical documentation improvement (CDI) is not about how to code in ICD-10-CM or CPT®
. CDI is about
knowing what to look for in medical records and how to ask for clarification and get ongoing changes to the
notes and comments provided by physicians.
Important Note: The greater number of ICD-10-CM diagnostic codes means an even bigger need for
detailed clinical documentation. Making the correct code selection requires having adequate clinical detail,
and under ICD-10-CM, clinician's documentation will more than ever translate into reimbursement gained or
lost.

Key Features and Benefits
• Optum Edge — HCC and QPP icon alerts added at the code level to aid in coding.
• Optum Edge — A list of medications is noted for codes that are deemed applicable.
• Optum Edge — The “Clinician’s Checklist for ICD-10-CM.” Make copies of this handy trifold,
pocketsize card for every clinician. Provides powerful documentation tips for the 5 most important
chronic and acute conditions.
• Diagnoses and Procedures — Covers documentation for CPT®
, HCPCS, and ICD-10-CM coding.
Enhance your code selections with documentation requirements for all three coding systems.
• Physician Documentation Training. Show physicians what they need to document. Documentation
training includes 21 detailed documentation checklists for the most common and complex medical
conditions.
• Don’t teach your clinicians to code ICD-10-CM. Instead show them what you need for optimal code
assignment.
• See key terms. Confirm accurate code selection for every chapter of ICD-10-CM.
• Terminology Translator. This unique feature is included at the code level.
• Streamline the query process. Show physicians which medical terms are essential to assigning codes
in ICD-10-CM. Includes best practice query forms that get results without unduly influencing clinicians.
CPT is a registered trademark of the American Medical Association

Clinical documentation improvement (CDI) is not about how to code in ICD-10-CM or CPT®; CDI is knowing what to look for in medical records, as well as how to ask for clarification and get ongoing changes to the notes and comments provided by physicians. Important Note: The greater number of ICD-10-CM diagnostic codes means an even bigger need for detailed clinical documentation. Making the right code selection requires having adequate clinical detail and, under ICD-10-CM, clinician's documentation will more than ever translate into reimbursement gained or lost. Key

Features and Benefits

• Optum Edge —HCC and QPP icon alerts added at the code level to aid in coding.

• Optum Edge —A list of medications is noted for codes that are deemed applicable.

• Optum Edge —The “Clinician’s Checklist for ICD-10-CM.” Make copies of this handy trifold, pocketsize card for every clinician. Provides powerful documentation tips for the 5 most important chronic and acute conditions.

• Diagnoses and Procedures — Covers documentation for CPT®, HCPCS, and ICD-10-CM coding. Enhance your code selections with documentation requirements for all three coding systems.

• Physician Documentation Training. Show physicians what they need to document. Includes 21 detailed documentation checklists for the most common and complex medical conditions.

• Don’t teach your clinicians to code ICD-10-CM. Instead show them what you need for optimal code assignment.

• See key terms. Confirm accurate code selection for every chapter of ICD-10-CM.

• Know when ICD-10-CM differs dramatically from ICD-9-CM. Alerts and warnings in the text of this book call your attention to situations where ICD-10-CM coding protocols are different from ICD-9-CM and significantly affect code choices.

• Terminology Translator. This unique feature is now included at the code level.

• Streamline the query process. Show physicians which medical terms are essential to assigning codes in ICD-10-CM. Includes best practice query forms that get results without unduly influencing clinicians.

The Coders’ Desk Reference for ICD-10-CM Diagnoses provides thousands of clinical descriptions of
diseases, disease processes, injuries, poisonings, and other conditions to help both novices and
seasoned coders attain the knowledge and skill necessary to accurately identify and assign the most
specific ICD-10-CM diagnosis code for each documented condition.
With these clinical definitions and focus points, you can reduce coding errors and improve coding
confidence by gaining a better understanding of the clinical meanings behind the codes.

Key Features and Benefits
• Optum Edge — More clinical descriptions and focus points. Expanded with clinical descriptions
and focus points for new and changed 2024 codes as well as existing ICD-10-CM codes.
• Optum Edge — Illustrations at the code level. Often an illustration is needed to enhance
understanding. Illustrations of pertinent anatomy and pathological changes related to the disease
process are included as a visual aid.
• Optum Edge — Code level clinical description. Code level descriptions are provided for select
diseases, injuries, symptoms, other factors influencing health status, and other reasons for contact
with healthcare providers.
• Optum Edge — Clinical focus points. Improve overall coding accuracy with additional information
for complex diagnoses and injuries that require an understanding of related codes and conditions that
might better describe the documented condition.
• Alphanumeric organization by ICD-10-CM code. Locate codes quickly with a resource developed to
work hand-in-hand with your Optum ICD-10-CM codebook.
• Enhance understanding of ICD-10-CM. Understanding the clinical condition captured by each code
is essential to correct code assignment, and this resource is designed to explain and highlight
differences between codes that may appear similar at first glance.
• Designed for both novices and seasoned coders. Coders of every skill level find that these clinical
descriptions enhance understanding of ICD-10-CM.

