As you can see, determining the level of complexity for medical decision making can get complicated, but the more you do it, the more intuitive it will become. Use modifiers correctly to avoid denials, rejections, and fines. Complete Ophthalmology coverage for 2023 - CPT, HCPCS, and ICD-10 codes, CCI edits, and more - with searchable archives, 24 CEUs & more . ), Any combination of 3 from the following: Review of prior external note(s) from each unique source (review of previous chart note) Review of the result(s) of each unique test (review of topography, OCT, HVF) Ordering of each unique test (topo, OCT, HVF) Assessment requiring an independent historian(s) (spouse, child, parent, etc.) For more information on determining which codes to use, visit the American Academy of Ophthalmology website.3. O n Jan. 1, 2021, the rules we use to select Evaluation and Management (E/M) eye exam codes became much different. Eye codes (92002-92014) keep the same rules for coding in 2021, but payment . The author of the alteration must sign and date the revision. In this blog, weve compiled some ophthalmology coding tips from various industry organizations. Case 5:11cv00360OLGJ ESXR Document 1288 Filed 12/02/14-Page 1 of 15 UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS SAN . Accessed 10/14/2020. Procedure code icons. The files in the Downloads section below contain information on the ICD-10-CM COVID-19 updates effective with discharges and patient encounters on and after January 1, 2021. Evaluation and management codes commonly used in your specialty are now included with their official description and lay description, coding tip, Medicare edits, and relative value units. 0000007095 00000 n When a 20/80 distribution is used for new and established patients, respectively, the weighted average for all eye exams increased 3.4% ($116.30 to $120.20). Load them up on an iPad or your desktop, print them out on cardstock and store them in your desk, place printed sheets in a 3-ring binderwhatever way you want to keep them on hand, because these cheat sheets are perfect for quick reference! 0000002582 00000 n MOSBYS 2021 NURSING DRUG REFERENCE PDF 34TH EDITION DOWNLOAD: Lippincott Physiology PDF Download LINK [2020 Edition]: Anatomy and Physiology Textbook PDF Free Download:2023. lippincott Biochemistry 7TH EDITION PDF DOWNLOAD LINK: BRS Biochemistry PDF 7th Edition DOWNLOAD:2023, Critical Care Nursing: Diagnosis and Management PDF 8th Edition [Direct Link] - Medical Students Corner, Daviss Drug Guide For Nurses PDF 17th Edition Free Download:2023. According to IBM, more than half of US patients dont understand the healthcare system well enough to navigate benefits and services effectively.5 Patients may get frustrated and choose to go elsewhere for their care if they receive a bill that they do not expect and cannot understand or pay. x|6>{*]Irm%Y%Y-ci J1SE8%! These 2021 ICD-10-CM codes are to be used for discharges occurring from October 1 . From general science to microbiology, pharmacology, ocular disease, anatomy, and physiology, there is just so much important clinical knowledge you need to cement in your mind at certain points throughout not only your academic career but in your professional career as well. Newest member of Cascadia Eye, an OD/MD group practice in Washington. Features of CPT Coding Essentials for Ophthalmology 2021 PDF: A subset of specialty-specific CPT (R) codes chosen by experts based on utilization, denial risk and complexity. The other way is to use physician time. American Medical Association. Medicare payer information includes references to Internet Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery. Name of Form: Notice to Voter Registrar of Application for Limited Ballot. But what happens if a practice were to . Weve created a series of Optometry Clinical Cheat Sheets for our readers to help make things a bit easier. Download the cheat sheets here! Requirements Related to Surprise Billing; Part II. These categories differentiate services by whether the service is the initial service or a subsequent service. For example, say the doctor sees a glaucoma patient and spends 25 minutes total, but five of that is looking at the billable OCT and VF done that day. ICD-10 Compliance Date: October 1, 2015. However, if the number of diagnoses and risk of complication are both highly complex, then a high level code can be applied. Payment has been and remains low even though its forecast to go down about $0.80 from 2020. In this short video, Ravi Goel, MD presents a cataract surgery documentation checklist to prepare practices for Medicare's Target, Probe and Educate (TPE) audits. 