PDF-(READ)-HCPCS Level II Professional 2014

Accurately report supplies and services for physician hospital outpatient and ASC settings with the Optum HCPCS Level II Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement This userfriendly book will guide any coder confidently through current modifiers code changes additions and deletions with information as dictated by the Centers for Medicare and Medicaid Services CMS Features and benefits Hallmark features found in all of the HCPCS Level II code books PQRS icons Recognize potential for Medicare quality reporting bonus payments with icons denoting which HCPCS codes fall under the Physician Quality Reporting System Comprehensive code updates Access 2012 HCPCS MPFS and OPPS files for HCPCS Level II as well as deleted codes APC status indicators and ASC designation symbols Determine which codes are payable under OPPS which codes enable billing using ASC groupings and how to accurately use each to help ensure appropriate billing and reimbursement DMEPOS icon Distinguish codes paid under the DMEPOS fee schedule to improve efficiency when coding for supplies that should be submitted under the system to durable medical payers Indepth illustrations Enhance your coding process and accuracy for supplies and services with detailed visual references AHA Coding Clinic for HCPCS references Receive added support with articles on difficulttocode HCPCS Level II codes or sections Colorcoded bars and icons Spot important information to help reduce inaccurate and denied claims with informative flags signaling Pub 100 references age and sex edits quantity alerts newdeletedrevised code changes and government coverage and rules for each code Userfriendly appendixes Navigate additional information easily with structured references and excerpts including the National Coverage Manualformerly Medicare Coverage Manual MIM and Coverage Issues Manual CIM Most. Organized for quick and accurate coding, HCPCS Level II 2021 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 Anatomy illustrations, dental codes, and Ambulatory Surgical Center (ASC) payment and status indicators.FEATURES AND BENEFITSFull-color Netter’s Anatomy 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 codesfor 2021.The American Hospital Association Coding Clinic® for HCPCS citations provides sources for informationabout specific codes and their usage.Convenient spiral binding provides easy access in practice settings.Quantity feature highlights units of service allowable per patient, per day, as listed in the Medically UnlikelyEdits (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-codedTable 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 dentalcodes 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 validor 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. Organized for quick and accurate coding, this codebook includes the most current codes and regulations, which are essential references needed for accurate medical billing and maximum reimbursement. 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.FEATURES AND BENEFITSFull-color Netter’s anatomicalillustrations 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 2022.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-codedTable 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 dentalcodes 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. HCPCS 2017 Level II Professional Edition provides your practice a quick and accurate coding reference. Along with the most current HCPCS codes and regulations included in the codebook, you\'ll have everything needed for accurate medical billing and maximum reimbursement. Organized for quick and accurate coding, HCPCS Level II 2019 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 Anatomy illustrations, dental codes, and Ambulatory Surgical Center (ASC) payment payment and status indicators.Features and Benefits • Full-color Netter’s Anatomy 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 2019. • The American Hospital Association Coding Clinic® for HCPCS citations provides sources for information about specific codes and their usage. • Convenient spiral binding provides easy access in practice settings. • Quantity feature highlights units of service allowable per patient, per day, as listed in the 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-codedTable 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. Organized for quick and accurate coding, HCPCS Level II 2018 Professional Edition codebook includes the most current Healthcare Common Procedure Coding System 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 Anatomy illustrations, dental codes, and ASC (Ambulatory Surgical Center) payment and status indicators. Features and Benefits • Full-color Netter’s Anatomy 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 2018. • The American Hospital Association Coding Clinic® for HCPCS citations provides sources for information about specific codes and their usage. • Convenient spiral binding provides easy access in practice settings. • Quantity feature highlights units of service allowable per patient, per day, as listed in the 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. Organized for quick and accurate coding, HCPCS Level II 2020 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 Anatomy illustrations, dental codes, and Ambulatory Surgical Center (ASC) payment and status indicators.FEATURES AND BENEFITS • Full-color Netter’s Anatomy 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 2020. • The American Hospital Association Coding Clinic® for HCPCS citations provides sources for information about specific codes and their usage. • Convenient spiral binding provides easy access in practice settings. • Quantity featurehighlights units of service allowable per patient, per day, as listed in the 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. Organized for quick and accurate coding, HCPCS Level II 2021 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 Anatomy illustrations, dental codes, and Ambulatory Surgical Center (ASC) payment and status indicators.FEATURES AND BENEFITSFull-color Netter’s Anatomy 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 codesfor 2021.The American Hospital Association Coding Clinic® for HCPCS citations provides sources for informationabout specific codes and their usage.Convenient spiral binding provides easy access in practice settings.Quantity feature highlights units of service allowable per patient, per day, as listed in the Medically UnlikelyEdits (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-codedTable 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 dentalcodes 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 validor 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. 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.FEATURES AND BENEFITSFull-color Netter’s anatomicalillustrations 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 2022.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-codedTable 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 dentalcodes 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. HCPCS 2017 Level II Professional Edition provides your practice a quick and accurate coding reference. Along with the most current HCPCS codes and regulations included in the codebook, you\'ll have everything needed for accurate medical billing and maximum reimbursement. Organized for quick and accurate coding, HCPCS Level II 2018 Professional Edition codebook includes the most current Healthcare Common Procedure Coding System 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 Anatomy illustrations, dental codes, and ASC (Ambulatory Surgical Center) payment and status indicators. Features and Benefits • Full-color Netter’s Anatomy 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 2018. • The American Hospital Association Coding Clinic® for HCPCS citations provides sources for information about specific codes and their usage. • Convenient spiral binding provides easy access in practice settings. • Quantity feature highlights units of service allowable per patient, per day, as listed in the 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. Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the 2018 HCPCS Level II Professional. Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement. This user-friendly book will guide any coder confidently through current modifiers, code changes, additions and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS). Organized for quick and accurate coding, HCPCS Level II 2019 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 Anatomy illustrations, dental codes, and Ambulatory Surgical Center (ASC) payment payment and status indicators.Features and Benefits • Full-color Netter’s Anatomy 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 2019. • The American Hospital Association Coding Clinic® for HCPCS citations provides sources for information about specific codes and their usage. • Convenient spiral binding provides easy access in practice settings. • Quantity feature highlights units of service allowable per patient, per day, as listed in the 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-codedTable 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. Organized for quick and accurate coding, HCPCS Level II 2020 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 Anatomy illustrations, dental codes, and Ambulatory Surgical Center (ASC) payment and status indicators.FEATURES AND BENEFITS • Full-color Netter’s Anatomy 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 2020. • The American Hospital Association Coding Clinic® for HCPCS citations provides sources for information about specific codes and their usage. • Convenient spiral binding provides easy access in practice settings. • Quantity featurehighlights units of service allowable per patient, per day, as listed in the 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.