COVID-19/Telehealth Coding2021 ICD-10-CM and ICD-10-PCS CODING HANDBOOK
The handbook's format and style of presentation follows that of previous editions inspired by the Faye Brown approach to coding instruction. The handbook is authored by Nelly Leon-Chisen, RHIA, Director of Coding and Classification at the AHA.
- Fiscal year 2021 code updates, including new information on COVID-19, vaping-related disorder, history of diabetes mellitus or hypertension, immunodeficiency, cytokine release syndrome,cerebrospinal fluid leak, intracranial hypotension, neonatal cerebral infarction, and “chronic stroke”
- Up-to-date guidance on coding signs and symptoms, diseases, disorders, procedures, conditions, complications of care, long-term care, and more
- Reflects the Official Coding Guidelines
- Over 200 chapter-based and final review exercises
- Built-in workbook of case summary exercises
- More than 50 four-color illustrations of anatomy, common disorders, and procedures
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ICD-10-CM Codes - CPT Codes - HCPCS Codes - ICD-10-PCS Codes - Online Encoder
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news
- CPT/HCPCS Display Updates
- 2020 Healthcare Administration Alliance Evaluation and Management (E/M) Conference Sessions Now Available for Purchase
- innoviHealth® Leverages Medical Coding Expertise to Offer Advanced, Comprehensive Suite of Evaluation and Management (E/M) Products
- innoviHealth Launches HCC Coder
- InnoviHealth Upgrades Lead Product Find-A-Code with Powerful Add-on Functionality
Features of the Find-A-Code Online Encoder Solution
code sets
- CPT® Procedure Codes
- CPT® Modifier Codes
- HCPCS Supply, DME & Procedure Codes
- HCPCS Modifier Codes
- ICD-10-CM Diagnosis Codes
- ICD-10-PCS Procedure Codes
- ICD-9 v1 Diagnosis Codes
- ICD-9 v3 Procedure Codes
- ABC Codes
- DRG (Diagnosis Related Group) Codes
- APC (Ambulatory Payment Classification) Codes
- APC Status Indicator Codes
- ASC Payment Indicator Codes
- CMS1500 Place of Service Codes
- CMS1500 Condition Codes
- UB04 Condition Codes
- UB04 Revenue Codes
- Provider Taxonomy Codes
- Type of Service (TOS) Codes
- Berenson-Eggers Type of Service (BETOS) Codes
CPT® Codes & Descriptions
- CPT Code and Full Description
- AMA Code Short and Medium Description
- AMA Guidelines
- Code Specific Icons
- AMA CPT Assistant - Searchable, (1990 - present)
- Payment Indicators (see below)
- SNOMED CT® Relationships
- Code History
- Create multiple Customized, Location-based, Fee Schedules and Code Lists
- Fees for Facility and Non-Facility - By Modifier, Location-based and pre-Calculated for:
- Medicare vs. My Fee Evaluation: Medicare Allowed Amount, 155%, 200%, Your Fee
- Medicare Participating - Assignment Accepted: Medicare Allowed Amount,Medicare 80%, Patient Pays
- Medicare Non-Participating - Assignment Accepted: Medicare Allowed Amount, Medicare 80%, Patient Pays, Limiting Charge
- Medicare Non-Participating - Assignment NOT Accepted: Medicare Allowed Amount, Medicare 80%, Patient Pays, Limiting Charge
- RVUs for Facility and Non-Facility - By Modifier, Location-based and pre-Calculated for:
- Practitioner Work Component:
- Practitioner Labor - Pre-Service, Intra-Service, Post-Service, Total Time
- Work RVU Components: National Unadjusted Work RVU, Work GPCI, Adjusted Work RVU
- Practice Expense:
- Clinical Labor - Direct Expense: Staff, Staff Rate, Pre Time, Intra Time, Post Time, Total Time
- Equipment - Direct Expense: Item, Purchase Price, Expected Life, Total Time
- Supplies - Direct Expense: Item, Unit Price, Quantity, Unit, Amount
- Indirect Expenses
- PE RVU Components: National Unadjusted PE RVU, PE GPCI, Adjusted PE RVU
- Malpractice Component - National Unadjusted MP RVU, MP GPCI, Adjusted MP RVU
- Practitioner Work Component:
- Tabular Drill-Down/Look-Up
- Keyword Search on Code, Description, Chapter/Section Notes
- New, Changed, Deleted Codes for years 2008 - current year
- Notes & Guidelines: Chapter, Section, Code Level
- Customizable Notes - Enter your custom notations
- Code Alerts - New, Changed, Deleted Status
- Coding Tips - Tips, Articles, Medicare Bulletins
- Cross-A-Code™ (CPT to ICD-9, HCPCS, Modifiers, NCCI Edits Modifiers)
- NCCI Edits for Facility and Non-FACILITY with Modifier Notes for:
- Code is Comprehensive Code of...