4 CMS: Overview of rules & fact sheets, November 26, 2021. Question: Our coding team is unsure about whether we can report 66180 and 67255 together. Complexity of the medical decision is broken down into three categories: In order to justify using an exam code, two of the three categories must meet the same level of complexity. Here is a list of activities that count toward the total time: *Again, if youre billing a separate procedure code for a test youve done, you cannot count the time taken to interpret that test to the total time. if you spend 10 minutes interpreting a visual field that you bill for that day, you can not apply it to the time total. 0000000016 00000 n l l :kdwv 1hz" (olplqdwlrq ri o&olqlfdo yljqhwwh ,qlwldo riilfh ylvlw iru d \hdu rog jluo iru ghwhuplqdwlrq ri ylvxdo dfxlw\ dv sduw ri d vxpphu A delay is very improbable. This reference guide breaks down these medications by concentration, bottle sizes, treatment tips and more. Join the most knowledgeable coding experts in ophthalmology for professional coding education vital to your success. 8 DukeHealth: Steps to Avoid Overcoding and Undercoding, July 30, 2019. These guidelines apply to common visit billing codes, such as 99212, 99213, 99214, or 99215, as well as to the selection of codes 99202 through 99205. 0000001597 00000 n Join the most knowledgeable coding experts in ophthalmology for professional coding education vital to your success. Learn how ModMed helps empower practices and patients. HTML, CSS, and JavaScript are the most common front-end coding languages. E&M Coding Cheat Sheet For The Trailblazer MDM Method. 1 AAPC: The Eyes Have it: Routine vs. Medical Eye Exams, November 2, 2012. 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 Since the OCT and VF are being billed, only 20 minutes can count. This update brings 159 additions, 25 deletions, and 27 revisions. If I still get better payment on the Eye code, are the rules for using them changing? Sep 7, 2021. Often, we are not ordering a large amount of diagnostic tests that need to be reviewed. Description. . Its not final, but all of the Eye codes (92002 to 92014) are going down in value; in many cases the drop is significant. Jc4d0f`gc|Sp?Mx x a`{7o 0 S: 02/03/2023 Page 1 of 1 Our evaluation and management (E/M) content is under revision and will be available soon. For established patients, it increased 4.2% ($107.77 to $112.26). View or download . Ophthalmology & Optometry ICD-10-CM Coding for 2021. The AMA and Medicare support it. For new patients, the weighted average payment increased 1.0% ($150.44 to $151.95). $119.95 1 Used from $106.69 1 New from $119.95. Is that true? 0000008452 00000 n All rights reserved. Q:What is happening to the Medicare payments for eye exams in 2021? 0000002617 00000 n Documentation . The office and other outpatient E/M codes for established patients changed in line with the revisions to the new patient codes in 2021. Written by: Sue Vicchrilli, cOT, OcS, academy coding executive Sue Vicchrilli's 29-year ophthalmic background includes all aspects of coding, reimbursement, practice management, and clinic and surgical assistance. The No. Here, we're covering the changes in documentation requirements for optometry billing and coding. Quickly identify new, revised, and add-on procedure codes, making your coding process quick and efficient. For more information or to get answers to questions, visit ACOG's Payment Advocacy and Policy Portal. Primer for Internal Medicine Clinical . When a protocol is applied, the EHR automatically generates a suggested code based upon the documentation. It will give us the opportunity to base our patient history and physical exam on what is necessary to diagnose and treat the patient not on making sure all the boxes in our EHR are checked. Easily determine fees for your practice and reinforce consistency in the charges. The new way to determine exam code level is by calculating time spent on a patient case. OR Independent interpretation of a test performed by another physician/other qualified health care professional (interpretation of visual field from previous doctor) OR Discussion of management or test interpretation with external physician/other qualified health care professional/appropriate source (Referral to specialist), OTC Medications OR Minor surgery without risk factors, Prescription medication OR Minor surgery with identified risk factors OR Major surgery without risk factors OR Risk of death or vision loss (Technically high), Number of diagnoses or management options, Risk of complication, morbidity and/or mortality, preparing to see the patient (eg, review of tests), obtaining and/or reviewing separately obtained history, performing a medically appropriate examination and/or evaluation, counseling and educating the patient/family/caregiver, ordering medications, tests, or procedures, referring and communicating with other health care professionals (when not separately reported), documenting clinical information in the electronic or other health record, communicating results to the patient/family/caregiver care coordination (not separately reported). Hopefully, now you get the idea of how mnemonics work for mastering ICD-10-CM codes by the chapter letters. For the Problems area, the number and severity