Product Catalog

• New modifiers added to Appendix A
• Editorial revisions of the code ranges located in the parenthetical notes for resequenced codes to provide more succinct ranges
• The addition of proprietary laboratory analyses (PLA) codes at the end of the Pathology/Laboratory section
• An update of all procedural illustrations from spot color to full color
• More detailed section titles and section labeling to improve code look up

Publication Date:                       December 2017
Publisher:                                  American Medical Association
Binding and Size:                      Spiralbound, 8½" × 11"
Page Count:                              Approx. 389
Item Number:                            OP231518
ISBN:                                         978-1-62202-612-8
List Price:                                  $99.95     
Member Price:                         $79.94 + Free Shipping     

• 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

• NEW! HCC risk adjustment symbol. The symbol Identifies those diagnoses in the tabular list associated with CMS hierarchical condition categories (HCCs).
• NEW! Appendix on risk adjustment coding and reporting requirements. This appendix supplies the details needed for HCC coding
• NEW! List of deleted codes. Quickly see the complete list of codes removed from the ICD-10CM code set since publication of the 2017 edition.
• Illustrations and definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury.
• Intuitive features and format. This edition includes visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes.
• Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section.
• Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons
• Placeholder X. This icon alerts the coder to an important ICD-10-CM convention - the use of a “placeholder X” for three-, four- and five-character codes requiring a seventh character extension.

• New codes, revisions and deletions, plus guideline updates for 2018 — final 2018 changes will be integrated into every pertinent chapter, checklist, scenario and quiz
• Detailed, full-page anatomy illustrations — for better interpretation of clinical notes
• Checklists to identify documentation elements — for categories, subcategories and codes
• Checklists for specialty-specific documentation — to review current records and identify any documentation deficiencies
• ICD-10-CM documentation scenarios — display documentation requirements with important elements highlighted
• CDI checklists — identify common documentation deficiencies faced when coding COPD, Pneumonia and Sepsis/SIRS
• Glossary of Medical Terminology
• Scenarios — illustrate required documentation in ICD-10-CM with additional ICD-10 requirements highlighted so readers can understand where the documentation will appear in common coding scenarios based on real-life health care encounters
• End of chapter quizzes — dive into coding practice with the conditions discussed in each chapter

• NEW FOR 2018! The complete RVU table in an electronic file. Purchase the book and receive access to the complete RVU table in an Excel file format. Use the file to sort, filter, calculate, and present the data to meet your needs. Quarterly updates are also available. Initial file and quarterly updates will be delivered by an emailed link.
• Critical insight into the RBRVS system - detailed background information on the RBRVS system, an in-depth explanation on the key components and operation of the payment system, use of the RBRVS by Medicare and the private sector, geographic adjustments, conversion factors, limits on physician charges and CMS adoption of the Physician Practice Information Survey Data and other Practice Expense Methodology changes
• Updated information on the Medicare Physician Fee Schedule, payment rules, and the conversion factor - covers new payment rules that take effect in 2018
• Updated RVUs for 2018 CPT® codes including every RVU element - Physician Work, Practice Expense (Facility and Nonfacility) and Professional Liability Insurance
• List of RVUs for CPT and HCPCS–coded procedures and services — calculate and establish physician charges using RBRVS relative values
• List of RVUs for anesthesiology services
• List of geographic practice cost indices (GPCIs, pronounced as “gypsies”) for each for each Medicare payment locality - Physician Work, Practice Expense and Malpractice Insurance

• CPT and HCPCS coding
• An overview of documentation, insurance, and reimbursement principles

• New content! New chapters covering documentation, NCCI edits, HIPAA, payment, insurance, and fraud and abuse principles build the reader’s awareness of these inter-related and interconnected concepts with coding.
• New learning and design features
  •  Vocabulary terms highlighted within the text and defined within the margins that conveniently aid readers in strengthening their understanding of medical terminology
  • “Advice/Alert Notes” that highlight important information, exceptions, salient advice, cautionary advice regarding CMS, NCCI edits, and/or payer practices
  • Call outs to “Clinical Examples” that are reminiscent of what is found in the AMA publications CPT® Assistant, CPT® Changes, and CPT® Case Studies
  •  “Case Examples” peppered throughout the chapters that can lead to valuable class discussions and help build understanding of critical concepts
  •  Code call outs within the margins that detail a code description
  • Full-color photos and illustrations that orient readers to the concepts being discussed
  • Single-column layout for ease of reading and note-taking within the margins
  • Exercises that are Internet-based or linked to use of the AMA CPT® QuickRef app that encourage active participation and develop coding skills
  • Hands-on coding exercises that are based on real-life case studies
• New and extensive end-of-chapter “Evaluate Your Understanding” sections that include open ended questions, true-orfalse questions, a terminology assessment, hands-on case studies based on real-life scenarios for coding, Internet-based exercises, and questions paired exclusively to the new AMA CPT® QuickRef app
• New educator resources that include an instructor’s manual, chapter slide presentations, test bank, and mock certification exams
• New binding that allows for lay-flat display of pages when the book is in use and easy recognition of the title when the book is shelved
• Updated “Coding Tips” and “Examples” that highlight and clarify content and increase understanding, respectively