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.

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 Level II 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. 

Each double-sided, laminated CPT® 2023 Express Reference coding card is designed to facilitate quick, yet accurate Current Procedural Terminology (CPT®) coding by including hundreds of the most reported CPT codes per medical specialty. These easyto-use reference cards allow health care professionals and practice staff to easily locate a desired code, which can then be referenced in the CPT codebook. A separate Modifiers card lists all CPT and HCPCS Level II modifiers for use with CPT codes.

FEATURES AND BENEFITS

• AMA EXCLUSIVE! — CPT medium descriptors, symbols, and official CPT guidelines included on the cards for each specialty.

• Illustrations and tables from the CPT® 2023 Professional Edition — provide visual examples of anatomy, procedures and services discussed within the codes.

• Formatted in code order by codebook sections and subsections — makes locating a code quick and easy for those familiar with the codebook.

• Portability — cards fit easily into the codebook.

• Durable — lamination creates a sturdy, tear-resistant resource suitable for daily use.

Each double-sided, laminated CPT® 2023 Express Reference coding card is designed to facilitate quick, yet accurate Current Procedural Terminology (CPT®) coding by including hundreds of the most reported CPT codes per medical specialty. These easyto-use reference cards allow health care professionals and practice staff to easily locate a desired code, which can then be referenced in the CPT codebook. A separate Modifiers card lists all CPT and HCPCS Level II modifiers for use with CPT codes.

FEATURES AND BENEFITS

• AMA EXCLUSIVE! — CPT medium descriptors, symbols, and official CPT guidelines included on the cards for each specialty.

• Illustrations and tables from the CPT® 2023 Professional Edition — provide visual examples of anatomy, procedures and services discussed within the codes.

• Formatted in code order by codebook sections and subsections — makes locating a code quick and easy for those familiar with the codebook.

• Portability — cards fit easily into the codebook.

• Durable — lamination creates a sturdy, tear-resistant resource suitable for daily use

Each double-sided, laminated CPT® 2023 Express Reference coding card is designed to facilitate quick, yet accurate Current Procedural Terminology (CPT®) coding by including hundreds of the most reported CPT codes per medical specialty. These easyto-use reference cards allow health care professionals and practice staff to easily locate a desired code, which can then be referenced in the CPT codebook. A separate Modifiers card lists all CPT and HCPCS Level II modifiers for use with CPT codes.

FEATURES AND BENEFITS

• AMA EXCLUSIVE! — CPT medium descriptors, symbols, and official CPT guidelines included on the cards for each specialty.

• Illustrations and tables from the CPT® 2023 Professional Edition — provide visual examples of anatomy, procedures and services discussed within the codes.

• Formatted in code order by codebook sections and subsections — makes locating a code quick and easy for those familiar with the codebook.

• Portability — cards fit easily into the codebook.

• Durable — lamination creates a sturdy, tear-resistant resource suitable for daily use.

Each double-sided, laminated CPT® 2023 Express Reference coding card is designed to facilitate quick, yet accurate Current Procedural Terminology (CPT®) coding by including hundreds of the most reported CPT codes per medical specialty. These easyto-use reference cards allow health care professionals and practice staff to easily locate a desired code, which can then be referenced in the CPT codebook. A separate Modifiers card lists all CPT and HCPCS Level II modifiers for use with CPT codes.

FEATURES AND BENEFITS

• AMA EXCLUSIVE! — CPT medium descriptors, symbols, and official CPT guidelines included on the cards for each specialty.

• Illustrations and tables from the CPT® 2023 Professional Edition — provide visual examples of anatomy, procedures and services discussed within the codes.

• Formatted in code order by codebook sections and subsections — makes locating a code quick and easy for those familiar with the codebook.

• Portability — cards fit easily into the codebook.

• Durable — lamination creates a sturdy, tear-resistant resource suitable for daily use.

Each double-sided, laminated CPT® 2023 Express Reference coding card is designed to facilitate quick, yet accurate Current Procedural Terminology (CPT®) coding by including hundreds of the most reported CPT codes per medical specialty. These easyto-use reference cards allow health care professionals and practice staff to easily locate a desired code, which can then be referenced in the CPT codebook. A separate Modifiers card lists all CPT and HCPCS Level II modifiers for use with CPT codes.

