2021 Procedural Coding Expert - Print + eBook

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2021 Procedural Coding Expert

This procedural coding book is designed for a clinical coder's daily work—not the classroom or AAPC's credentialing exams. It contains AMA's CPT® codes paired with Medicare fee schedule rules and payment guidelines. For years, physician practices, outpatient hospitals, and ASCs have benefited from this easy-to-navigate resource that arranges codes in a design known to simplify and speed up the process of coding, billing, and reimbursement. You'll find a comprehensive listing of annual code additions, changes, deletions, and reinstatements in the appendix as well as new code icons and notes, reimbursement information, mid-year changes, and whole lot more.

Key Features and Benefits

  • Adhesive tabs- Tab the sections you use most for easy reference
  • Official 2021 AMA CPT® Codes and Nomenclature - Find all current CPT® codes and their descriptions in one place
  • Official Medicare Information- Medicare national rules conveniently included for accurate coding
  • Notes to Determine Which Codes Should Be Reported in Conjunction - Find the codes associated with the one you’re reporting
  • Modifiers at Code Level and Modifier Icons – Quickly identify the right modifier for the right code
  • Facility and Non-facility RVUs and Global Follow-up Days- Accurately report to Medicare with guidance from the Medicare Fee Schedule
  • Helpful Illustrations- View color plates at the beginning of the book for anatomical references, plus view detailed illustrations and photographs throughout to help you understand the procedures and body parts in each section
  • Code-specific Definitions, Rules, and References- Review comprehensive information to assist with accurate coding and speedy reimbursement
  • CPT® Assistant Citations- Locate AMA guidance as published in the CPT® Assistant using citations with each referenced code
  • 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
  • MACRA Icons and Appendix – Apply the new MACRA rules properly
  • Medicare Coverage Rules with Icons and 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
  • Spiral Binding - Lays flat for easy-to-use coding and durability

Note: This book is not the official AMA CPT® book and CANNOT be used for AAPC certification exams.

CPT® is a registered trademark of the American Medical Association

ISBN 9781626889460
Publication Date 15-Nov-20
Language of Text English
Publisher AAPC
Country/Region of Origin USA

 

 

Index

FM

Tabular

Appendix

ICD-10-CM

7pt

8pt

7.5pt

7pt

ICD-10-PCS

8pt

9pt

8pt

8pt

PCE

8pt

9pt

9pt, 8pt

8.5pt

PDR

-

9pt

8pt

-

HCPCS

8.5pt

8.5pt

8.5pt

8.5pt

Adhesive tab dividers are included in ICD-10-CM, ICD-10-PCS, HCPCS Level II, Procedure Desk Reference (PDR), and Procedural Coding Expert (PCE).

The Procedure Desk Reference (PDR) is the only AAPC book printed in black and white. All other code books are printed in color.

The International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM) is a code set used to classify diagnoses in both the inpatient and outpatient setting.

The International Classification of Diseases, 10th Edition, Procedure Coding System (ICD-10-PCS) is a coding system used to classify procedures performed in the inpatient setting.

  • ICD-10-PCS Complete Code Set - August
  • ICD-10-CM Complete Code Set - September
  • AMA CPT® Professional - October
  • Procedural Coding Expert (PCE) - November
  • Procedure Desk Reference (PDR) - December
  • HCPCS Level II - December

Preorders may be cancelled at any time prior to shipment. If your books have already shipped, please refer to the return policy tab, which states all returns must be submitted within 30 days of the shipment date. Call (800) 626-2633 to cancel or return your order.

Because the code sets for each book are updated every year, it’s essential for coders to use the most current book to ensure accurate coding. Reporting wrong codes can lead to denied claim submissions and substantial penalization. It’s imperative healthcare professionals stay up to date on new codes and changes, which means obtaining new code books every year.

All AAPC exams are based on the current year’s code sets. The previous year’s books may be used on an exam, but they may be inaccurate and result in errors. The upcoming year’s books are not allowed for exam use.

For example, all exams administered in 2020 are based on the 2020 (versus 2021) code sets. Code books from 2019 may be used on the 2020 exams, but you risk using outdated or incorrect codes.

Refer to the chart below to find the books and resources allowed at various exams.

