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CPT® 2017 Professional Edition

CPT®2017ProfessionalEditionisthedefinitiveAMA-authored resource to help health care professionals correctly report and bill medical procedures and services. Providers want accurate reimbursement. Payers want efficient claims processing. Since the CPT® code set is a dynamic, ever-changing standard, an outdated codebook does not suffice. Correct reporting and billing of medical procedures and services begins with CPT®2017Professional Edition.• IllustratedAnatomicalandProceduralReview• Codingtipsthroughouteachsection• CPT® Changes, CPT® Assistant, and Clinical Examples

in Radiology citations • Appendixofmultianalyteassayswithalgorithmicanalyses• Anatomicalandproceduralillustrationsforkeycodes• Section-specifictablesofcontents• Summaryofadditions,deletionsandrevisions• Multipleappendices

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CPT® 2017 Standard Edition

Correct reporting and billing of medical procedures and services begins with CPT® 2017 Standard Edition. The AMApublishestheonlyCPTcodebookwiththeofficialCPTcode guidelines developed by the CPT Editorial Panel. • Acomprehensiveindex• IllustratedAnatomicalReview• Alphabeticaltabularlistingofmostanalytesinthe

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CPT® Changes 2017: An Insider’s View

For a better understanding of the latest revisions to the CPT code set, rely on the best-selling CPT® Changes 2016: An Insider’s View. Find the meaning behind all of the changes included intheAMA’sCPT® Professional Edition codebook. Invest in this annual publication and get theinsider’sperspectiveintotheCPTcodesetdirectlyfromthesource—theAmericanMedicalAssociation.

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CPT Plus! 2017 Coder’s Choice PMIC’s best-selling CPT coding reference includes all official CPT codes with full descriptions, coding instructions and paren-thetical notes. Plus, it’s loaded it with extra features designed to improve the accuracy of your CPT procedure coding.

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Optum 2017 Current Procedural Coding ExpertTurn to the resource that goes beyond basic coding with the Current Procedural Coding Expert, your CPT®codingresource.Equippedwiththeentire2017CPT® code set with easy to use coding includes and excludes notes for coding guidance, and Medicare icons for speedy coding, billing and reimbursement, this easy-to-navigate resource will benefit physician practices,outpatienthospitals,andASCs.

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Coding with Modifiers: A Guide to Correct CPT and HCPCS Level II Modifier Usage, Fifth Edition CodingwithModifiersisrequiredreadingforanyonethatuses claim modifiers on a regular basis. This fifth edition uses the revised modifier guidelines to instruct the reader how and when to use modifiers. Real-life modifier scenarios aid the implementation of modifier guidelines.•Coding tips to explain how to use specific modifiers to clear

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Wasserman HCPCS 2017 Level II Code and Fee Guide• Codes,Modifiers&FeesforLevelIICodes• FEESfornew,usedandmonthlyrentalforsuppliesandequipment, andfeesforMedicarePartBDrugsAverageSalesPrice(ASP).

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AMA HCPCS 2017 Level II Professional EditionOrganizedforquickandaccuratecoding,HCPCSLevelII2017Professional 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 reimbursement. This professional edition includes such features as Netter’sAnatomyillustrations,dentalcodesandambulatorysurgicalcenter payment and status indicators.• AmericanDentalAssociation’sCDTdentalcodes• At-a-glancecodelistingsanddistinctivesymbols•Special coverage information • Jurisdictionsymbols


Optum 2017 HCPCS Level II ExpertAccuratelyreportsuppliesandservicesforphysician,hospitaloutpatient,andASCsettingswiththeOptum360HCPCSLevelIIExpert.UsethiscomprehensivereferencefortheHCPCScodesetthatfocuses 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 MedicareandMedicaidServices(CMS).


PMIC HCPCS 2017Maximize your Medicare reimbursement by using the most current HCPCS Level II codes. These codes must be used to bill Medicare for supplies, materials, injections, DME, rehab, and otherservices.OurHCPCSincludesexclusivefeaturessuchasthumbindexing,newlay-flatbinding and color coding, all designed to make coding faster and easier. • Includes all official HCPCS Level II codes• IncludesNationalCoverageDeterminationsManual(NCD) andMedicareCarriersManual(MCM)citations

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PMIC 2017 ICD-10-CM ThePMICversionofICD-10-CMincludesallofficialcodes,descriptions,indexesandtablesplusspecialfeaturestohelpyoucodeeasier,betterandfaster.ThePMICICD-10-CMincludes:

• ComprehensiveintroductiontoICD-10-CM

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• Thumb indexing to help you locate codes faster


PMIC 2017 ICD-10-PCSThePMICversionofICD-10-PCSincludesallofficialcodes,descriptions, indexes and tables plus special features to help you code easier,betterandfaster.ThePMICICD-10-CMincludes:

