Main description:

Optimized for medical necessity and reimbursement understanding, this all-in-one resource focuses on the most important CPT (R) and ICD-10-CM codes for ophthalmology, plus medicine and ancillary services codes chosen by experts who have taken into consideration utilization, denial risk and complexity.

CPT (R) Coding Essentials optimizes both CPT (R) and ICD-10 code selection with helpful CPT (R)-to-ICD crosswalks and detailed explanations of anatomy, physiology, and documentation. Other than the AMA CPT (R) Professional Edition codebook, this is the only book in the market with verbatim CPT (R) Editorial Panel-approved guidelines and parenthetical information specific to ophthalmology.

This is the ideal daily companion featuring useful, definitive specialty-specific coding information beyond what is normally provided in procedures/services codebooks.

Ophthalmology coding and billing knowledge available in a single volume, conveniently superseding the need for multiple resources or years of experience.

FEATURES AND BENEFITS

A subset of specialty-specific CPT (R) codes chosen by experts based on utilization, denial risk and complexity
Official AMA coding guidelines pertinent to the specialty and not available in any other specialty codebooks in
the market
Official code-specific CPT (R) parenthetical instructions
Plain English descriptors clarify the details of procedures/services represented by the CPT (R) code
CPT (R) Assistant citations
Procedural illustrations
Crosswalks from CPT (R) to ICD-10-CM
National Correct Coding Initiative (CCI) edits to identify bundled and separately billable codes
CMS Pub 100 billing guidance citations
Facility and non-facility relative value units (RVUs), including global surgery days, practice/ malpractice expenses and those modifiers that can affect payments for CPT codes
Additional chapters on terminology and anatomy, HCPCS Level II codes, CPT (R) modifiers and ICD-10-CM coding and documentation practices
Appendixes offering correct coding principles, NCCI Edits Table, clinical documentation checklists for common diagnoses/conditions using ICD-10-CM categories/codes and evaluation and management (E/M) documentation guidelines
Call outs regarding additional information available in the CPT (R) QuickRef app (requires in-app purchases)