Alternate Part Number(s): 978-1-61669-777-8, 9781616697778

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.

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 2024 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 page.
• Helpful illustrations. Detailed illustrations provide a better understanding of the anatomy related to
dental procedures and services.

CPT is a registered trademark of the American Medical Association. CDT © 2021 American Dental Association.

Our Coding and Payment Guide for Medical Oncology/Hematology Services is your one-stop coding,
reimbursement, and documentation resource developed exclusively for oncology and hematology medical
services. This comprehensive and easy-to-use guide is updated for 2024 and organized by specialtyspecific 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
• 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.
• 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 with the CPT® code, including
illustrations, lay descriptions, coding tips, clinical terms, Medicare edits, IOM references, and
commonly associated ICD-10-CM 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. The detailed illustration section provides a better understanding of anatomy.
• ICD-10-CM Neoplasm Table. Provides an alphabetic listing directly from the 2024 ICD-10-CM table of
malignant neoplasms.
• 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 the
Optumcoding.com Product Update page.
CPT is a registered trademark of the American Medical Association.

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.

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.

CPT® 2024 Professional Edition is the definitive American Medical Association (AMA)-authored resource to help health care
professionals correctly report and bill medical procedures and services. Health care professionals want accurate reporting of
services rendered and reimbursement. Payers want efficient claims processing. Correct reporting and billing of medical procedures
and services begins with CPT® 2024 Professional Edition.
Only the AMA, with the help of physicians and other experts in the health care community, creates and maintains the Current
Procedural Terminology (CPT®) code set. No other codebook has the accurate, complete official guidelines for the latest and
current procedural terminology for procedures and services to help you code and report medical services and procedures properly.
The AMA also takes the copyright protection of its content very seriously and is committed to providing the most effective antipiracy efforts for its authors and readers, such as inclusion of the Amazon Anti Privacy Sticker and nonintrusive light-yellow dots on
almost every page to reduce print reproduction in accordance with current copyright rules and laws.
Recognizing that racism is a threat to the advancement of health equity and a barrier to appropriate medical care, as well as the
power of images in contributing and limiting what bodies physicians, medical professionals, and students learn to see and define
as normal and standard, the CPT 2024 Professional Edition will feature diversity-related illustrations to counter a deep-seated,
culturally, and systemically biased norm. These diversity-related images continue advancing inclusive and equitable representation
of a diverse range of skin tones in our medical educational resources for everyone who uses our codebook in their daily work,
practice, and education.

FEATURES AND BENEFITS
The CPT® 2024 Professional Edition codebook covers hundreds of code, guideline and text changes and features:
• CPT® Changes, CPT® Assistant, and Clinical Examples in Radiology citations — provides cross-referenced
information to popular AMA resources that can enhance your understanding of the CPT code set.
• A comprehensive index — locate codes related to a specific procedure, service, anatomic site, condition, synonym,
eponym or abbreviation quickly.
• Anatomical and procedural illustrations — help improve coding accuracy and understanding of the anatomy and
services/procedures discussed.
• Overall codebook table of contents —enable a quick search of the entire codebook’s content for quick access.
• Section table of contents — provide a useful tool to navigate effectively and quickly through each section’s codes.
• Complete list of the additions, deletions and revisions for codes and code descriptors — provide a summary and
quick reference of the 2024 changes in the codes without having to compare editions.
• Multiple appendices — offer additional information for modifiers, add-on codes, images vascular families, resequenced codes, MAAAs and PLA services, COVID-19 vaccines and administration codes, and digital medicineservices taxonomy.
• New Appendix S — Artificial Intelligence Taxonomy (AI) for Medical Services and Procedures — provide
guidance for classifying various AI applications of AI for medical services and procedures.
• New Appendix T — Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive
Audio-Only Telecommunications System—–list all audio-only telemedicine CPT codes.
• Comprehensive E/M code selection tables — aid physicians and coders in assigning the most appropriate
evaluation and management codes.
• Notes pages at the end of every code set section and subsection. 

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.

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.

Organized for quick and accurate coding, HCPCS Level II Professional 2024 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.

