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.

The Coders’ Desk Reference for Procedures is a comprehensive resource for all 2023 CPT® codes. This all-inclusive tool helps identify the minute differences between, 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

• NEW — Place of service codes for E/M services. Review list of CMS-1500 place of service codes with grid of evaluation and management codes linked to the appropriate place of service

• Comprehensive CPT® code listing with CPT® procedure lay descriptions. Eliminate the need for multiple resources with a 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.

• E/M guidelines. Review components of care needed to determine E/M levels of service, assisting in proper E/M code assignment.

• 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.

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 ability of the coder 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 2023 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 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 2023 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 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

• Optum Edge — Co-produced with AAOMS. The only resource produced with the American Association of Oral and Maxillofacial Surgeons.

• NEW – 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 / Support page.

• Helpful illustrations. Detailed illustrations provide a better understanding of the anatomy in your specialty.

The Coding and Payment Guide for Dental Services is your one-stop coding, reimbursement, and documentation resource developed exclusively for dental practices. This comprehensive and easy-to-use guide is updated for 2023 and organized by specialty-specific CDT and CPT® codes. Each code includes its official description and lay description, coding tip, documentation and reimbursement tips, Medicare edits, RVUs 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

• 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.

• Quickly find information. All the information you need is provided, including CDT and CPT® full code descriptions, lay descriptions, coding tips, procedure code-specific documentation and reimbursement tips, and commonly associated ICD-10-M diagnosis codes.

• Prevent claim denials and stay up-to-date with Medicare payer information. Review Medicare IOM references containing information linked to CDT, HCPCS Level II, and CPT® codes tailored to dental services, to prepare cleaner claims before submission.

• Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with total RVUs for non-facility and facility services are included.

• CCI edits. CCI edits for CDT, CPT® and HCPCS procedure codes are included in a special section with quarterly updates available online at Optumcoding.com Product Update / Support page.

• Helpful illustrations. Detailed illustrations provide a better understanding of the anatomy related to dental procedures and services. 

Our Coding and Payment Guide for Medical Oncology/Hematology Services is your onestop coding, reimbursement, and documentation resource developed exclusively for oncology and hematology medical services. This comprehensive and easy-to-use guide is updated for 2023 and organized by specialty-specific CPT® codes. Each code includes its official description and lay description, coding tip, documentation and reimbursement tips, Medicare edits, 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

• NEW – 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 edits 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 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 with the total RVUs for non-facility and facility are included.

• Customized HCPCS Level II Section. HCPCS codes and a chemotherapy drug table are included for easy reference.

• 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.

• Helpful illustrations. Detailed illustration section provides for a better understanding of anatomy.

• ICD-10-CM Neoplasm Table. Provides an alphabetic listing directly from the 2023 ICD-10-CM table of malignant neoplasms.

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 2023 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, 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

• 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.

• 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, 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. Understand which CMS policies apply to CPT® codes prior to claim submission. Some of these icons include ASC payment and OPPS status indicators and Internet Only Manual 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 by making coding errors.

• Glossary of terms. Increase your understanding of coding, billing, and reimbursement terms to improve coding accuracy.

• Access to Medically Unlikely Edits (MUEs). Improve claims accuracy by ensuring CMS compliance through easy-to-access codes and their associated MUE units. These will be available via electronic download.

• Softbound. Less bulky for travel and easy-to-see title on your bookshelf.

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 2023 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, 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

• 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.

• 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, 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 ASC payment and OPPS status indicators and Internet Only Manual 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.

• 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.

• Access to Medically Unlikely Edits (MUEs). Improve claims accuracy by ensuring CMS compliance through easy-to-access codes and their associated MUE units. These will be available via electronic download.

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, which are essential references needed for accurate medical billing and maximum permissible reimbursement.

This professional edition includes such features as Netter’s anatomical illustrations, dental codes, and ambulatory surgical center (ASC) payment and status indicators.

The 2023 ICD-10-CM Expert for Home Health and Hospice, with our hallmark features and format, makes facing the challenge of accurate diagnosis coding easier. Use the codebook that contains the complete ICD-10-CM code set and the familiar Optum coding and reimbursement alerts for home health and hospice, including color bars and symbols that identify diagnosis codes for case mix, non-routine supplies, and non-cancer hospice diagnoses. Coding tips and definitions of commonly treated conditions specific to home health and hospice are also included. Guaranteed delivery before October 1, 2022. The timing of the CMS release of the Official Guidelines for Coding and Reporting might not allow for early delivery. Therefore, this early delivery version might contain the 2022 guidelines. A booklet containing the Official Guidelines for Coding and Reporting for 2023 will be shipped separately if the 2023 guidelines are not available at the time this edition goes to press.