Allowed Reference Material

Manual calculators are allowed for all exams (No smart phones, smart watches or Fitbits)

Exam

Certification

Questions

Books*/References

Certified Professional Coder

CPC®

150

1, 2, 3

Certified Inpatient Coder

CIC

60 multiple choice,

10 inpatient cases (fill in the blank)

2 and ICD-10-PCS

Certified Outpatient Coder

COC

150

1, 2, 3

Certified Professional Biller

CPB

200

1, 2, 3

Certified Professional Medical Auditor

CPMA®

150

1, 2, 3, 4, 5

Certified Professional Compliance Officer

CPCO

150

*11

Certified Physician Practice Manager

CPPM®

200

No books are needed

Certified Risk Adjustment Coder

CRC

150

2

Certified Documentation Expert Outpatient

CDEO®

150

1, 2, 3, 4, 5,10

Specialty Certification

Exam

Certification

Questions

Books*/References

Ambulatory Surgery Center

CASCC

150

1, 2, 3, 10

Anesthesia/Pain Management

CANPC

150

1, 2, 3, 4, 5, 6, 7, 10

Cardiology

CCC

150

1, 2, 3, 4, 5, 8, 10

Cardiovascular/Thoracic

CCVTC

150

1, 2, 3, 4, 5, 8, 10

Dermatology

CPCD

150

1, 2, 3, 4, 5, 10

Emergency Department

CEDC

150

1, 2, 3, 4, 5, 10

Evaluation and Management

CEMC

150

1, 2, 3, 4, 5, 10

Family Practice

CFPC

150

1, 2, 3, 4, 5, 10

Gastroenterology

CGIC

150

1, 2, 3, 4, 5, 10

General Surgery

CGSC

150

1, 2, 3, 4, 5, 10

Hematology/Oncology

CHONC

150

1, 2, 3, 4, 5, 10

Obstetrics/Gynecology

COBGC

150

1, 2, 3, 4, 5, 10

Orthopaedic Surgery

COSC

150

1, 2, 3, 4, 5, 9, 10

Pediatric

CPEDC

150

1, 2, 3, 4, 5, 10

Rheumatology

CRHC

150

1, 2, 3, 4, 5, 10

Urology

CUC

150

1, 2, 3, 4, 5, 10

Ophthalmology

COPC

150

1, 2, 3, 4, 5, 10

Interventional Radiology and Cardiovascular

CIRCC®

150

1,3,8

Instructor Certification

These exams are given two hours to complete

Exam

Certification

Questions

Books*/References

CPC Instructor

Approved Instructor

50

1, 2, 3

CPB Instructor

Approved Instructor

70

1, 2, 3

CPPM Instructor

Approved Instructor

70

No books are needed

CRC Instructor

Approved Instructor

50

2

CIC Instructor

Approved Instructor

50

2, ICD-10-PCS

COC Instructor

Approved Instructor

50

1, 2, 3

CPMA Instructor

Approved Instructor

50

1, 2, 3, 4, 5

CDEO Instructor

Approved Instructor

50

1, 2, 3, 4, 5, 10

Books*

  • CPT® (AMA Professional edition ONLY). No other publisher is allowed.
  • Your choice of ICD-10-CM. Also approved: The printed ICD-10-CM Official Guidelines. Highlighting, underlining and brief notations needed for day- to-day coding is permitted on the printed side of the page. Long passages of information are not permitted on the blank pages of the print out.
  • Your choice of HCPCS Level II.
  • The CMS 1995 and 1997 Evaluation and Management (E/M Documentation Guidelines.)
  • E/M Audit Worksheets of your choice.
  • ASA RVG.
  • CPT® crosswalk.
  • Anatomical charts or pictures of the vascular tree. These may have codes on them.
  • Both volumes of the Coding Companion.
  • One reference of your choice. This does allow Medical Dictionary.
  • OIG Supplemental Compliance Program Guidance for Hospitals.
    OIG Compliance Program for Individuals & Small Group Physician Practices.
    OIG Compliance Program Guidance for Third-Party Medical Billing Companies.

*Notes on printed sides of the OIG pages are allowed.

No. eBooks are not allowed for AAPC certification exams at this time.

All AAPC exams require the ICD-10-CM medical code book

The ICD-10-CM and ICD-10-PCS codes are implemented each year on October 1.

The CPT® codes are implemented each year on January 1.

The HCPCS Level II codes are implemented each year on January 1.

Customers who purchase AAPC code books receive code updates and other important information in our monthly email newsletter.

Yes, both ICD-10 books contain the Official Guidelines for Coding and Reporting. In ICD-10-PCS, the guidelines appear in the front of the book. In ICD-10-CM, the full guidelines appear at the front of the code book, but chapter-specific guidelines also appear at the start of each chapter, making it easy for you to know which guidelines apply to the codes in that chapter without having to flip back to the front of the book.

Guidelines may be altered after printing of the book. You can find updates on our website on the Medical Coding Books Updates support page. This way, you always have access to the most current guidelines.

HCPCS Level II, Procedure Desk Reference (PDR), and Procedural Coding Expert (PCE) all include modifier information pertinent to the code set in the book. There is a modifier appendix in each book, and HCPCS Level II and Procedural Coding Expert (PCE) also include pertinent modifiers on foldout covers of each book, making access to modifier information quick and easy.

