Please Read: This version does not contain the updated 2020 CM Guidelines in the book, inside the front cover there will be instructions on where to download a PDF version only of the guidelines once they becom...

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Please Read: This version does not contain the updated 2020 CM Guidelines in the book, inside the front cover there will be instructions on where to download a PDF version only of the guidelines once they become available.


The ICD-10-CM Expert for Physicians Early Delivery 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. 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.

Key Features and Benefits:

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  • NEW Coding Tips. Coding tips are reviewed and updated, with more new coding tips added to assist you in appropriate code selection.

  • 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.

  • More Definitions. More clinical definitions are added for a better understanding of complex ICD-10-CM diagnostic terms.

  • List of code changes and conversion table. A list of all 2020 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.

  • 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.

  • Helpful illustrations. Detailed color anatomy illustration appendix. Plus many illustrations at the code level identifying specific code-related anatomy.

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