2017 Coding Guides by Specialty
Based on over 600 million health insurance claims

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The Coding Guides series represents the ultimate coding reference for your medical specialty. Starting with a comprehensive introduction to CPT®, ICD-9-CM and ICD-10-CM coding, each Coding Guide includes correct coding requirements and documentation guidelines, followed by CPT® codes for your specialty linked to ICD-9-CM codes with ICD-10 mapping plus CCI exclusion codes and third party payer guidelines. The Coding Guide series is designed to present the coding, compliance, and regulatory information you need for your specialty in a single, comprehensive resource. Because all of the critical information is presented together in an easy-to-use format, you will be able to code faster. Plus, the Medicare edits and CCI exclusion codes and other information will help you to avoid claim problems and reduce audit liability. Each Coding Guide includes:
  • Comprehensive introduction to CPT®, ICD-10-CM,and HCPIntroduction to ICD-10-CM with mapping examples
  • National correct coding requirements for your specialty
  • Documentation guidelines
  • CPT® 2017 codes most commonly reported by your specialty with full descriptions and coding notes
  • ICD-10-CM 2017 diagnosis codes most commonly reported to support the listed CPT® code(s)mapped to ICD-9-CM
  • HCPCS 2017 supply, materials and injection codes most commonly reported by your specialty
  • Current Medicare edits including relative values (RVU), post-op days, coverage restrictions, policies regarding multiple procedures, bilateral procedures, payment for assistant surgeon, and more.
  • Current and complete CCI edits with modifier indicators
Sources of the Data The CPT, ICD-10-CM and HCPCS codes listed for each medical specialty are derived from a computer analysis of over 600 million actual charges. The results of the analysis are reviewed and approved for inclusion in the coding guides by our in-house physician and professional coding staffs. The National Correct Coding Policy requirements and CCI edits are from the 2017 edition of Correct Coding Initiative (CCI), Version 24.0, effective for claims filed on or after January 1, 2017. The Medicare edits including relative values, policies and coverage restrictions are derived from the 2017 Physician's Fee Schedule.
CPT® is a registered trademark of the American Medical Association (AMA).


Coding guides are available for the following specialties:



2017 Coding Guide Obstetrics & Gynecology
2017 Coding Guide Obstetrics & Gynecology

2017 Coding Guide Ophthalmology
2017 Coding Guide Ophthalmology

2017 Coding Guide Oral Surgery & Dental Cross-Over Claims
2017 Coding Guide Oral Surgery & Dental Cross-Over Claims

2017 Coding Guide Orthopedics
2017 Coding Guide Orthopedics


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