FEATURES AND BENEFITS
• Full-color Netter’s anatomical illustrations clarify complex anatomic information and how it affects coding.
• At-a-glance code listings and distinctive symbols identify all new, revised, reinstated, and deleted codes
for 2024.
• The American Hospital Association Coding Clinic® for HCPCS citations provide sources for information
about specific codes and their usage.
• Convenient spiral binding provides easy access in practice settings.
• Quantity feature indicates maximum allowable units of service per patient, per day, for physician and hospital
outpatient per medically unlikely edits (MUEs) for enhanced accuracy on claims.
• Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class
(NDC) directory and other Food and Drug Administration (FDA) approved drugs.
• Color-coded Table of Drugs makes it easier to find specific drug information.
• Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators clearly identify supplies to
report to durable medical third-party payers.
• Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital
Outpatient Prospective Payment System.
• American Dental Association (ADA) Current Dental Terminology code sets offer access to all dental
codes in one place.
• Jurisdiction symbols show the appropriate contractor to be billed for suppliers submitting claims to Medicare
contractors, Part B carriers and Medicare administrative contractors for DMEPOS services.
• Special coverage information provides alerts when codes have specific coverage instructions, are not valid
or covered by Medicare or may be paid at the carrier’s discretion.
• Age/Sex edits identify codes for use only with patients of a specific age or sex

The 2024 ICD-10-CM Expert for Skilled Nursing Facilities and Inpatient Rehabilitation Facilities
with Guidelines, uses our hallmark features and format, making facing the challenge of accurate
diagnosis coding easier. This code book contains the complete ICD-10-CM code set with Optum
coding and reimbursement alerts for SNF and IRF, including color-coding and symbols identifying
diagnoses for components of the Patient-Driven Payment Model (PDPM) and RIC. Coding tips and
definitions of commonly treated conditions specific to these PAC settings are also included.

Key Features and Benefits
• 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.
• 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.
• 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.
• Supplementary appendixes. Additional coding and reimbursement information on PDPM for SNF
and IRF services, and Medicare coverage, quality initiatives, and long-term care guidelines.
• 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 2024 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
chapter-specific coding examples.
• Helpful illustrations. Detailed color anatomy illustration appendix. Plus, many illustrations at the
code level identifying specific code-related anatomy.

The 2024 ICD-10-CM Expert for Home Health and Hospice, with early delivery, uses our hallmark
features and format, making 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, 2023. 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 2023 guidelines. A booklet containing the Official Guidelines for Coding and Reporting for
2024 will be shipped separately if the 2024 guidelines are not available at the time this edition goes to
press.

Key Features and Benefits
• 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.
• 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.
• 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.
• 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 2024 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 2024 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
• 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.
• 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.
• 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.
• 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 2024 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
chapter-specific coding examples.
• Helpful illustrations. Detailed color anatomy illustration appendix. Plus many illustrations at the code
level identifying specific code-related anatomy.

The 2024 ICD-10-CM Expert for Skilled Nursing Facilities and Inpatient Rehabilitation Facilities
with Guidelines, uses our hallmark features and format, making facing the challenge of accurate
diagnosis coding easier. This code book contains the complete ICD-10-CM code set with Optum
coding and reimbursement alerts for SNF and IRF, including color-coding and symbols identifying
diagnoses for components of the Patient-Driven Payment Model (PDPM) and RIC. Coding tips and
definitions of commonly treated conditions specific to these PAC settings are also included.

Key Features and Benefits
• 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.
• 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.
• 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.
• Supplementary appendixes. Additional coding and reimbursement information on PDPM for SNF
and IRF services, and Medicare coverage, quality initiatives, and long-term care guidelines.
• 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 2024 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
chapter-specific coding examples.
• Helpful illustrations. Detailed color anatomy illustration appendix. Plus, many illustrations at the
code level identifying specific code-related anatomy.

The 2024 ICD-10-CM Expert for Home Health and Hospice, with early delivery, uses our hallmark
features and format, making 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, 2023. 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 2023 guidelines. A booklet containing the Official Guidelines for Coding and Reporting for
2024 will be shipped separately if the 2024 guidelines are not available at the time this edition goes to
press.

Key Features and Benefits
• 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.
• 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.
• 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.
• 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 2024 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 2024 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
• 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.
• 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.
• 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.
• 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 2024 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
chapter-specific coding examples.
• Helpful illustrations. Detailed color anatomy illustration appendix. Plus many illustrations at the code
level identifying specific code-related anatomy.