ICD-10-CM, ICD-10-PCS, HCPCS Level II, and Procedural Coding Expert (PCE) all include information on new, revised, and deleted codes. Each book includes a section listing all the new, revised, and deleted code changes for that code set for that year. Plus, within the codes there are symbols designating which codes are new or revised for that year.

ICD-10-CM, ICD-10-PCS, HCPCS Level II, and Procedural Coding Expert (PCE) all include information in the book’s introduction reviewing the symbols and conventions in the book. Additionally, the code chapter pages of the book include a legend showing the symbols and their definitions.

While not intended to teach anatomy and terminology, every AAPC code book includes over 30 pages of full-color anatomical illustrations to help you with anatomy and anatomical terminology.

Notes pages are included in ICD-10-CM, ICD-10-PCS, HCPCS Level II, Procedure Desk Reference (PDR), and Procedural Coding Expert (PCE).

With certain exceptions, products purchased from AAPC may be returned for a refund. Products must be submitted for a return within 30 days from the purchase or shipment date to be eligible for a refund. They must also be unopened and in resellable condition. Returned products are subject to a $5 restocking fee per item. Shipping charges are nonrefundable. Refund requests may be submitted in writing or verbally to AAPC.

Product-specific Return Policies

Refunds will not be issued for AAPC Membership, exams, webinars, or On Demand events.

Due to immediate electronic access, refunds or extension will not be issued for Online Practice Exams and Online Area of Study

Workshop registration is refundable, if you cancel at least one week prior to the workshop you may receive a refund less the $25 cancellation fee. In the event that a cancellation is received less than one week prior to the workshop, no refund will be given. You may transfer your registration to the on-demand version of the workshop or you may have a credit for a future workshop.

Conference registration is refundable, with varying fees and deadlines. See the specific conference web page for further details. Hotel cancellations are also subject to varying fees and deadlines; the specific conference web page will have further details for hotel cancellations as well.

Distance Learning online courses may be cancelled for a full refund within three days after the date of purchase, provided that the student has not accessed the online course, and course materials and books are returned unopened and in good condition to AAPC. After three business days, course cancellations are subject to a $50 cancellation fee per course, in addition to any fees for course materials/books that are not returned to AAPC, or are returned opened or used. Refunds will not be issued for any course that has been accessed, viewed, or partially completed, and no refund is available for any course after 30 days from the purchase date. Course refund requests must be submitted in writing to AAPC for review and consideration. No refunds will be issued for course extensions. Distance Learning courses are for individual use only and are nontransferable.

E/M Online Training, and Online Exam Reviews that have not been accessed are refundable within 30 days of purchase date. No refund will be issued on any exam or training/review tool that has been accessed, viewed, or partially completed.

Refunds will not be issued for AAPC Membership, exams, webinars, or On Demand events.:
Due to immediate electronic access, refunds or extension will not be issued for Online Practice Exams and Online Area of Study

Returning an individual book that was purchased in a bundled package will invalidate the bundled discount. All the books in the bundle will revert to their regular prices and the remaining cost of the unreturned books will be subtracted from the refund.

AAPC coder is not refundable, you may terminate your subscription or free trial by contacting AAPC via phone or email. To ensure that your credit card does not get charged, please make your cancelation request at least two business days prior to the end date of your subscription or free trial term.

Practicode may be cancelled for a full refund within 30 days of the date of purchase, provided the Client has not completed any exercises within the modules and/or assessments.

Reseller/Wholesaler Policy

Shipments must be securely packaged and in resalable condition through a carrier providing tracking information. AAPC will review and confirm returned products upon return. Credit to the account, minus applicable fees, will be posted once the audit is complete.

Upon receipt of your organization’s return requests, AAPC has the right to authorize and accept returns the following month, due to allocations of warehouse personnel to adequately process returns.

A $5 restocking fee will be applied to each item returned.

Annual books: Return of AAPC products will be accepted for full credit until September 30 of that version's year. Resellers/bookstores must complete returns within 90 days of purchase. Returns of AMA’s CPT® codebooks will be accepted for full credit until June 30 of that versions year.

Work from anywhere! eBooks can be accessed from devices including desktops, laptops, smart phones and tablets. Carry your favorite coding books, specialty guides, and reference guides with you wherever you go.

Some of the key features of AAPC eBooks are:

  • Create and update Digital Flashcards
  • Highlight important lines and save custom notes
  • Share notes with other users
  • Use the search bar to find anything you need
  • Access your eBooks from any of your devices
  • Bookmark pages to easily find your favorites
  • eBooks can be accessed online or offline

Note: Purchased eBooks may not be printed and are non-refundable.

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