• ComprehensiveintroductiontoICD-10-PCS

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• Allofficialtables,includingtheTableofDrugsandChemicalsandtheNeoplasm Table

•Chapter specific guidelines preceding each chapter

•Definitions of medical terms at the code level


PMIC 2017 ICD-10-CM MappingMapping,alsoknownasGeneralEquivalenceMappingsorGEMs,isatoolforconvertingICD-9-CMtoICD-10-CMforwardmappingandICD-10-CMtoICD-9-CMbackwardmap-ping.GEMsareacomprehensivetranslationdictionarythatcanbeusedtoaccuratelyandeffectivelytranslateanyICD-9-CM-baseddata,includingdatafortrackingquality;recordingmorbidity/mortality;calculatingreimbursement;orconvertinganyICD-9-CM-basedapplicationtoICD-10-CM.

• LearntherelationshipofICD-9-CMcodestoICD-10-CMcodes

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Optum ICD-10-CM Expert for Physicians 2017The2017ICD-10-CMExpertforPhysicianswithourhallmarkfeaturesandformat,makesfacing the challenge of accurate diagnosis coding easier. Developed specifically to meet the needs of physicians, this code book is the cornerstone for establishing medical necessity, determiningcoverage,andensuringappropriatereimbursement.UsethecodebookthatcontainsthelatestHIPAAmandatedICD-10-CMcodeset,officialcodingandreportingguidelines,plusthefamiliarOptum360codingandreimbursementalertsyouhavecometorely upon.

In addition, the Expert version contains supplementary appendixesincluding:acodingtutorial,pharmacologylistings,a list of valid 3-character codes, and additional information on Z-codesforlongtermuseofdrugsandZ-codesthatcanonlybe used as a primary diagnosis.

• Illustrations and definitions in the tabular.• Intuitive features and format•Coding guideline explanations and examples.• Muscle/tendontranslationtable• Placeholder X

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Optum ICD-10-PCS 2017The2017ICD-10-PCScontainsthecompleteICD-10-PCScodesetandsupplementaryappendixesrequiredforreportingofinpatientprocedures.Inaddition,youwillfindthefamiliarOptum360codingandreimbursementalertsyouhavecometorelyuponincludingtheMedicareCodeEdits(MCE)fortheICD-10MS-DRGreimbursementsystem.

Intuitivelyorganizedinto17sectionsofcodetableswithsupplementary definitions tables and device and body part keys, theOptum360ICD-10-PCScodebooksetsthestandardforcoding accuracy which is the cornerstone of healthcare analytics and revenue cycle management.

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Optum ICD-10-CM Mappings 2017The2017ICD-10-CMMappingsreferencewasinitiallycreatedtoprepareyourofficeorfacilityforthedocumentationandcodingchallengesofthenewICD-10-CM code set. Diagnosis code mappings remain a valuable tool in linkingICD-9-CMhistoricalcodeddatatothecurrentICD-10-CMcoded data and will continue to be relevant for trending of case mix and medical severity, coding audits, reimbursement trending, andfinancialplanning.Usethisresourcetoidentifyallforwardandbackward mappings of ICD-9-CM codes to their corresponding ICD-10-CMcodes.



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Coding from the Operative Report for ICD-10-CM and PCS 2017CodingfromtheOperativeReportforICD-10-CMand-PCSisanidealresourceforyourinpatientcoderstotesttheirICD-10-CMandPCS coding skills with detailed, inpatient cases. Your coding staff will be able to practice with these real-life operative report-based coding challenges.


Principles of ICD-10-CM Coding Fourth EditionPrinciplesofICD-10-CMCodingprovidesthetoolsneededforprovidersandpayerstoaccuratelyandeffectivelyusetheICD-10-CM code set. It clarifies the new diagnosis codes in detail to assist inmakingcorrectICD-10-CMcodingchoices.Examplesofreal-lifechart notes are included.• UnderstandthepurposeofICD-10-CManditsrelationshiptothe

reimbursement process • Understandandapplycodingconventionswhenassigningcodes• Interpret basic coding guidelines for outpatient care • AssignICD-10-CMcodestothehighestlevelofspecificity• ProperlysequenceICD-10-CMcodes• AvailableDate:February2017


Principles of ICD-10-CM Coding Workbook, Fourth editionDesigned as an independent study tool, as well as for school programs or in-house organizational training, each chapter includes a brief introduction, exercises and case studies that correspond to eachchapterintheICD-10-CMcodebook.• Updatedcodeset• ICD-10-CMchartnotes• Hands-onexercisesforeachcaseusingfill-in-the-blankquestions(includesanswerkeyswithrationale)

• OrganizedbyICD-10-CMspecialty• AvailableDate:February2017


ICD-10-CM Documentation 2017:A How-To Guide for Coders, Physicians, and Healthcare Facilities

DesignedforusealongsideanICD-10-CMcodebook,thiscomprehensive training guide provides all the tools necessary to conduct an effective documentation analysis and to create a corrective action plan, making it ideal for both non-facility and facility coders. The chapter organization mirrors the structure of codebooks and all guidance is geared toward the process of code decision-making.Inaddition,exercisesandquizzestestknowledgeandunderstanding of key points throughout the book.