of the problems, whether they are different than the last visit and their timing/frequency all play a part. A:There are three areas, and each uses a different methodology and guidance than the current ones use.1 Its impossible to delve deeply into the many changes in a short article, but under the current rules, coding for a new patient is different than an established patient. Making corrections, in keeping with these principles, generally entails using a single line strike-through so the original content is still legible. This is no longer the case in the new system. The recent release of the CPT 2022 isn't as earth-shaking as last year's release, which included major changes made to the 99000 E/M coding. Official code-specific CPT (R) parenthetical instructions. We have some new CPT codes to be aware of as of Jan. 1, 2022 as well as payment information on many of these new codes from the Centers for Medicare & Medicaid Services' (CMS) recently released Final Rule of the 2022 Medicare Physician Fee Schedule.. Often, all that CPT releases is a temporary code number we know a code is . The most common way will be to use medical decision making. Claims with a service date of September 30, 2021, or earlier must continue to use the 2021 ICD-10-CM eye-related codes, while claims with a service date of October 1, 2021, or later must use the new 2022 ICD-10-CM codes (shown below). In general, the time a provider spends on the exam, both face-to-face and non-face-to-face, counts if its not being separately reimbursed. Clearly indicate the date and author of any amendment, correction or delayed entry. If the same patient came in for an IOP check and the IOP was not within control, suggesting progression, the level of complexity would increase to moderate and equal either a 99204 or 99214 code. Acces PDF Ophthalmology Coding Cheat Sheet Icd 9 Buck's 2022 ICD-10-CM for PhysiciansICD-10-CM Complete Code Set 2022Pediatric ICD-10-CM 2022Step-by-Step Medical Coding, 2014 Edition - E- BookCoding Companion for Ophthalmology 20222013 Illustrated Coding and Billing Expert for OphthalmologyICD-10-CM 2018 the Complete These Optometry Clinical Cheat Sheets are perfect for: In these Optometry Clinical Cheat Sheets, you will find: This reference guide will break down most of the major artificial tear options (roughly 60 products) by active ingredient, preservative, manufacturer, and formulation. On September 30, 2021, the Centers for Medicare and Medicaid Services issued an interim final rule called Requirements Related to Surprise Billing; Part II.4 This rule provides increased protections from surprise medical bills for patients with job-based and individual health plans. Yes. Also, there are different time standards for new vs. established patients. Office cheat sheets. As of Jan. 1, 2021, the only factors taken into consideration when selecting an E/M code are either complexity of medical decision making or time spent on a patient case. Q:I understand that my eye exam codes are changing in January 2021. Below are highlights from the 43-page ICD-10-CM Tabular List of Diseases and Injuries 2022 Addenda. 0000269936 00000 n By Mark Wright, OD, FCOVD, and Carole Burns, OD, FCOVD. The maximum negative payment adjustment will remain at 9 percent for the Medicare payments you get in 2024 (from reporting in 2022), though the minimum composite score to avoid a penalty increases a lotall the way to 75 points from the 60 points needed in 2021. Q:What about the Eye exam codes? Billing and coding are essential to running a thriving ophthalmology practice. Its important for physicians to receive proper coding training on a regular basis, as well as notification and training on the annual code updates. Its not final, but all of the Eye codes (92002 to 92014) are going down in value; in many cases the drop is significant. Getting familiar with the most frequent payers for your patient population will help you keep track of coding guidelines, which can be important to make sure you dont miss out on reimbursement options. In addition to a ophthalmology & optometry-specific Alphabetic Index and Tabular List, this book also includes: * A . In 2021, E/M exam code 99201 is being deleted, but its of little consequence since eye doctors almost never use this code anyway. Data is more complicated in the new guidance and is unlikely to be relevant to coding for eye-care providers, as we will most often use Problems and Management to arrive at a code level. Use of Modifier 25 may be applicable when an E/M service is provided on the same day as a procedure, a preventive medicine service, or other medical service or procedure. Beginning in 2021, regardless of place of service, all E/M codes will use the newly defined MDM criteria. 