Description
ICD-10-CM 2019 Expert for Physicians with our hallmark features and format makes 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. Now with a new symbol in the tabular for codes associated with CMS quality payment program (QPP) measures and a symbol to identify codes associated with CMS hierarchical condition categories (HCC) used in risk adjustment (RA) coding. Supplementary appendixes available only in the expert edition include: pharmacology listings, Z codes for long-term use of drugs and associated drug names; and Z codes used only as primary diagnosis.
Key Features and Benefits:
QPP measures. Introducing a new symbol in the tabular to identify diagnosis codes associated with QPP measures.
Coding Tips. Specific coding tips for physician and outpatient settings.
More Definitions. More diagnostic terms are defined.
Complete list of code changes. All 2019 new, revised, and deleted codes listed in the front of the book.
Intuitive features and format. With all of our 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, and unspecified codes. Please note: This edition contains the updated 2019 Coding Guidelines.