2023 HCPCS Level II Expert (Spiral)

Optum | 2023 | Elizabeth Leibold; Jaqueline Petersen



104.95
List Price

Item #: HS23
ISBN: 9781622548200
Available: Dec 2022








Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the 2023 HCPCS Level II Expert. Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement. This user-friendly book guides any coder confidently through current modifiers, code changes, additions, and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS).
  • Most complete HCPCS code set available. Find information on codes from sources that generate HCPCS codes, including CMS, OPPS addendum B, and the Medicare fee schedule.
  • Table of Drugs. Locate both generic and brand-name drugs and their corresponding codes based on the amount and route of administration.
  • Comprehensive code updates.
  • Glossary of terms. Increase your understanding of HCPCS codes to improve coding accuracy. 
  • Special appendixes. Get additional information, such as the deleted codes crosswalk.
  • Access to Medically Unlikely Edits (MUEs). Improve accuracy of claims by ensuring compliance with the CMS program through easy access to codes and their associated MUE units (downloadable).
  • Access to Medicare Average Payment Table. Access this Medicare table online for a baseline for payment rates (downloadable).
  • APC status indicators and ASC designation symbols. Determine which codes are payable under OPPS and which codes enable billing using ASC groupings, as well as 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.
  • In-depth illustrations. Enhance your coding process and accuracy for supplies and services with detailed visual references.
  • AHA Coding Clinic® for HCPCS references. Receive additional support with articles on difficult-to-code HCPCS Level II codes or sections.
  • Color-coded bars and icons. Spot important information to help reduce inaccurate and denied claims with informative flags signaling Internet Only Manual (IOM, formerly Pub. 100) references, age and gender edits, quantity alerts, new/deleted/revised code changes, and government coverage and rules for each code. 
  • User-friendly appendixes. Navigate additional information easily with structured references and excerpts, including a comprehensive drug table, acronyms/abbreviations, and modifiers. 
  • Snap-in tabs assist in locating the sections in HCPCS Level II Expert.


Coding Clinics is a registered trademark of the American Hospital Association.

Elizabeth Leibold, RHIT

Ms. Leibold has more than 25 years of experience in the healthcare profession. She has served in a variety of roles, ranging from patient registration to billing and collections, and has an extensive background in both physician and hospital outpatient coding and compliance. She has worked for large health care systems and health information management services companies, and has wide-ranging experience in facility and professional component coding, along with CPT® expertise in interventional procedures, infusion services, emergency department, observation, and ambulatory surgery coding. Her areas of expertise include chart-to-claim coding audits and providing staff education to both tenured and new coding staff. She is an active member of the American Health Information Management Association (AHIMA).

CPT is a registered trademark of the American Medical Association.

Jaqueline Petersen, RHIA, CHDA, CPC

Ms. Petersen is a subject matter expert (SME) with Optum360. She has served as Senior Clinical Product Research Analyst with Optum360 developing business requirements for edits to support correct coding and reimbursement for claims processing applications. Her experience includes development of data-driven and system rules for both professional and facility claims and in-depth analysis of claims data inclusive of ICD-10-CM, CPT®, HCPCS and modifiers. Her background also includes consulting work for Optum, serving as a SME, and providing coding and reimbursement education to internal and external clients. Ms. Petersen is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA).

CPT is a registered trademark of the American Medical Association.


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