The Updateable HCPCS Level II Expert binder contains the most current codes for supplies and services not included in the CPT® code set — and is updated each January, July and September.
Using the most current code set enables customers to receive timely and appropriate reimbursement needed for Medicare reimbursement or to bill APCs. It contains important information as dictated by CMS, presented in an easy-to-use format to guide the coder confidently through current codes and modifiers, code changes, additions and deletions.
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Updated three times per year. You can rest assured that you will always have the most up-to-date code set at hand.
Email alerts inform you of the latest changes to HCPCS Level II from CMS. Keep current with late-breaking news through special reports, and code using the most up-to-date codes and regulations.
National Medicare and commercial fees for most HCPCS codes. Helps identify reimbursement based on Medicare and private payer fee data for HCPCS Level II codes.
Code with the most up-to-date information to submit accurate claims. Includes all 2006 HCPCS Level II codes and modifiers found in the HCPCS MPFS and OPPS files for HCPCS Level II.
Includes deleted codes for 2006. Complete unfinished claims requiring deleted 2005 HCPCS Level II codes.
DMEPOS icon distinguishes codes paid under that fee schedule. Improve efficiency when coding for supplies that should be submitted under the DMEPOS to your durable medical payer.
Detailed illustrations. Makes coding various supplies and services easier and more accurate.
AHA's Coding Clinic for HCPCS references. Helps users find advice about difficult-to-code HCPCS Level II codes or sections.
Color-coded bars and icons denote the government’s coverage and rules for each code. Pub 100 references are included.
Color-coded icons designate changes in code status. Easily identify new, deleted or revised codes, eliminating denied claims due to use of old codes.
Age and sex edits are indicated by icons. Improve coding accuracy by knowing what specific ages and sex a code is meant for.
APC status indicators. Easily determine which codes are payable under OPPS.
ASC designation symbols. Quickly determine which codes can be billed using ASC groupings, and ensure appropriate billing for ASCs.
National Coverage Manual (formerly MCM and CIM) references and excerpts. The user-friendly appendix indicates which drugs and services are reimbursed.
Enhanced table of drugs with generic and rand drug names and their corresponding codes. This comprehensive table also includes the amount and route of administration.
Modifiers explained. This book helps users understand and interpret modifiers, enhancing coding accuracy.
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