The Coders’ Desk Reference for ICD-10-PCS Procedures addresses the challenge of translating
common procedural nomenclature used by providers to the corresponding
ICD-10-PCS coding terminology. Correct procedure coding is dependent on the coder’s ability to translate
the terminology in provider documentation to the appropriate procedural terminology of ICD-10-PCS.
This resource is organized by common procedural nomenclature used in the hospital setting and then
linked to the related root operation table(s). The procedure is described in layman’s terms, translated to
ICD-10-PCS root operation terminology, and the corresponding root operation table(s) is identified.

Key Features and Benefits
• Optum Edge — Lay description. Updated with the 2024 ICD-10-PCS codes, lay descriptions are
provided for the ICD-10-PCS procedures commonly performed inpatient procedures. Corresponding
ICD-10-PCS root operations are identified and defined.
• Optum Edge — Clinical focus points. When more than one root operation may apply, key
procedural terms differentiating the root operations are highlighted in focus points to ensure that the
correct root operation is selected.
• Optum Edge — Illustrations at the code level. Illustrations of pertinent anatomy and surgical
procedures are included to enhance understanding.
• Ease of use. Developed to work hand-in-hand with your Optum ICD-10-PCS codebook.
• Enhance understanding of ICD-10-PCS. The lay descriptions were developed to enhance
understanding of the ICD-10-PCS terminology and definitions of root operations, body parts,
approaches, devices, and qualifiers.
• Designed for novices and seasoned coders. The lay descriptions, illustrations, and other
supplemental resources contained in this resource are designed for coders of all skill levels.

The Coders’ Desk Reference for ICD-10-CM Diagnoses provides thousands of clinical descriptions of
diseases, disease processes, injuries, poisonings, and other conditions to help both novices and
seasoned coders attain the knowledge and skill necessary to accurately identify and assign the most
specific ICD-10-CM diagnosis code for each documented condition.
With these clinical definitions and focus points, you can reduce coding errors and improve coding
confidence by gaining a better understanding of the clinical meanings behind the codes.

Key Features and Benefits
• Optum Edge — More clinical descriptions and focus points. Expanded with clinical descriptions
and focus points for new and changed 2024 codes as well as existing ICD-10-CM codes.
• Optum Edge — Illustrations at the code level. Often an illustration is needed to enhance
understanding. Illustrations of pertinent anatomy and pathological changes related to the disease
process are included as a visual aid.
• Optum Edge — Code level clinical description. Code level descriptions are provided for select
diseases, injuries, symptoms, other factors influencing health status, and other reasons for contact
with healthcare providers.
• Optum Edge — Clinical focus points. Improve overall coding accuracy with additional information
for complex diagnoses and injuries that require an understanding of related codes and conditions that
might better describe the documented condition.
• Alphanumeric organization by ICD-10-CM code. Locate codes quickly with a resource developed to
work hand-in-hand with your Optum ICD-10-CM codebook.
• Enhance understanding of ICD-10-CM. Understanding the clinical condition captured by each code
is essential to correct code assignment, and this resource is designed to explain and highlight
differences between codes that may appear similar at first glance.
• Designed for both novices and seasoned coders. Coders of every skill level find that these clinical
descriptions enhance understanding of ICD-10-CM.

The Coders’ Desk Reference for Procedures is a comprehensive resource for all 2024 CPT
® codes.
This all-inclusive tool helps identify the minute differences and components of similar CPT® codes.
You will code more accurately from operative reports and produce cleaner claims the first time by
improving your understanding of the clinical meanings behind the codes and checking billing and coding
information for Medicare.

Key Features and Benefits
• Comprehensive CPT® code listing with CPT® procedure lay descriptions. Eliminate the need
for multiple resources with this one-stop resource of more than 8,000 CPT® codes and 6,000 lay
descriptions for surgery, laboratory/pathology, radiology, medicine, and evaluation and
management codes.
• Place of service codes for E/M services. Review the list of CMS-1500 place of service codes
with a grid of evaluation and management codes linked to the appropriate place of service.
• Evaluation and Management (E/M) Services Guidelines. Review components of care needed
when determining E/M levels of service with the AMA CPT® guidelines.
• Modifier definitions and usage rules. Reduce research time and improve coding accuracy with
a complete modifier list, accompanied by narrative explanations to ensure proper use of
modifiers.
• Procedure eponym crosswalk. Locate eponym definitions and code links in an alphabetically
organized section.
• Reimbursement and procedure glossary of terms. Understand terminology often used in
medical record documentation and terms used in communications with payers.
• Abbreviations, acronyms, symbols, prefixes, and suffixes. Better understand terms and use
these valuable tools for more efficient CPT® coding.
• Anatomical illustrations. Recognize the body sites described in operative reports with helpful
illustrations.

