2016 Procedural Coding Bundle

Product Code: DHMPPPCEB16

Quick Overview

Publication Date Dec 28, 2015

Price: $171.00

2016 Procedural Coding Bundle

Everything you need in one complete Procedural Coding Bundle!

To code claims correctly, you need more than just the code set. You need tools and resources that will guide your code choices—DecisionHealth's 2016 Complete Procedural Coding bundle. The 2016 Procedural Coding Expert puts all valid CPT® codes and descriptions at your fingertips, and includes guidance on how the codes will be valued and covered for reimbursement purposes. The companion material found in the 2016 Plain English Descriptions for Procedures provides the non-clinical coder with explanations of procedures to ensure complete understanding of the services being performed for complete coding. Designed to work with your CPT code book, each code/code range is listed sequentially with its actual CPT code description and a concise explanation of clinical components encompassed by the code.

Features & Benefits:

  • 2016 Procedural Coding Expert

    • All CPT codes and full descriptions and icons—avoid coding confusion and HIPAA compliance with a full list of all valid 2016 CPT® codes, their long code descriptions, and all CPT icons including add-on code, conscious sedation, and modifier 51 and modifier 63 exempt

    • UPDATED! New, Revised and Deleted CPT Codesquickly spot code changes thanks to code change icons. This is the ONLY code book that highlights deleted codes with a strikethrough and cross-reference to the valid replacement code rather than removing deleted codes entirely to boost coder awareness of deleted codes and ease transition confusion.

    • EXCLUSIVE! All codes in numeric sequence—unlike most code books, you never find a CPT code to be out of numeric order in this guide. No more wasted time and confusion hunting foror worse, overlookingcodes.

    • Coding Guidance and Coding Tips—simplify code selection with added clarification.

    • EXCLUSIVE! Documentation Finder – tips highlighting synonyms and/or supporting chart references essential to bridging clinical and coding nomenclature and defending medical necessity for the respective procedure.

    • UPDATED! Best-in-class index—code faster with DecisionHealth’s proprietary index that gives you multiple ways to find a procedure, encounter, test, etc.

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

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

    • UPDATED! Medicare Pub. 100 citationsidentify where to find critical guidance on Medicare coverage.

    • More than 650 illustrationsvisual insight to interpret clinical notes more effectively

    • Five-star introduction—gain essential information such as CPT® coding fundamentals, listing and descriptions of modifiers, common medical abbreviations, prefixes, suffixes and roots, a glossary of coding terms, detailed explanations of all icons and data elements, and multiple summary tables including code additions, deletions and revisions.

    • UPDATED! AMA CPT Assistant citationsidentify where to find critical guidance on CPT codes.

    • UPDATED! Facility and non-facility Relative Value Units (RVUs)—no need to reach for an extra reference to make sequencing decisions when reporting multiple CPT codes. Breakdowns included for technical component (TC) and professional component (PC) codes when applicable.

    • UPDATED! Global Days and MUE Billing Restrictionsno need to reach for an extra reference to check Medical global follow-up days and frequency edits for each code.

    • 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! Medicare Reimbursement iconsModifiers 51, 50, 80 & 62 indications included so that you understand payment adjustments that can occur when billing the procedure.

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

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

    • Maternity Icons

    • 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.

  • 2016 Plain English Descriptions for Procedures

    • UPDATED! Plain English Descriptions for more than 8,000 CPT® codes—increase coding accuracy with the clarification you need to choose the correct code, every time.

    • UPDATED! Complete AMA CPT® code descriptions—no need to refer back to a second resource for the official descriptions.

    • Detailed, full-page anatomy illustrations—better interpret clinical notes to code with greater specificity.

    • Procedure illustrations—gain greater insight into specific procedures for more accurate coding.

    • E/M coding guidelines—master proper documentation and proper assignment of evaluation and management codes.

    • Easy look-up of medical prefixes/suffixes—better understand terms used in the medical record.

    • Eponyms, acronyms, and common abbreviations—quickly decipher clinical notes with these critical elements contained within each plain English description.

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