ADVANCE: Health Information Learning Resources Vol. 1, 2024

Coding, Classification, and Reimbursement

Table of Contents

About the Book

AHIMA proudly presents the ICD-10-PCS Code Book , Professional Edition , 2024, to help medical coders execute the International Classification of Diseases, Tenth Revision, Procedure Coding System specifically in the inpatient setting.

Introduction ICD‑10‑PCS Overview ICD‑10‑PCS Code Structure ICD‑10‑PCS Organization and Official Conventions AHA Coding Clinic for ICD-10-CM and ICD-10-PCS ICD‑10‑PCS Official Guidelines for Coding and Reporting, 2024 Index Medical and Surgical Central Nervous System and Cranial Nerves (001–00X) Peripheral Nervous System (012–01X) Heart and Great Vessels (021–02Y)

For quick, accurate, and professional medical coding, pick this practical Healthcare Common Procedure Coding System (HCPCS) professional reference! The 2024 HCPCS Level II, Professional Edition provides students and professionals with a guide to the latest HCPCS codes, making it easier to locate specific codes, comply with coding regulations, manage reimbursement for medical supplies, report patient data, code Medicare cases, and more. Spiral bound, this full-color reference simplifies coding with anatomy plates and ASC (Ambulatory Surgical Center) payment and status indicators. Additionally, it includes a companion website with the latest coding updates.

Introduction Guide to Using the 2024 HCPCS Level II Codes Symbols and Conventions 2024 HCPCS Updates 2024 Index 2024 Table of Drugs 2024 HCPCS Level II Modifiers 2024 HCPCS Level II National Codes Appendix A: Jurisdiction List for DMEPOS HCPCS Codes Appendix B: General Correct Coding Policies: Medicare National Correct Coding Initiative Policy Manual Figure Credits

Key Features

• Completely updated with 2024 codes and coding guidelines • New! Anatomical illustrations added • Spiral-bound • Contains only the Index, Tables, and Appendices, creating an accessible and efficient flow for professional coders • Features color-coded tabs to align with section colors • Color-coded sections ease navigation and code selection • Coding guidelines included in the Introduction and before each section for quick reference • American Hospital Association (AHA) Coding Clinic references provided for all sections • Anatomical art included in each body system section of the Medical and Surgical Tables • Appendices include Root Operation Definitions, Type and Qualifier Definitions, Approach Definitions, Medical and Surgical Body Parts, Medical and Surgical Device Table and Device Aggregation Table, Substance Qualifier Table, and New Codes About the Consulting Editor Anne B. Casto , RHIA, CCS, is the founder and president of Casto Consulting, LLC., and a lecturer in the HIMS division at The Ohio State University School of Allied Medical Professions.

Upper Arteries (031–03W) Lower Arteries (041–04W) Upper Veins (051–05W) Lower Veins (061–06W)

ICD‑10-PCS Code Book Professional Edition, 2024 Anne B. Casto , RHIA, CCS, Consulting Editor

HCPCS Level II, Professional Edition, 2024

Lymphatic and Hemic Systems (072–07Y) Eye (080–08X)

Ear, Nose, Sinus (090–09W) Respiratory System (0B1–0BY) Mouth and Throat (0C0–0CX) Gastrointestinal System (0D1–0DY) Hepatobiliary System and Pancreas (0F1–0FY) Endocrine System (0G2–0GW)

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Product#: AC228023

ISBN: 978-1-58426-951-9 Spiral-bound Approx. 504 pages Premier Member: $71.95 Member: $74.95 List: $94.95

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Product#: AC222223

ISBN: 978-1-58426-949-6 Softcover, Spiral-bound 744 pages Premier Member: $72.95 Member: $75.95 List: $94.95

Skin and Breast (0H0–0HX) Subcutaneous Tissue and Fascia (0J0–0JX)

Muscles (0K2–0KX) Tendons (0L2–0LX)

Key Features • Current Dental Terminology (CDT) codes from the American Dental Association (ADA) offer one-step access to all dental codes. • Full-color anatomy plates enhance your understanding of specific coding situations by helping you understand anatomy and physiology. • Easy-to-use format optimizes reimbursement through quick, accurate, and efficient coding. • At-a-glance code listings and distinctive symbols make it easy to identify new, revised, and deleted codes. • Full-color design with color tables helps you locate and identify codes with speed and accuracy.

Food and Drug Administration (FDA) approved drugs.

• Jurisdiction symbols show the appropriate contractor to be billed when submitting claims to Medicare carriers and Medicare Administrative Contractors (MACs). • Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System to ensure accurate reporting and appropriate reimbursement. • Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators address reimbursement for durable medical equipment, prosthetics, orthotics, and supplies. • Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other

Bursae and Ligaments (0M2–0MX) Head and Facial Bones (0N2–0NW)

ebook Available e-ISBN: 978-1-58426-950-2

• Age/sex edits identify codes for use only with patients of a specific age or sex. • Quantity symbol indicates the maximum allowable units per day per patient in physician and outpatient hospital settings, as listed in the Medically Unlikely Edits (MUEs) for enhanced accuracy on claims. • The American Hospital Association Coding Clinic® for HCPCS citations provide a reference point for information about specific codes and their usage. • Physician Quality Reporting System icon identifies codes that are specific to PQRS measures.

Upper Bones (0P2–0PW) Lower Bones (0Q2–0QW) Upper Joints (0R2–0RW) Lower Joints (0S2–0SW) Urinary System (0T1–0TY)

(Table of Contents, Continued) Imaging Nuclear Medicine Radiation Therapy Physical Rehabilitation and Diagnostic Audiology Mental Health

Female Reproductive System (0U1–0UY) Male Reproductive System (0V1–0VW) Anatomical Regions, General (0W0–0WY) Anatomical Regions, Upper Extremities (0X0–0XY) Anatomical Regions, Lower Extremities (0Y0–0YW) Obstetrics Placement Administration Measurement and Monitoring Extracorporeal or Systemic Assistance and Performance Extracorporeal or Systemic Therapies Osteopathic Other Procedures Chiropractic

Substance Abuse New Technology

Appendix A: Root Operations Definitions Appendix B: Type and Qualifier Definitions Appendix C: Approach Definitions Appendix D: Medical and Surgical Body Parts Appendix E: Medical and Surgical Device Table and Device Aggregation Table Appendix F: Substance Qualifier Table (Key) Online Appendices Appendix G: New ICD-10-PCS Codes 2024

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