The 2016 ICD-10-CM Expert for Hospitals featuring our hallmark color-coding and symbols reflecting the new ICD-10 MS-DRG reimbursement edits makes facing the challenges of the new code set and reimbursement system easier. Use the code book that contains the HIPAA-mandated ICD-10-CM code set, plus the familiar Optum360 coding and reimbursement alerts you have come to rely upon in your ICD-9-CM code books.
Set the standard for coding accuracy, the cornerstone of health care analytics and revenue cycle management, with the confidence only an Optum360 product can deliver.
Key Features and Benefits
New Optum360 Edge Coding Guideline Explanations and Examples. In addition to the Official Guidelines for Coding and Reporting, new sections have been added at the beginning of each chapter with detailed explanations and examples related to application of the ICD-10-CM coding guidelines.
New Optum360 Edge Supplementary Appendixes (exclusive to the Optum360 Expert Edition). Several appendixes have been added that provide supplementary information including:
10 steps to correct coding with coding examples
Valid 3-character ICD-10-CM codes
Complication and comorbidity (CC) code list
Major complication and comorbidity (MCC) code list
Pharmacological listings by chapter
Present on admission (POA) tutorial
Optum360 Edge Intuitive features and format. Ease into the new classification system using intuitive visual alerts to highlight code groupings as well as the distinctions between code choices plus, added features that make finding specific sections easier.
Optum360 Edge Placeholder X. A reference icon (designed and used exclusively by Optum360) alerts the coder to a new ICD-10-CM convention the use of a placeholder X.
Optum360 Edge PDx acting as CC and MCC Alert Symbols. This symbol (designed and used exclusively by Optum) alerts the coder to a new key factor in the DRG10 system that some diagnoses act as both PDx and CC or MCC.
Optum360 Edge Color-coding and symbols for the Medicare Code Edits. This edition includes all our hallmark color-coding and symbols for the most comprehensive coverage of MCEs for diagnoses.
Age
Sex
Manifestation codes
Unacceptable PDx
Hospital acquired condition (HAC)
CC and MCC with Exclusion List
New edit CC as PDx and MCC as PDx
HIV
Optum360 Edge Exclusive Following references in the indexes. The Following references help coders locate those alphanumeric codes that are out of sequence in the tabular.
Optum360 Edge Additional character required symbols. Know when an additional character is required for code specificity and validity to avoid invalid code submissions (provided in index and tabular section).
Key Word. Green font is used to differentiate key words that appear in similar code descriptions in a given category.
Illustrations. Featuring anatomy and terminology included in the ICD-10-CM classification system.
ICD-10-CM official conventions. This new coding system comes with new conventions that are concisely outlined for quick reference.
ICD-10-CM official coding guidelines. Build a solid coding practice foundation and understanding and get the new coding system right the first time.
Official index. Navigate through the official index to the tabular section and external causes using our exclusive shade guides to easily identify sub-term levels under main terms.
Table of Drugs and Chemicals and Neoplasm Table. Tables within ICD-10-CM with shaded columns and check additional character symbols.
HIPAA compliance. Comply with HIPAA transaction and code set requirements to avoid delayed or denie
