The ICD-10-CM Expert for Physicians, uses our hallmark features and format, making facing the challenge of accurate diagnosis coding easier. Developed specifically to meet the needs of physicians, the Optum360 codebook contains the complete ICD-10-CM code set, which is the cornerstone for establishing medical necessity, determining coverage, and ensuring appropriate reimbursement. Symbols in the tabular section identify codes associated with CMS quality payment program (QPP) measures and CMS hierarchical condition categories (HCC) used in risk adjustment (RA) coding.
Guaranteed delivery before October 1, 2020. This edition will contain the updated 2021 Coding Guidelines within the book.
Key Features and Benefits:
Optum360 Edge Intuitive features and format. Visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X, Medicare Code Edits (MCE), manifestation codes, HCCs, QPP, and unspecified codes.
Updated Coding tips. Coding tips are reviewed and updated, and assist in appropriate code selection.
Clinical definitions. Clinical definitions have been added for a better understanding of complex ICD-10-CM diagnostic terms.
List of code changes and conversion table. A list of all 2021 new, revised, and deleted codes to identify at a glance code changes for your specialty. Plus an ICD-10-CM conversion table from the new and changed codes to the code previously used.
Updated index with shaded guides. The updated Index to Diseases and Injuries includes vertical shaded guides that show the indent levels for subentries under main terms.
Supplementary appendixes. Include pharmacology listings, Z codes for long-term use of drugs and associated drug names, and Z codes used only as primary diagnosis.