Key Features and Benefits

• NEW — Optum Edge — ICONS for April updates. Easily distinguish between April and October new and revised codes with green icons for April and black for October changes.

• NEW — Optum Edge — Expanded Table of Drugs and Chemicals. Expanded to include updated drugs and codes listed with associated intent with icon to easily identify the added drugs.

• Optum Edge — Intuitive features and format. Visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X, and more.

• Supplementary appendixes. Additional information covering home health and hospice prospective payment systems, quality initiatives, supplies OASIS, and case mix groups.

• Product Updates. April and other ICD-10-CM changes and updates will be made available on the Optum Product Update page on Optumcoding.com for our valued ICD-10-CM customers.

• Coding tips and clinical definitions. Coding tips assist in appropriate code selection, while clinical definitions provide a better understanding of complex ICD-10-CM diagnostic terms.

• Updated index with shaded guides. The updated Index to Diseases and Injuries includes vertical shaded guides that show the indent levels for subentries under main terms.

• List of code changes and conversion table. A list of all 2023 new, revised, and deleted codes, plus an ICD-10-CM conversion table from the new and changed codes to the code previously used.

• Guidelines with coding examples. Official Guidelines for Coding and Reporting, including chapterspecific coding examples.

• Helpful illustrations. Detailed color anatomy illustration appendix. Plus, many illustrations at the code level identifying specific code-related anatomy

The 2023 ICD-10-CM Expert for Home Health and Hospice with Guidelines, with our hallmark features and format, makes facing the challenge of accurate diagnosis coding easier. Use the codebook that contains the complete ICD-10-CM code set and the familiar Optum coding and reimbursement alerts for home health and hospice, including color bars and symbols that identify diagnosis codes for case mix, non-routine supplies, and non-cancer hospice diagnoses. Coding tips and definitions of commonly treated conditions specific to home health and hospice are also included.

Key Features and Benefits

• NEW — Optum Edge — ICONS for April updates. Easily distinguish between April and October new and revised codes with green icons for April and black for October changes.

• NEW — Optum Edge — Expanded Table of Drugs and Chemicals. Expanded to include updated drugs and codes listed with associated intent with icon to easily identify the added drugs.

• Optum Edge — Intuitive features and format. Visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X, and more.

• Supplementary appendixes. Additional information covering home health and hospice prospective payment systems, quality initiatives, supplies OASIS, and case mix groups.

• Product Updates. April and other ICD-10-CM changes and updates will be made available on the Optum Product Update page on Optumcoding.com for our valued ICD-10-CM customers.

• Updated index with shaded guides. The updated Index to Diseases and Injuries includes vertical shaded guides that show the indent levels for subentries under main terms.

• List of code changes and conversion table. A list of all 2023 new, revised, and deleted codes, plus an ICD-10-CM conversion table from the new and changed codes to the code previously used.

• Guidelines with coding examples. Official Guidelines for Coding and Reporting, including chapterspecific coding examples.

• Helpful illustrations. Detailed color anatomy illustration appendix. Plus, many illustrations at the code level identifying specific code-related anatomy.

The 2023 ICD-10-CM Expert for Home Health and Hospice with Guidelines ebook, with our hallmark features and format, makes facing the challenge of accurate diagnosis coding easier. Use the codebook that contains the complete ICD-10-CM code set and the familiar Optum coding and reimbursement alerts for home health and hospice, including color bars and symbols that identify diagnosis codes for case mix, non-routine supplies, and non-cancer hospice diagnoses. Coding tips and definitions of commonly treated conditions specific to home health and hospice are also included.

Key Features and Benefits

• NEW — Optum Edge — ICONS for April updates. Easily distinguish between April and October new and revised codes with green icons for April and black for October changes.

• NEW — Optum Edge — Expanded Table of Drugs and Chemicals. Expanded to include updated drugs and codes listed with associated intent with icon to easily identify the added drugs.

• Optum Edge — Intuitive features and format. Visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X, and more.

• Supplementary appendixes. Additional information covering home health and hospice prospective payment systems, quality initiatives, supplies OASIS, and case mix groups.

• Product Updates. April and other ICD-10-CM changes and updates will be made available on the Optum Product Update page on Optumcoding.com for our valued ICD-10-CM customers.

• Updated index with shaded guides. The updated Index to Diseases and Injuries includes vertical shaded guides that show the indent levels for subentries under main terms.

• List of code changes and conversion table. A list of all 2023 new, revised, and deleted codes, plus an ICD-10-CM conversion table from the new and changed codes to the code previously used.

• Guidelines with coding examples. Official Guidelines for Coding and Reporting, including chapterspecific coding examples.

• Helpful illustrations. Detailed color anatomy illustration appendix. Plus, many illustrations at the code level identifying specific code-related anatomy.