2016 HCPCS Level II Expert

Product Code: DHMPBHCPCS16

Quick Overview

ISBN 978-1-58383-842-6
Publication Date Dec 28, 2015

Price: $109.95

2016 HCPCS Level II Expert

Identify and accurately report HCPCS Level II codes, as well as appropriately submit claims to the DME MAC or Part B MAC with the 2016 HCPCS Level II Expert.

If you bill for durable medical equipment (DME), injections, Medicare services, drugs and medical supplies, compliant, complete coding depends on you having the most up-to-date code set.

Plus, G codes found only in this manual are required for billing of Medicare PQRS measures and other Medicare-covered services such as Annual Wellness Visits.

This coding manual is ideal for physician practice, hospital and ambulatory surgery center coders to locate and report codes and modifiers quickly and accurately using the full HCPCS Level II code set annotated with helpful reimbursement indicators.

Features & Benefits:

  • UPDATED! New, Revised and Deleted HCPCS Level II Codesquickly spot code changes thanks to code change icons. This is the ONLY code book that strikes through deleted codes versus removing them entirely to boost coder awareness of deleted codes and ease transition confusion.

  • UPDATED! Expanded Alphabetical IndexDecisionHealth's proprietary index gives you multiple ways to find a drug, device or supply quickly.

  • UPDATED! DMEPOS icons identify reimbursement opportunitiesspot Medicare allowed billing opportunities for certain durable medical equipment, prosthetics, orthotics, and supplies.

  • UPDATED! Deleted codes crosswalkquickly identify new valid codes that have replaced temporary codes and other deleted codes.

  • G Codes for PQRSclarifies requirements for your PQRS reporting program.

  • NEW! National Coverage Determination (NCD) policy citations at the code levelensure compliance with Medicare coverage policy for certain HCPCS procedures and professional services.

  • UPDATED! Medicare Pub. 100 informationincluded with associated code and full descriptions in Appendix in the back of the book

  • UPDATED! Table of Drugs Appendixfind J codes more quickly with cross- referenced Brand names.

  • Age and sex edit iconssee at a glance codes with restrictions based on age or sex of the patient to help reduce claims denials.

  • UPDATED! APC and ASC Payment Iconsquickly identify reimbursement opportunity. Icons identify 23 specific OutPatient Prospective Payment System (OPPS) payment statuses, as well as 18 ASC groupings to improve reimbursement.

  • UPDATED! AHA Coding Clinic for HCPCSidentify where to find critical guidance on challenging HCPCS Level II codes or sections.

  • Male/Female Coverage Iconsspot gender-specific billing restrictions to prevent denials

  • Icons denote specific payment rulesknow immediately if patients are responsible for non-covered procedures with handy icons noting drugs and services not reimbursed by Medicare, plus icons warning of carrier and/or special policy cover instructions.

  • Illustrationsvisual insight to specific equipment, supplies and services helps you interpret clinical notes more effectively.

  • HCPCS Level II modifiersensure that required modifiers are appended to codes reducing delays and denials.

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