
2025 HCPCS Level II Expert If your practice bills for Medicare services, durable medical equipment (DME), injections, drugs, and other medical supplies, you need to stay on top of HCPCS coding information. You’ll do that and prevent denials, audits and payment delays with the 2025 HCPCS Level II Expert. With the newest 2025 edition, have everything you need to know about each HCPCS code including new guidance, changes to APC and ASC payment icons and updates to Pub 100 information and modifiers. Not to mention helpful advice, and code-specific details, such as icons and helpful reimbursement indicators, all at your fingertips for easy access within seconds. Features include: UPDATED! New, revised and deleted HCPCS Level II Codes—with icons to identify changes UPDATED! Expanded alphabetical index— organized with guidance and input from experienced coding and billing professionals UPDATED! Deleted codes crosswalks—display valid codes that have replaced temporary codes and other deletions UPDATED! National Coverage Determination (NCD) policy code-level citations—ensure compliance with Medicare coverage policy for certain procedures and professional services UPDATED! Medicare Pub 100 information—with associated code and an Appendix of full descriptions UPDATED! Table of Drugs Appendix—with J codes cross-referenced to brand names UPDATED! APC and ASC payment icons—show those codes payable under Outpatient Prospective Payment Systems (OPPS) and those that can use 18 ASC groupings UPDATED! AHA Coding Clinic for HCPCS— identify where to find critical guidance on challenging HCPCS Level II codes or sections UPDATED! Age and sex edit icons—indicate code restrictions at a glance, based on patient information UPDATED! Icons for specific payment rules— indicate coverage rules and patient responsibility for drugs and services not reimbursed by Medicare UPDATED! High-quality illustrations—provide visual insight into specific equipment, supplies and services
Page Count:
432
Publication Date:
2024-12-16
Publisher:
DecisionHealth
ISBN-10:
1963512014
ISBN-13:
9781963512014
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