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ICD-10-CM 2017ICD-10-CM 2017: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. • Morethan2,600newcodes,revisionsanddeletions,plusguidelineupdatesproposedfor2017

• Illustrations and definitions in the tabular listing•Coding guideline explanations and examples• Muscle/tendontranslationtable• Intuitive features and format• Placeholder X


ICD-10-PCS 2017ICD-10-PCS 2017: The Complete Official Codebook containsthecompleteICD-10-PCScodesetandsupplementaryappendixesrequiredforreportinginpatientprocedures.Thisillustratedcodebookpresentsthecodesetin17sectionsoftablesarrangedbygeneral procedure type. Tables within the extensive Medical and Surgical section are additionally sectioned out by body system, indicated by color-coded page borders. • Morethan4,000newcodesandrevisionspropsedfor2017• llustrations of body parts accompanying the Character Meaning Tables• Officialcodingguidelines•Color-coding and symbols for the Medicare Code Edits. •Detailed information on the structure and conventionsofICD-10-PCS

• CompletesetofICD-10-PCScodes• Intuitive features and format. • Basictutorialwithcodingscenarios.


ICD-10-CM Mappings 2017ICD-10-CMMappings2017wascreatedinitiallytopreparephysicianofficesorfacilitiesforthedocumentationandcodingchallengesofthetransitiontotheICD-10-CMcodeset. Even after the transition, diagnosis code mappings remain a valuable tool in linking historicalICD-9-CMcodeddatatothe2017ICD-10-CMcodesandwillcontinuetobe relevant for trending of case mix and medical severity, coding audits, reimbursement trendingandfinancialplanning.UsethisresourcetoidentifyallforwardandbackwardmappingsofICD-9-CMcodestotheircorrespondingICD-10-CMcodes.• Morethan2,500newcodes,revisionsanddeletions,plusguidelineupdatesproposedfor2017

• Forward and backward mappings.• Equivalentmappingiconidentifiesone-to-onemapping.• ICD-10-CMcombinationcodes.•Must-have resource to update your office’s coding and billing tools.• Easy-to-use table format.• UnlockhistoricalICD-9-CMcodeddata.


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CorrectCoder for Edits™ Book 2017CorrectCoderforUnbundlingcontainsover900,000Surgical,Radiology,LaboratoryandE&Munbundlingalerts.TheCorrectCoding Initiative is not just for Medicare! CCI is a tool used by private payers to determine appropriate billing of CPT codes and HCPCS codes. This spiral bound book incorporates all code changes instituted by CMS and represents the most up-to-date compilation of correct coding edits and mutually exclusive codes in a comprehensive yet easy-to-use format. Usingthemostrecentcodingeditsinsuresyouwillreceivefulland appropriate reimbursement for the medical services you provide and reduces your audit exposure.

NCCI is required for both Medicare and Medicaid and used by most third party payers.

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CrossCoder™allowssearches(CPTcodetoICDcode)and reversesearches(ICDcodetoCPTcode)forover12,000 CPT/HCPCScodesincludingJCodes,LevelIIHCPCS&anesthesiaand over14,000ICDdiagnosiscodesincludingaccidentandinjurycodes.

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• SetConversionFactorinFeeManager• Easyexportingfrommainscreen• PC/Windowssolutionforcreatingandmanaging MedicareandotherRBRVSbasedfeeschedules• Createdefensiblefeeschedulesutilizingthesamedata as many payers - Set your own conversion factors. RBRVSEZ-Feesiscompletelyupdatedfor2017with newRVU’s,GPCI’sandCF• ALLU.S.Localities(includingNationalValues) Look up by zip code or county• Feesforfacility,non-facility,participating,non-participating and limiting charge• ExcellentforMedicare,ManagedCare(HMOs&PPOs) and some Workers’ Comp• Over10,000CPT® Codes including HCPCS Level II Codes• IncludesOPPSfeecaps,HPSAbonusindicators• Injections-JCodes(NEW-NDCCrosswalk),DMEPOS&LabFees (ProfessionalVersionOnly)• ASC&DRG(ProfessionalPlusVersionOnly)• FullandShortCPTDescriptions-LocateanyCodeinseconds• ReviewandanalyzeRVUdataforphysiciancompensationandbonusstructures• Exportcodes,unitvalues&feestoASCII,Excel,Access• ForPC/WindowsCD-ROM• UserFriendly-FREEUpdatesandTechSupport

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cPt expressreference coding card

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CPT® 2017 Express Reference Coding Card

Each double-sided, laminated CPT®2017ExpressReferencecodingcardisdesignedtofacilitatequick,yetaccurateCPTcodingbysupplyinghundreds of the most commonly reported CPT codes per medical specialty. These easy-to-use reference cards allow health care providers and staff members to easily locate a desired code, which can then be referencedintheCPTcodebook.Aseparatecardlistsallmodifiersusedwith CPT and HCPCS codes.