CPT is a registered trademark of the American Medical Association.

Coders at all experience levels may have questions when the 2024 HCPCS code changes go into effect,
and the Coders’ Desk Reference for HCPCS Level II is the book to keep close by to find the answers
needed.
With this one-of-a-kind, comprehensive resource on all the codes for 2024, users can reduce coding
errors and improve coding confidence by referencing more than 3,000 HCPCS codes with 2,000 lay
descriptions. Find answers to frequently asked questions, and obtain other helpful guidance before
assigning a code.

Key Features and Benefits
• Optum Edge — More than 3,000 HCPCS Level II codes and 2,000 lay descriptions. Gain a clear
understanding of the clinical definitions for thousands of alphanumeric codes for supplies and services
to improve coding accuracy.
• Modifier definitions and usage rules. Choose the appropriate modifiers and HCPCS Level II codes
with a thorough list of modifiers, accompanied by narrative explanations of each.
• Coding and billing instructions. Reduce research time and improve coding accuracy with tips on the
quickest methods to bill and code HCPCS Level II codes.
• Additional chapters for documentation, durable medical equipment (DME), fraud and abuse,
compliance, and appeals. Prevent the risk of audits and fines by clearly understanding the regulatory
requirements that affect HCPCS Level II coding.

The Coders’ Desk Reference for ICD-10-CM Diagnoses provides thousands of clinical descriptions of diseases, disease processes, injuries, poisonings, and other conditions to help both novices and seasoned coders attain the knowledge and skill necessary to accurately identify and assign the most specific ICD-10-CM diagnosis code for each documented condition. With these clinical definitions and focus points, you can reduce coding errors and improve coding confidence by gaining a better understanding of the clinical meanings behind the codes.

Key Features and Benefits

• Optum Edge — More clinical descriptions and focus points. Expanded with clinical descriptions and focus points for new and changed 2023 codes as well as existing ICD-10-CM codes.

• Optum Edge — Illustrations at the code level. Often an illustration is needed to enhance understanding. Illustrations of pertinent anatomy and pathological changes related to the disease process are included as a visual aid.

• Optum Edge — Code level clinical description. Code level descriptions are provided for select diseases, injuries, symptoms, other factors influencing health status, and other reasons for contact with healthcare providers.

• Optum Edge — Clinical focus points. Improve overall coding accuracy with additional information for complex diagnoses and injuries that require an understanding of related codes and conditions that might better describe the documented condition.

• Alphanumeric organization by ICD-10-CM code. Locate codes quickly with a resource developed to work hand-in-hand with your Optum ICD-10-CM codebook.

• Enhance understanding of ICD-10-CM. Understanding the clinical condition captured by each code is essential to correct code assignment, and this resource is designed to explain and highlight differences between codes that may appear similar at first glance.

• Designed for both novices and seasoned coders. Coders of every skill level find that these clinical descriptions enhance understanding of ICD-10-CM.

The Coders’ Desk Reference for ICD-10-CM Diagnoses ebook provides thousands of clinical descriptions of diseases, disease processes, injuries, poisonings, and other conditions to help both novices and seasoned coders attain the knowledge and skill necessary to accurately identify and assign the most specific ICD-10-CM diagnosis code for each documented condition. With these clinical definitions and focus points, you can reduce coding errors and improve coding confidence by gaining a better understanding of the clinical meanings behind the codes.

Key Features and Benefits

• Optum Edge — More clinical descriptions and focus points. Expanded with clinical descriptions and focus points for new and changed 2023 codes as well as existing ICD-10-CM codes.

• Optum Edge — Illustrations at the code level. Often an illustration is needed to enhance understanding. Illustrations of pertinent anatomy and pathological changes related to the disease process are included as a visual aid.

• Optum Edge — Code level clinical description. Code level descriptions are provided for select diseases, injuries, symptoms, other factors influencing health status, and other reasons for contact with healthcare providers.

• Optum Edge — Clinical focus points. Improve overall coding accuracy with additional information for complex diagnoses and injuries that require an understanding of related codes and conditions that might better describe the documented condition.

• Alphanumeric organization by ICD-10-CM code. Locate codes quickly with a resource developed to work hand-in-hand with your Optum ICD-10-CM codebook.

• Enhance understanding of ICD-10-CM. Understanding the clinical condition captured by each code is essential to correct code assignment, and this resource is designed to explain and highlight differences between codes that may appear similar at first glance.

• Designed for both novices and seasoned coders. Coders of every skill level find that these clinical descriptions enhance understanding of ICD-10-CM.