77 0 obj <> endobj In some practices, techs know that the doctor is going to want an OCT on a new patient, so they just . These Optometry Clinical Cheat Sheets are perfect for: Studying for class. (Adobe) Appendixes offering clinical documentation checklists and evaluation and management (E/M) guidelines. Creating a payer spreadsheet helps you track and compare reimbursement rates for your top commercial payers, along with Medicare, for your most commonly used examination codes. The 2021 eye-related code updates primarily affect the following four ICD-10-CM chapters. Back to our glaucoma suspect. Any less than those values and selection of the level of service is impossible for E/M. 2 rule is don't apply one payers rules, or perceived rules, to all other payers, A joint position paper from the Academy and the American Society for Cataract and Refractive Surgery on, Find decision trees, quick reference guides and key features of new CCI edits effective Oct 1. at. Question:Can I separately report Schirmer's tests and E/M services? Ophthalmology & Optometry ICD-10-CM Coding for 2021. 0000002730 00000 n xref Is that true? You always need to ensure that the code you select reflects that the services provided are medically reasonable and necessary before you finalize the visit. Appendix B compares the prolonged services codes and what codes they should be reported with. On the established-code side, 99211 remains and is unaffected because its not a doctor-exam code. When calculating this category its important to remember that you cannot count any test interpretations youve done and reported separately. Check out our open positions! Please contact him at plarson@corcoranccg.com. The changes, made by the American Medical Association CPT Editorial Panel and . Each CPT code includes its official description and lay description, coding tip, Medicare edits, and . The Philadelphia Guide: Inpatient Pediatrics 3rd Edition PDF Download: The Washington Manual of Outpatient Internal Medicine 3rd Edition PDF Download: Smiths Recognizable Patterns of Human Malformation 8th Edition PDF Download: McMINNS COLOR ATLAS OF LOWER LIMB ANATOMY PDF 5TH EDITION DOWNLOAD:2023. It will be rare that you do so little during an exam that you only qualify for level 2. Copyright 2023. We should be looking forward to the new year and a more simple coding system. Member Price: $45.00. 3. Currently building a specialty lens practice from the ground up. Transparency in your billing services is key to preventing patient frustration. Payment has been and remains low even though it's forecast to go down about $0.80 from 2020. 66179 Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft. This 2021 OPHTHALMOLOGY MEDICAL CODING CHEAT SHEET. Almost everyone may be audited at some point. ,E5%S > WD"%`F[hK.I7=sY[P4M+^49KOKYm/c8*Q[G_Y' McHJHP;LRy{{5I 8C>1iUzv\zR.nze:rmn.V*9hPrB5FQKQOQDSS;r-P9RJ6j@9[5CAt. The new 2021 guidance notes that these two important components in the current 2020 rules are going to be as medically appropriate; the doctors decide whats needed to support the patient and their condition at that visit. Q:I heard that there are two ways to choose an E/M code in 2021. Whether commercial or federal, each payer can and does have its own rules. Purpose: To cancel. Some of the normative values included consist of amblyogenic refractive error and grades of retinopathy of prematurity. The following table lists some online resources, references, and tutorials to help you continue practicing all three languages. Be prepared! Also, your practice risks potential lost revenue from underreporting your scope of work. 0 Included are normative values for accommodative amplitude, Worth 4 Dot, stereopsis, pursuits, and saccades. Nonmember: $75.00. Modernizing Medicine makes no warranty regarding the ongoing accuracy of the information provided. Therefore, the provider and billing and coding staff must always review the selected or suggested code for accuracy. Q:If Im not using time, and exam and history are less relevant to coding level, how is the decision-making method used? Second, if it goes through, the changes will be followed by all of your other payers. This is a digital PDF product. Add to Cart. Again the table below lists the requirements for low and moderate levels of data review. Top examples of . With increased regulatory scrutiny on out-of-network billing practices, its more important than ever to be vigilant when a patients medical insurance lists your practice, or a certain provider, as out-of-network. Contact us to learn more about available opportunities - spaces are limited. . %%EOF Total time may be used alone to select the appropriate code level for office visit E/M services (99202-99205, 99212-99215). This blog is intended for informational purposes only and does not constitute legal or medical advice. The 2022 Medicare Physician Fee Schedule (MPFS) Final Rule was published on Nov. 19, 2021. 