- Code is Component Code of...
- Code is Mutually Exclusive to...
- Medicare Policies & Guidelines (NCDs, LCDs, Articles, APC Info)
- CPT & HCPCS Modifiers
- Build-A-Code™ Code Builder Tool for CPT Codes
- Quickly Add Codes to custom Code Lists
- NCCI Edits Validator for CPT/HCPCS Codes
- NCCI Edits Validator - FACILITY Edition for CPT/HCPCS Codes
HCPCS Procedures/Lab/Supply/DME Codes
- HCPCS Code and Full Description
- Code Short and Medium Description
- Code Specific Icons
- Payment Indicators (see below)
- Code History
- Create multiple Customized, Location-based, Fee Schedules and Code Lists
- Fees for Facility and Non-Facility - By Modifier, Location-based and pre-Calculated for:
- Medicare vs. My Fee Evaluation: Medicare Allowed Amount, 155%, 200%, Your Fee
- Medicare Participating - Assignment Accepted: Medicare Allowed Amount,Medicare 80%, Patient Pays
- Medicare Non-Participating - Assignment Accepted: Medicare Allowed Amount, Medicare 80%, Patient Pays, Limiting Charge
- Medicare Non-Participating - Assignment NOT Accepted: Medicare Allowed Amount, Medicare 80%, Patient Pays, Limiting Charge
- RVUs for Facility and Non-Facility - By Modifier, Location-based and pre-Calculated for:
- Practitioner Work Component:
- Practitioner Labor - Pre-Service, Intra-Service, Post-Service, Total Time
- Work RVU Components: National Unadjusted Work RVU, Work GPCI, Adjusted Work RVU
- Practice Expense:
- Clinical Labor - Direct Expense: Staff, Staff Rate, Pre Time, Intra Time, Post Time, Total Time
- Equipment - Direct Expense: Item, Purchase Price, Expected Life, Total Time
- Supplies - Direct Expense: Item, Unit Price, Quantity, Unit, Amount
- Indirect Expenses
- PE RVU Components: National Unadjusted PE RVU, PE GPCI, Adjusted PE RVU
- Malpractice Component - National Unadjusted MP RVU, MP GPCI, Adjusted MP RVU
- Practitioner Work Component:
- Tabular Drill-Down/Look-Up
- Keyword Search on Code, Description, Chapter/Section Notes
- New, Changed, Deleted Codes for 2008 - current year
- Notes & Guidelines: Chapter, Section, Code Level
- Customizable Notes - Enter your custom notations
- Code Alerts - New, Changed, Deleted Status
- Coding Tips - Tips, Articles, Medicare Bulletins
- Cross-A-Code™ (HCPCS to ICD-9, CPT, Modifiers, NCCI Edits Modifiers)
- NCCI Edits for Facility and Non-FACILITY with Modifier Notes for:
- Code is Comprehensive Code of...
- Code is Component Code of...
- Code is Mutually Exclusive to...
