2026 HCPCS Level II Expert
HCPCS Level II codes with Medicare coverage essentials
Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the 2026 HCPCS Level II Expert. Use this comprehensive reference for the HCPCS code set that focuses on the management of reimbursement. This user-friendly book is designed to guide any coder 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.
- 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 edits, quantity alerts, new/deleted/revised code changes, and government coverage and rules for each code.
- Table of Drugs. Locate generic and brand-name drugs and their corresponding codes based on the amount and route of administration.
- User-friendly appendixes. Navigate additional information easily with structured references and excerpts, including new, revised, and deleted codes, deleted code crosswalk a comprehensive drug table, acronyms/abbreviations, and modifiers.
- Expanded Modifier appendix. Includes HCPCS Level II modifiers and descriptions and easy-to-understand guidance and coding tips for some of the more difficult modifiers, assisting in appropriate usage and reimbursement.
- Glossary of terms. Increase your understanding of HCPCS codes to improve coding accuracy.
- APC status indicators and ASC designation symbols. Determine which codes are payable under OPPS and codes that 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.
- AHA Coding Clinic® for HCPCS references. Receive additional support with articles on difficult-to-code HCPCS Level II codes or sections.
- Product Updates. HCPCS Level II code changes and updates, as well as other significant updates, will be made available on the Optum Product Update page on Optumcoding.com for our valued HCPCS Level II Expert customers.
- Helpful illustrations. Detailed color anatomy illustration chapter. Plus, many illustrations at the code level identifying specific code-related supplies and services.
- Snap-in tabs. Assist in locating the sections in your spiral bound HCPCS Level II Expert.
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Elizabeth Leibold, RHIT
Elizabeth Leibold has more than 30 years of experience in the health care 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 service 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. Elizabeth is an active member of the American Health Information Management Association (AHIMA) and Tennessee Health Information Management Association (THIMA).
Tara Rose, CPC, CPC-I, CPMA, RHIA
Tara Rose has more than 20 years of experience in the health care profession. She has extensive experience in auditing, physician billing, and multi-specialty coding with assignment of CPT, HCPCS, and ICD-10-CM codes. She has served in roles as a coding consultant, trainer, clinical investigator, community college instructor, and coding lead. She has experience providing education to physicians and both new and experienced coders. Tara is a member of her local AAPC chapter and holds credentials from the American Health Information Management Association (AHIMA).
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