65855 Trabeculoplasty by laser surgery, one or more sessions. Unlike many other certification exams, the CPC exam is an open book exam. The other way is to use physician time. However, these elements have expanded definitions, added examples, and ambiguous terms removed. Antonio Chirumbolo, OD is the Director of Client Services at CovalentCreative. Theyll map out the latest coding updates, review key competencies, test your knowledge and steer you towards successful solutions for preventing claim denials. 4 0 obj Check out our open positions! Selecting E/M Codes by Total Time. All rights reserved. 5 IBM: What is healthcare price transparency?, 2021. /Type /Stream W3Schools: Reference guides for HTML, CSS, and JavaScript. The AAPC CPC (American Academy of Professional Coders Certified Professional Coder) exam consists of 150 multiple-choice questions. ICD-10-CM code iconsNEW Icons identifying male- and female-only codes, as well as age-related and laterality diagnosis codes. In reality, undercoding results in a skewed data pattern, which can raise alarms for payers. A new code for deficient smooth . EO is inherently unilateral, Kim reminds coders. Eye codes dont have a time option. This comprehensive and easy-to-use guide is updated for 2022 and organized by specialty-specific CPT codes. Dr. Levy described the workgroup's guiding principles as "always coming back to what is clinically important," clarifying codes to reduce the need for auditing, reducing "note bloat," ensuring that payment for E/M services was resource based, and removing "all the things that currently drive us crazy.". This reference guide breaks down antibiotic medications by class, concentration, dosage, mechanism of action, contraindications, bottle sizes, and much more. A:In 2021, E/M exam code 99201 is being deleted, but its of little consequence since eye doctors almost never use this code anyway. Second, if it goes through, the changes will be followed by all of your other payers. The new rules also will require healthcare providers to provide uninsured or self-pay patients with good-faith estimates of expected charges for scheduled services. Join us for a webinar on May 12 at 7 pm (CT) to review the hottest topics in retina documentation and coding. And once you have the ICD-10-CM Chapter Cheat Sheet with all of the mnemonics listed, it should be even more clear and make things much easier. Risk cannot be determined by an EHR-suggested coding function, because providing care to a patient involves clinical and human nuances that computer functions cannot yet capture. Ships from United States. ICD-10-CM codes are divided into 22 chapters, and chapters are . When clicked, a rationale explaining factors for the codes selection appears. What you will get is a 1 page document. 2021 E&M Coding Tool TIME Activities Time Spent (MINUTES) Include ALL minutes clinician spent on patient on DOS Pre-Visit Reviewing notes, results, correspondence, reports (Note sources, dates) Other: Visit History from patient and others (Note sources) History, examination, discussion, counseling, education, planning Ordering, referrals . So, I wanted to share a simple example of one that could be used for primary care providers. The Academy provides easy access to the tools physicians and staff need to submit a claim successfully and save time. 0000194480 00000 n Look to the blepharoptosis repair codes when the fix involves muscle modification. Management involves how the patient is treated and the urgency of the treatments. 66184 Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft. 0000009731 00000 n Looking for an MRA Coding Tool? Listed on Oct 3, 2022 In 2021 this will always be following the 2 out of 3 rule. We have received several requests from physicians, coders and administrators for an "MRA Cheat Sheet" Many have asked for something that is a single page or similar in format to a "charge slip". Here is an example from the American Academy of Ophthalmology.7. Question:A 53-year-old new patient with type 1 diabetes presented to the clinic with Will payment cuts impede patient access to sight-saving procedures? The annual update to the CPT code set incorporates a . The 16 essential codes are broken down into three sections; 10 evaluation and management (E/M) codes (992XX), 2 HCPCS "S" codes (S062X), and four ophthalmic visit codes (920XX). This reference guide breaks down the topical allergy medications by class, concentration, dosage, mechanism of action, contraindications, bottle sizes, and much more. Contact us to learn more about available opportunities - spaces are limited. We should see the Final Rule and payment announcement around the first of December. All of the major ocular disease normative values are included such as cataract grading, ARMD scales, CSME criteria, expected C:D ratio based on disc diameter, Von Herick angle estimation, Becker-Shaffer angle grading, SUN Working Group of cells and flare, pachymetry, hyphema grading, cycloplegic drop information, and tear film evaluation, exophthalmometry norms, and much more! Working as a medical biller and coder is a challenging and rewarding job that takes you right into the heart of the medical industry. Eye coding examinations make