- Medicare Policies & Guidelines (NCDs, LCDs, Articles, APC Info)
- HCPCS & CPT Modifiers
- Build-A-Code™ Code Builder Tool for HCPCS Codes
- Quickly Add Codes to custom Code Lists
- NCCI Edits Validator for CPT/HCPCS Codes
- NCCI Edits Validator - FACILITY Edition for CPT/HCPCS Codes
ICD-10-CM Diagnosis Codes, Descriptions, Includes, Excludes, & Notes
- ICD-10-CM Code and Full Description
- ICD-10-CM Official Guidelines
- ICD-10-CM Quick Reference Guide
- Code Specific Icons
- Tabular Drill-Down/Look-Up
- Index Search
- Keyword Search on Code, Description, Chapter/Section Notes (Includes/Excludes)
- Includes: Chapter, Section, Code Level
- Excludes1: Chapter, Section, Code Level
- Excludes2: Chapter, Section, Code Level
- Notes: Chapter, Section, Code Level
- Customizable Notes - Enter your custom notations
- Code Alerts - New, Changed, Deleted Status
- Coding Tips - Tips, Articles, Medicare Bulletins
- ICD-10 To ICD-9 Cross-A-Code™ (GEMs)
- Medicare ICD-10 Documents:
- ICD-10 Overview ICD-10 Myths and Facts
- ICD-10 Basics for Medical Practices
- The ICD-10 Transition: An Introduction
- ICD-10 Overview Power Point
- Talking to Your Vendors About ICD-10
- GEMs Fact Sheet
- GEMs/Crosswalks Basic FAQ
- GEMs/Crosswalks Technical FAQ
- GEMs for Technical Users
- Build-A-Code™ Code Builder Tool for ICD-10-CM Codes
- Quickly Add Codes to custom Code Lists
ICD-10-PCS Procedure Codes (Plus the first ICD-10-PCS Code Builder Tool - Build-A-Code™)
- ICD-10-PCS Code and Full Description
- ICD-10-PCS Coding Guidelines
- Code Specific Icons
- Tabular Drill-Down/Look-Up
- Keyword Search on Code, Description, Chapter/Section Notes (Includes/Excludes)
- Includes: Chapter, Section, Code Level
- Excludes1: Chapter, Section, Code Level
- Excludes2: Chapter, Section, Code Level
- Notes: Chapter, Section, Code Level
- Customizable Notes - Enter your custom notations
- Code Alerts - New, Changed, Deleted Status
- Coding Tips - Tips, Articles, Medicare Bulletins
- ICD-10 To ICD-9 Cross-A-Code™ (GEMs)
- Build-A-Code™ Code Builder Tool for ICD-10-PCS Codes
- Quickly Add Codes to custom Code Lists
ICD-9-CM vol 1 Diagnosis Codes
- ICD-9-CM Code and Full Description
- ICD-9-CM Code Short Description
- ICD-9-CM Official Guidelines
- Code Specific Icons
- Tabular Drill-Down/Look-Up
- Index Search (vol 2)
- Keyword Search on Code, Description, Chapter/Section Notes (Includes/Excludes)
- New, Changed, Deleted Codes for 2008 - current year
- Includes: Chapter, Section, Code Level
- Excludes: Chapter, Section, Code Level
- Notes: Chapter, Section, Code Level
- Customizable Notes - Enter your custom notations
- Code Alerts - New, Changed, Deleted Status
- Coding Tips - Tips, Articles, Medicare Bulletins
- ICD-9 To ICD-10 Cross-A-Code™ (GEMs)
- Cross-A-Code™ (ICD-9 to CPT and HCPCS)
- Medicare Policies & Guidelines (NCDs, LCDs, Articles)
- Build-A-Code™ Code Builder Tool for ICD-9-CM Codes
- Quickly Add Codes to custom Code Lists
ICD-9-CM vol 3 Procedure Codes
- ICD-9-CM v3 Code and Full Description
- ICD-9-CM Code Short Description
- Code Specific Icons
- Tabular Drill-Down/Look-Up
- Index Search (vol 3)
- Keyword Search on Code, Description, Chapter/Section Notes (Includes/Excludes)