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ICD-10-CM 2017 Snapshot Coding Cards Theserevisedandup-to-datecodingcardsofferasnapshotoftheICD-10-CMcodebook,providing commonly reported diagnostic codes and the associated guidelines for major specialties.Thecardsdetailthespecificityrequiredtoimprovedocumentation.Pushpiniconshelp Snapshot card users connect coding tips back to specific codes. These easy-to-use ref-erencecardsallowhealthcareprovidersandstaffmemberstoquicklylocateadesiredcode.


ICD-10-PCS 2017 Snapshot ThisAMAcodingcardpackageoffersasnapshotoftheconfigurationofICD-10-PCS,providing greater understanding of the organizational structure and complexitiesofICD-10proceduralcodes.Definitionsandchartssimplifythe meaning of character values for Snapshot users.

This easy-to-use, ring-bound collection of reference cards helps health care providersandstaffmembersmastertheintricaciesofICD-10-PCS.The2017editionincorporatestheextensivechangesanticipatedfortheICD-10-PCScodeset.Don’trelyonoutdatedinformation!


CPT® is a registered Trademark of the American Medical Association

Specialties Available•BehavioralHealth •GeneralSurgery •Orthopaedics

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2017 DRG Expert (ICD-10-CM)The2017DRGExperthasbeenatrustedandcomprehensivereferencetotheDRGclassificationsystemforover25years.Organizedbymajordiagnosticcategory(MDC),theconvenientandinnovativebooklayoutfollowsthelogicalMS-DRGdecisionprocess.Thisisamust-havereferenceforthosewhoneedtoverifyDRGinformationandaccuratelyassignMS-DRGsconcurrentlyorretrospectivelybasedonICD-10-CMmethodology,whichgoesintoeffectOctober1,2016.

• EasilylocatethecorrectDRG.• Alphabeticandnumericindexes•Medicare CMS rate structure.• LTC-DRGcrosswalkandcurrentratestructure• InpatientMedicare“MedPAR”benchmarkingdata


2017 Coders’ Desk Reference for DiagnosesThe2017Coders’DeskReferenceforDiagnosesprovidesthousandsofclinicaldescriptionsof diseases, disease processes, injuries, poisonings, and other conditions to help both novicesand seasoned coders attain the knowledge and skill necessary to accurately identify and assignthemostspecificICD-10-CMdiagnosiscodeforeachcondition.With these clinical definitions and focus points, you can reduce coding errors and improvecoding confidence by gaining a better understanding of the clinical meanings behind the codes.

•More clinical descriptions and focus points• Illustrations at the chapter and code levels•Code Level Clinical Description• Clinical Focus Points• AlphanumericOrganizationbyICD-10-CMCode• EnhanceUnderstandingofICD-10-CM• DesignedforBothNovicesandSeasonedCoders.

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Coders’ Desk Reference for Procedures TheCoders’DeskReferenceforProceduresisacomprehensiveresourceforall2017CPT®codes. This all-inclusive tool helps identify the minute differences between, and components of, similar CPT® codes. You’ll 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.Plus, this reference is ideal for training new coders and medical staff in the CPT® coding system.

•Comprehensive CPT® code listing with CPT® procedure lay descriptions• E/Mcodeexplanations• Billingandmodifierdefinitionsandusagerules•Surgical terms chapter• Procedure eponym crosswalk•Reimbursement terms glossary• Abbreviation,acronym,symbol,prefix,andsuffixtutorial• Anatomicalillustrations


CPT® is a registered Trademark of the American Medical Association

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2017 CPT®, ICD-10-CM, and HCPCS Data FilesMedicaldataFiles.com is your one-stop web site for low-cost medical data files.Ourgoalistoprovidethemostup-to-datedatafilesinavarietyoffileformats(Excel,ASCII,Access,dBASE&FoxPro)atthelowestprices.AsalicensedCPTvalueaddedresellerallsalesincluderoyaltypayments(AMA).Ourcustomersincludeproviders,thirdpartypayers,managedcare(HMO/PPO),TPAs,consultants,billingservices,andsoftwaredevelopers.Specialvolume discount pricing is available for network users. Check website for most current file versions. FREE e-mail delivery!

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