HCPCS Level II, Expert - for Hospitals, Physicians, and Clinics

Please note: Please make your selections according to publication dates, year of code set, and book style. Please keep in mind that any title not-yet-published can now be pre-ordered here - now you can easily plan ahead. The "Updateable" Version is always up-to-date and probably your best buy as it also comes with additional updates. Read more about the Expert Editions.

Expert Updateable Edition + quarterly updates
Updated three times per year
Loose Leaf Binder - Size 12" x 12"
AAPC CEU Credits: 1 per scenario
ISBN 1563378515 or 1563375672
978-1-60151-156-0
Ingenix / JA Majors
Publication Date = this version is always current
(click below for loose-leaf updateable edition)

2011 Expert Spiral Edition
Size 8.5" x 11"
AAPC CEU Credit(s): 1 per scenario
ISBN 1601514131
978-1601514134
Ingenix
December 2010
(click below for 2011 spiral edition)

2011 Expert Compact Edition
Size 6" x 9"
AAPC CEU Credit(s): 1 per scenario
ISBN 160151414X
978-1601514141
Ingenix
December 2010
(click below for 2011 compact edition)

2012 Expert Spiral Edition
Size 8.5" x 11"
ISBN 1601515731
978-1601515735
AAPC CEU Credit(s): 1 per scenario
Ingenix / JA Majors
December 2011
(click below for the very best price for this 2012 spiral edition)

2012 Expert Compact Edition
Size 6" x 9"
ISBN 1601515715
978-1601515711
Ingenix / JA Majors
December 2011
(click below for the very best price for this 2012 compact edition)

These easy-to-use formats contain important information as dictated by CMS. You can navigate confidently through current codes and modifiers, as well as code changes, additions and deletions. Rely on the experts to take the complexity out of billing for HCPCS Level II. View sample pages of a previous edition here.

Meticulous, detailed coders know that staying on top of current HCPCS changes is the key to timely, accurate and profitable reimbursement.

This compilation features codes from every source that generates HCPCS codes, including CMS, OPPS addendum B and the physician fee schedule, so you are ensured the most complete code set available. In addition to an expanded index and table of drugs, drug names appear right under the code descriptions to make it easier for you to find the code you need the first time to increase your efficiency, reduce your work load and speed you on your way.

Designed for hospitals, physicians and clinics, 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.

All of these books feature:

AHA HCPCS Coding Clinic citations
DMEPOS icon helps you identify which supplies should be submitted
Illustrations
APC status indicators
PQRI icons. Recognize potential for Medicare quality reporting bonus payments with icons denoting which HCPCS codes fall under the Physician Quality Reporting Initiative.
ASC icons and designation symbols
National Coverage Manual and Pub 100 References
Easy-to-understand color-keyed bars, icons and tabs
Table of drugs, their codes and other information

Frequent HCPCS Level II code changes make it virtually impossible to stay up-to-date when billing for supplies and services not included in the CPT code book or when billing APCs. Avoid these unnecessary reimbursement delays, potential misuse, and under coding with the HCPCS Level II Expert. With extensive information from CMS, a searchable appendix, color-coded icons, and illustrations, the HCPCS Level II Expert will help you code more confidently, and more efficiently.

Medically Unlikely Edits (MUEs) appendix. Improve accuracy of claims by ensuring compliance with the CMS program through easy access to codes and their associated MUE units.
National Average Payment tables. Access information to improve claim accuracy and ensure proper reimbursement.
Glossary of terms. Increase your understanding of HCPCS codes to improve coding accuracy.
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.
PQRI icons. Recognize potential for Medicare quality reporting bonus payments with icons denoting which HCPCS codes fall under the Physician Quality Reporting Initiative.
Code with the most up-to-date information to submit accurate claims.
Includes all HCPCS Level II codes and modifiers found in the HCPCS MPFS and OPPS files for HCPCS Level II.
Includes deleted codes for the year. Complete unfinished claims requiring deleted previous year 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.
User-friendly appendix. Structured references and excerpts, including the National Coverage Manual, formerly Medicare Coverage Manual (MIM) and Coverage Issues Manual (CIM).
Enhanced table of drugs with generic and brand drug names and their corresponding codes. This comprehensive table also includes the amount and route of administration. Locate both generic and brand drug names, their corresponding codes and the amount and route of administration.
National Medicare and commercial fees. Organized and easy-to-follow information helps identify reimbursement based on Medicare and private payer fee data for HCPCS Level II codes.
Modifiers explained. This book helps users understand and interpret modifiers, enhancing coding accuracy.
Earn CEUs for AAPC Certified Members.

About the Updateable Version:

By providing you with quarterly alerts, the updateable HCPCS Level II Expert helps you code every claim only once to increase your efficiency, reduce your work load and speed you on your way.

Wendy Gabbert, CPC, CPC-H, has more than 20 years of experience in the health care field. She has extensive background in CPT/HCPCS and ICD-9-CM coding. She served several years as a coding consultant. Her areas of expertise include physician and hospital CPT assessments, chargemaster reviews, and the outpatient prospective payment system (OPPS). She is a member of the American Academy of Professional Coders (AAPC).

Ingenix, the publisher, offers practical results-oriented resources for coding, physician documentation, billing compliance, reimbursement, training services for hospitals and physicians, and more. Learn from the experts who write the books consultants are using. Thousands of physicians and health care professionals rely on Ingenix for expert advice.

Please remember: The government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

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