FEATURES AND BENEFITS

• AMA EXCLUSIVE! — CPT medium descriptors, symbols, and official CPT guidelines included on the cards for each specialty.

• Illustrations and tables from the CPT® 2023 Professional Edition — provide visual examples of anatomy, procedures and services discussed within the codes.

• Formatted in code order by codebook sections and subsections — makes locating a code quick and easy for those familiar with the codebook.

• Portability — cards fit easily into the codebook.

• Durable — lamination creates a sturdy, tear-resistant resource suitable for daily use

Each double-sided, laminated CPT® 2023 Express Reference coding card is designed to facilitate quick, yet accurate Current Procedural Terminology (CPT®) coding by including hundreds of the most reported CPT codes per medical specialty. These easyto-use reference cards allow health care professionals and practice staff to easily locate a desired code, which can then be referenced in the CPT codebook. A separate Modifiers card lists all CPT and HCPCS Level II modifiers for use with CPT codes.

FEATURES AND BENEFITS

• AMA EXCLUSIVE! — CPT medium descriptors, symbols, and official CPT guidelines included on the cards for each specialty.

• Illustrations and tables from the CPT® 2023 Professional Edition — provide visual examples of anatomy, procedures and services discussed within the codes.

• Formatted in code order by codebook sections and subsections — makes locating a code quick and easy for those familiar with the codebook.

• Portability — cards fit easily into the codebook.

• Durable — lamination creates a sturdy, tear-resistant resource suitable for daily use

Each double-sided, laminated CPT® 2023 Express Reference coding card is designed to facilitate quick, yet accurate Current Procedural Terminology (CPT®) coding by including hundreds of the most reported CPT codes per medical specialty. These easyto-use reference cards allow health care professionals and practice staff to easily locate a desired code, which can then be referenced in the CPT codebook. A separate Modifiers card lists all CPT and HCPCS Level II modifiers for use with CPT codes.

FEATURES AND BENEFITS

• AMA EXCLUSIVE! — CPT medium descriptors, symbols, and official CPT guidelines included on the cards for each specialty.

• Illustrations and tables from the CPT® 2023 Professional Edition — provide visual examples of anatomy, procedures and services discussed within the codes.

• Formatted in code order by codebook sections and subsections — makes locating a code quick and easy for those familiar with the codebook.

• Portability — cards fit easily into the codebook.

• Durable — lamination creates a sturdy, tear-resistant resource suitable for daily use

Each double-sided, laminated CPT® 2023 Express Reference coding card is designed to facilitate quick, yet accurate Current Procedural Terminology (CPT®) coding by including hundreds of the most reported CPT codes per medical specialty. These easyto-use reference cards allow health care professionals and practice staff to easily locate a desired code, which can then be referenced in the CPT codebook. A separate Modifiers card lists all CPT and HCPCS Level II modifiers for use with CPT codes.

FEATURES AND BENEFITS

• AMA EXCLUSIVE! — CPT medium descriptors, symbols, and official CPT guidelines included on the cards for each specialty.

• Illustrations and tables from the CPT® 2023 Professional Edition — provide visual examples of anatomy, procedures and services discussed within the codes.

• Formatted in code order by codebook sections and subsections — makes locating a code quick and easy for those familiar with the codebook.

• Portability — cards fit easily into the codebook.

• Durable — lamination creates a sturdy, tear-resistant resource suitable for daily use.

Each double-sided, laminated CPT® 2023 Express Reference coding card is designed to facilitate quick, yet accurate Current Procedural Terminology (CPT®) coding by including hundreds of the most reported CPT codes per medical specialty. These easyto-use reference cards allow health care professionals and practice staff to easily locate a desired code, which can then be referenced in the CPT codebook. A separate Modifiers card lists all CPT and HCPCS Level II modifiers for use with CPT codes.

FEATURES AND BENEFITS

• AMA EXCLUSIVE! — CPT medium descriptors, symbols, and official CPT guidelines included on the cards for each specialty.

• Illustrations and tables from the CPT® 2023 Professional Edition — provide visual examples of anatomy, procedures and services discussed within the codes.

• Formatted in code order by codebook sections and subsections — makes locating a code quick and easy for those familiar with the codebook.

• Portability — cards fit easily into the codebook.

• Durable — lamination creates a sturdy, tear-resistant resource suitable for daily use.