- New, Changed, Deleted Codes for 2008 - current year
- Includes: Chapter, Section, Code Level
- Excludes: Chapter, Section, Code Level
- Notes: Chapter, Section, Code Level
- Customizable Notes - Enter your custom notations
- Code Alerts - New, Changed, Deleted Status
- Coding Tips - Tips, Articles, Medicare Bulletins
- ICD-9 To ICD-10 Cross-A-Code™ (GEMs)
- Build-A-Code™ Code Builder Tool for ICD-9-CM v3 Codes
- Quickly Add Codes to custom Code Lists
DRGs (Diagnosis-Related Groups)
- Code Description
- DRG Relative Weight
- Length of Stay (Geometric/Arithmetic)
- Procedure Type
- DRG Payment Calculator (specific to your provider)
- Customizable Notes - Enter your custom notations
APCs (Ambulatory Payment Classifications)
- Code Description
- Status Indicator
- APC Relative Weight
- Payment Rates
- APC Payment Calculator (specific to your CBSA)
- Customizable Notes - Enter your custom notations
- APC Status Indicators - list of all codes
- ASC Payment Indicators - list of all codes
Provider Taxonomy Codes
- Code, specialty name, description, status, changes, notes
- Look up code information by code number
- Create a code by selecting it's attributes
- View all codes in a specific classification
- Full code lists for 2004-present (PDF format)
Code Icons for:
- New (CPT, HCPCS, ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
- Changed (CPT, HCPCS, ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
- Deleted (CPT, HCPCS, ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
- Reactivated (CPT, HCPCS, ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
- Age Edits (CPT)
- Maternity Edits (CPT, ICD-9-CM, ICD-9-CM v3)
- Newborn (ICD-9-CM, ICD-9-CM v3)
- Pediatric (ICD-9-CM)
- Adult (ICD-9-CM)
- Male Only (CPT, ICD-9-CM, ICD-9-CM v3)
- Female Only (CPT, ICD-9-CM, ICD-9-CM v3)
- Manifestation (ICD-9-CM)
- Code Also (ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
- Code First (ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
- Unspecified (ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
- Includes (ICD-9-CM, ICD-9-CM v3, ICD-10-CM, ICD-10-PCS)
- Excludes (ICD-9-CM, ICD-9-CM v3)
- Excludes 1 (ICD-10-CM, ICD-10-PCS)
- Excludes 2 (ICD-10-CM, ICD-10-PCS)
- Add On (CPT)
- Mod 51 Exempt (CPT)
- Mod 63 Exempt (CPT)
- Moderate (Conscious) Sedation (CPT)
- Awaiting FDA Approval (CPT)
- AMA CPT Assistant Articles (CPT)
- Medicare: Not Payable (HCPCS)
- Medicare: Not Covered (CPT, HCPCS)
- Medicare: Not Covered by Statute (HCPCS)
- Medicare: Carrier Priced (CPT)
- Medicare: Carrier Determined Coverage (HCPCS)
- Medicare: Special Coverage Instructions Apply (CPT, HCPCS)
- APC Status Indicator A-Y (CPT, HCPCS)
- ASC Payment Indicator A2-Z3 (CPT, HCPCS)
- PQRI (CPT)
- PUB100 Reference (CPT)
Payment Indicators for CPT® & HCPCS Codes
- Medicare Coverage Indicator
- APC Status Indicator
- ACS Payment Indicator
- Status Code
- Global Days
- PC/TC Indicator (26)
- Multiple Procedures (51)
- Bilateral Surgery (50)
- Physician Supervisions
- Assistant Surgeon (80, 82)
- Co-Surgeons (62)
- Team Surgery (66)
- Non-Facility MUEs
- Facility MUEs
- Diagnostic Imaging Family
- Cross-A-Code™ (ICD-9 to CPT, CPT to ICD-9, etc.)