use of 920XX codes. Those are codes 99202 to 99205 and 99212 to 99215. Page Measurements: 8.5 11 Number of pages: 1 Colors: Blues & Greens Optimized for medical necessity and reimbursement understanding, this all-in-one resource focuses on the most important CPT and ICD-10-CM codes for ophthalmology, plus medicine and ancillary services codes chosen by experts who have taken into consideration utilization, denial risk and complexity. E/M codes stand for Evaluation and Management codes.2 These are used to bill professional services such as physician and nonphysician practitioner clinic visits, hospital visits or consultations, and are most commonly found between 99202 and 99499. For example, say the doctor sees a glaucoma patient and spends 25 minutes total, but five of that is looking at the billable OCT and VF done that day. National Provider Identification locators: For an overview of the No Surprises Act as well as links to advocacy and educational resources visit the, Note: Effective January 1, 2021 CMS requires all practices to use an updated version of form. Low Low trailer If you are looking for ways to boost your ophtha Let this Q&A shed light on how these updates will impact patients and reimbursement. Among the important changes for this 992xx exam code series is that using the history and the exam for the purposes of choosing a code are minimized, although they will remain important to documenting the reason for visits and for liability protection. To download the free cheat sheet, complete the form below. Copyright 2023 Jobson Medical Information LLC unless otherwise noted. k3@l6@A)xIN- To help you successfully meet the requirements put forth by your Medicare Administrative Contractor, the Academy has provided the applicable, CMS is tracking number of postop visits actually reported on several surgical codes from a select set of practices. E/M codes stand for Evaluation and Management codes. Nov. 3, 2021. REVIEW. Moving to E/M codes from Eye codes in a meaningful way can largely mitigate the potential revenue hit. Download the series for easy reference to conversion tables, medication guides, and more. We've created a series of Optometry Clinical Cheat Sheets for our readers to help make things a bit easier. Subsequent AMI ICD-10 allows coding of a new MI that occurs during the 4 week "acute period" of the original AMI. 67141; 67145 Prophylaxis of retinal detachment without drainage . The best way to proceed is to keep current on coding best practices and support everything you do with proper medical documentation. The ICD-10-CM Coding for Ophthalmology & Optometry is your comprehensive resource to understanding and using the ICD-10-CM codes you see on a day-to-day basis. The new 2021 guidance notes that these two important components in the current 2020 rules are going to be as medically appropriate; the doctors decide whats needed to support the patient and their condition at that visit. While there are certain billing and coding situations that are unique issues for ophthalmology as a specialty, practices must also keep general regulatory requirements in mind. This guide contains A/V patterns and EOM etiology, as well as EOM constriction manifestations and a guide to the Parks 3-Step Method. Below is a general list of the code ranges for ophthalmology services and procedures in 2022: 92002-92014 - General Ophthalmological Services and Procedures. 0000254620 00000 n Its impossible to delve deeply into the many changes in a short article, but under the current rules, coding for a new patient is different than an established patient. Question:Can you explain the difference between H16.8 and H16.9? Each has been redefined in significant ways. A delay is very improbable. New patient E/M codes 99202 to 99205 also go downbut established patient E/M codes 99212 through 99215 are all proposed to rise significantly in payment. 7 AAO: E&M or Eye Code: Which to Choose?, January 1, 2015. Jaypee Gold Mini Standard Atlas Orthodontics PDF Free Download: Tara v shanbhag Pharmacology For Medical Graduates PDF 4th Edition Free Download:2022, A subset of specialty-specific CPT(R) codes chosen by experts based on utilization, denial risk and complexity, Official AMA coding guidelines pertinent to the specialty and not available in any other specialty codebooks in, Official code-specific CPT(R) parenthetical instructions, Plain English descriptors that clarify for the reader the details of the service represented by the CPT(R) code, National Correct Coding Initiative (CCI) edits to identify bundled and separately billable codes, Facility and non-facility relative value units (RVUs) including global surgery days, physician work and practice, malpractice and total expenses as well as those modifiers that can affect relative values, Additional chapters on terminology and anatomy, HCPCS codes, CPT(R) modifiers and ICD-10-CM coding and documentation practices.

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