2023 HCPCS Level II Expert with Dental Codes

Optum | 2023 | Elizabeth Leibold; Anita Schmidt



114.95
List Price

Item #: HSD23
ISBN: 9781622549030
Available: Dec 2022








Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the 2023 HCPCS Level II Expert with Dental Codes. 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). The dental codes from the American Dental Association (ADA) are included in a separate booklet for convenient access.  
  • 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.
  • Glossary of terms. Increase your understanding of HCPCS codes to improve coding accuracy. 
  • Special appendixes. Get additional information, such as the deleted codes crosswalk.
  • American Dental Association Current Dental Terminology (CDT) code set. The included booklet provides all dental codes in one place, along with an index for ease of code lookup.
  • Access to Medically Unlikely Edits (MUE). 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).
  • Comprehensive code updates. New and revised codes are noted at the code level and an included table identifies deleted codes. 
  • 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) 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.

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.

Anita Schmidt, BS, RHIA, AHIMA-approved ICD-10-CM/PCS Trainer

Ms. Schmidt has expertise in ICD-10-CM/PCS, DRG, and CPT® with more than 15 years’ experience in coding in multiple settings, including inpatient, observation, and same-day surgery. Her experience includes analysis of medical record documentation, assignment of ICD-10-CM and PCS codes, and DRG validation. She has conducted training for ICD-10-CM/PCS and electronic health record. She has also collaborated with clinical documentation specialists to identify documentation needs and potential areas for physician education. Most recently she has been developing content for resource and educational products related to ICD-10-CM, ICD-10-PCS, DRG, and CPT®. Ms. Schmidt is an AHIMA-approved ICD-10-CM/PCS trainer and is an active member of the American Health Information Management Association (AHIMA) and the Minnesota Health Information Management Association (MHIMA).

CPT is a registered trademark of the American Medical Association.



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