Key Features and Benefits
Edge — Headings with detailed Optum360
subheadings. Locate CPT® codes
Optum360 Edge — Code-specific definitions,
rules, and references. Reference
comprehensive information compiled from the Centers for Medicare and Medicaid
Services (CMS), the AMA, Optum360, and other sources to assist with accurate
coding and speed reimbursement.
Edge — Resequenced CPT® code alerts. Identify the AMA’s code “resequencing” at a glance with our specific
instructions, color bars, and brackets.
Optum360 Edge — Extensive user-friendly index. Find codes in a flash with the most accurate
and expansive index of any CPT® coding resource with terms listed in a
variety of ways.
CCI edit icon. Quickly identify those CPT® codes with
corresponding CCI edits.
and Management appendix – Easy-to-use grids and extended guidelines to
facilitate E&M code selection.
New, Changed, and Deleted codes appendix.
Easily identify changes to CPT® code descriptions, including code changes
made mid-year by the AMA not found in the AMA’s CPT® code book.
CPT® Assistant references. Identifies that an article or discussion of the
CPT has been in the American
Medical Association’s CPT Assistant
Newsletter. Use the citation to locate the correct volume.
Medically Unlikely Edits (MUEs) Appendix. Improve claims accuracy by ensuring CMS
compliance through easy-to-access codes and their associated MUE units.
coverage rules with icons and with IOM (Pub 100) references. Understand which policies apply to CPT® codes
prior to claim submission with icons and references for each rule, plus a
copy of the applicable policy in the appendix.
and non-facility RVUs and global/follow-up days. Ensure more accurate reimbursement with
attachment to the corresponding code.
anatomical differences in codes with ease.
icons. Apply modifiers
correctly with quick icon identification with the CPT® code.
appendix. Includes CPT® and
HCPCS Level II modifiers and descriptions for easy reference for Medicare
vaccinations associated with CPT® codes. Vaccine names are listed by the CPT® code to aid accurate coding for
with codes used to report inpatient procedures only. Don’t be denied payment by making coding errors.
of terms. Increase your
understanding of coding, billing, and reimbursement terms to improve coding
bulky for travel and easy-to-see title
on your book shelf.
is a registered trademark of the American Medical Association.