- CPT to HCPCS
- HCPCS to CPT
- CPT to Modifiers - Based on Medicare Payment Data
- HCPCS to Modifiers - Based on Medicare Payment Data
- CPT to NCCI Edits Modifiers - Based on Medicare Payment Data
- HCPCS to NCCI Edits Modifiers - Based on Medicare Payment Data
- CPT to CPT - Based on ASA CROSSWALK® and ASA Reverse CROSSWALK® Data
- ICD-9-CM to CPT - based on Medicare NCDs, LCDs, Articles
- CPT to ICD-9-CM - based on Medicare NCDs, LCDs, Articles
- ICD-9 to HCPCS - based on Medicare NCDs, LCDs, Articles
- HCPCS to ICD-9-CM - based on Medicare NCDs, LCDs, Articles
- Click-A-Dex™ Tool - Index Searching
- CPT Index
- HCPCS Index
- ICD-9-CM Index (v2)
- ICD-9-CM v3 Index
- ICD-10-CM index
- Build-A-Code™ Tool - Code Builder
- Build codes for:
- CPT Codes
- HCPCS Codes
- ICD-9-CM Codes
- ICD-9-CM v3 Codes
- ICD-10-CM Codes
- ICD-10-PCS Codes
- ABC Codes Codes
- View Code Description, RVU and Fee for each code built
- Add or Remove codes to any of your Fee Schedules/Code Lists
- Send codes in Builder List to NCCI Edits Validator
- Build codes for:
NCCI Edits & NCCI Edits Validator™ Tool - Non-Facility & Facility Versions
- Allows entry of 2+ CPT or HCPCS Codes
- Compares each code with each other code for NCCI Edits
- Shows Code Description, Icons, and RVU
- Shows Cross-A-Code™ Section
- Shows Correct Coding Modifier (CCM) Indicators (allowed or none-allowed)
- Calculates RVUs based on current Fee Schedule/Code List (location-based)
- Lists codes in descending RVU order
- Remembers the codes entered the last time it was used
- Medicare Contractor Information
- NCDs - National Coverage Determinations
- Contractor Address & Contact Information
- Contractor Jurisdictions
- Contractor-based LCDs - Local Coverage Determinations
- Contractor-based Articles
Medicare Documents & Manuals
- PUB 100 Manuals, Guides and Documents - PDF Files
- E&M Guidelines & Manuals - PDF Files
- NCCI Edits - Guides & Manuals - PDF Files
- Paper-Based Manuals - PDF Files
- Forms (CMS1500, UB04/CMS1450, etc.) - PDF Files
- PQRI Information (2007+)
- FAQs - Frequently Asked Questions
- Medicare Newsletters
- Medicare Transmittals
Healthcare Legislation - Documents & Information
- Healthcare Legislation Information Information
- PSQIA - Patient Safety & Quality Improvement Act HIPAA - Health Information Portability and Accountability Act
- Search
- Simple "search engine"-style interface, just type your words and press the "Search" button
- Search in a single category/sub-category or any combination of multiple categories/sub-categories
- Search categories/sub-categories:
- CPT Code, Description, and Guidelines
- CPT Chapter/Section Notes
- AMA CPT Assistant (Title, Codes, & Full Text)
- CPT Modifier and Description
- HCPCS Code and Description
- HCPCS Chapter/Section Notes
- HCPCS Modifier and Description
- ICD-9-CM Vol 1 Code and Description
- ICD-9-CM Vol 1 Chapter/Section Notes (Includes & Excludes also)
- ICD-9-CM Vol 3 Code and Description
- ICD-9-CM Vol 3 Chapter/Section notes (Includes & Excludes also)
- UB04 Revenue Code and Description
- UB04 Condition Code and Description
- DRG Code and Description
- APC Code and Description
- ICD-10-CM Code and Description
- ICD-10-CM Chapter/Section Notes (Includes & Excludes1/2 also)
- ICD-10-PCS Code and Description
- ABC Code and Description
- Medicare NCDs (Title, Codes, & Full Text)
- Medicare LCDs (Title, Codes, & Full Text)
- Medicare Articles (Title, Codes, & Full Text)
- Subscriber Notes (Customizable "My Notes" Section for each code)
- Subscriber Keywords (Customizable "My Notes" Section for each code)
- Subscriber Account Administrator Notes (Customizable "My Notes" Section for each code)
- Subscriber Account Administrator Keywords (Customizable "My Notes" Section for each code)
- Search results displays:
- Data/Code Set
- Data/Code Sub-Set
- Code & Short Description
- Hilighted search words/phrases in context
- Link to code information, article or other related page
- Up to 15 pages of results showing 10 results per page
- Results are separated by "Complete Matches" and "Partial Patches" sections when more than one word is entered
- Easily add more words to further refine your results
- See the number of results by sub-category when viewing in "Expanded Search" mode
- "GOTO" Search: In the search box, enter an exclamation point "!" in front of a code to go directly to that code's information, example: !99201
- Identifies & recognizes misspelled words and suggests alternatives
- Correct or alternate words can be added the the search words and searched on with a single click of the mouse
CPT® Modifiers & Descriptions
HCPCS Modifiers & Descriptions
- ABC Codes and Descriptions
CMS1500 Place of Service Codes & Descriptions
CMS1500 Condition Codes & Descriptions
UB04 Condition Codes
UB04 Revenue Codes
- Type of Service Codes & Descriptions
- Berenson-Eggers Type of Service (BETOS) Codes & Descriptions
- much more...
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