Medical Office, Hospital & Payer - OptumCoding.com

Medical Office, Hospital & Payer March 2009 

———————————————————————————————————————————————————————————————— 

Code changes now in effect! 

Complete your coding reference library 

with must-have 2009 editions. 

2010 products now available on 

www.shopingenix.com 

See inside 

for details. 

ICD-10 

News 

Flash! 

See page 9 

for details.

www.shop 

.com 

Table of Contents 

P For use by Physicians & Clinics H For use in Hospitals & Facilities 

Y For use by Payers CEU Earn CEUs. See below. 

P H Y 

N E W P R O D U C T S 

1 • • • Billing Companions 

1 • • • Coders’ Desk Reference: Opthalmology 

Diagnoses 

2 • Expert Briefings: Understanding RACs 

2 • • • Ingenix Learning: Online Coding Tests 

P H Y P R I N T C O D I N G 

P R O D U C T S 

3 • • • Current Procedural Coding Expert 

3 • • • AMA CPT ® Standard Edition 

4 • ICD-9-CM Code Books for Physicians 

6 • ICD-9-CM Code Books for Hospitals 

6 • ICD-9-CM Expert for Home Health 

Services, Nursing Facilities and 

Hospices 

8 • • HCPCS Level II Code Books 

P H Y I n g e n i x E s s e n t i a l s 

9 • • • Coding, Billing, and Compliance 

Conference 

P H Y I C D -1 0 C O R N E R 

9 • • ICD-10-PCS 

9 • • • ICD-10-CM 

P H Y O N L I N E S O L U T I O N S 

10 • EncoderPro.com Suite 

10 • • • IngenixExpert.com 

11 • • RevenueCyclePro.com 

11 • ChargemasterAnalyzer.com TM 

12 • • • ASCExpert.com 

12 • • • DrugReimbursement.com 

P H Y S P E C I A LT Y C O D I N G 

13 • • • Coding Companions ® 

14 • • • Coding and Payment Guides 

14 • • • Code Pathways 

15 • • • Cross Coders 

15 • • Procedural Cross Coder 

15 • Coding Guide for Dental Services 

P H Y C O D I N G , B I L L I N G A N D 

PAY M E N T 

16 • • • Fast Finders 

16 • • E/M Fast Finder 

17 • Encoder Pro Desktop Suite 

17 • • • Code It Fast I-9 

18 • • • Coders’ Desk Reference for Procedures 

18 • • • Coders’ Desk Reference for Diagnoses 

18 • • Coders’ Desk Reference for ICD-9-CM 

Procedures 

19 • • • Coders’ Desk Reference for HCPCS 

Level II 

19 • • Insurance Directory 

19 • • Physicians’ Guide to Implementing the 

Medicare Quality Reporting Initiative 

20 • • Coders’ Dictionary 

20 • • • Auditing Tool Kit 

20 • • • CPT ® Changes: An Insider’s View 

21 • HIPAA Tool Kit 

21 • Denial Management Tool Kit 

22 • • DRG Expert 

22 • DRG Desk Reference 

23 • • Uniform Billing Editor 

23 • Outpatient Billing Expert 

24 • Hospital Professional Billing Editor 

24 • • Facility Guide for Interventional 

Radiology 

25 • Hospital Chargemaster Guide 

25 • OPPS Manager 

P H Y E D U C AT I O N & T R A I N I N G 

26 • • • Ingenix Learning: Coding and 

Reimbursement Education 

P H Y P H Y S I C I A N P R I C I N G 

27 • Customized Fee Analyzer 

27 • FeeAnalyzer.com 

28 • • RBRVS Plus 

28 • • • Ingenix Data Files 

P H Y M E D I C A R E S E R V I C E S 

29 • • Medicare Desk Reference for Hospitals 

29 • • Medicare Desk Reference for Physicians 

CEU For a complete list of Ingenix products and edition years that qualify for The American Academy of Professional Coders (AAPC) or 

the American Health Information Management Association (AHIMA) continuing education units and submission/testing details, visit 

www.shopingenix.com/continuingeducation, or www.aapc.com/education/ceu-vendors-list.aspx 

Products contained in this catalog are made in the USA. 

CPT is a registered trademark of the American Medical Association.

1 800 (464 3649) 

 

 

New 

New 

bOGY 

2009 Billing Companion for OB/GYN 

Item # 2284 Available: Now 

ISBN: 978-1-60151-228-4 $199.95 

P h Y BORT 

P h Y 

2009 Billing Companion for Orthopaedics 


ISBN: 978-1-60151-226-0 $199.95 

New Products 

Quickly find specialty-specific billing instructions. 

2009 Billing Companions 

The Billing Companion provides practical guidance for billing professional services 

to commercial and public payers. This manual compiles essential billing rules and 

demonstrates correct and incorrect claim form entries, reviews potential billing 

errors, and explains modifier issues and coverage rules impacting your practice. 

» Quickly find specialty-specific billing instructions for surgical, imaging, diagnostic 

and E/M services with user-friendly content arrangement. 

» Improve claim accuracy and prevent payment delays. 

New 

2009 Coders’ Desk Reference: 

Ophthalmology Diagnoses 

Boost coding accuracy with the 

new Coders’ Desk Reference: 

Ophthalmology Diagnoses. 

ODRD 

P H Y 

» Provides detailed clinical data for 

more than one hundred of the most 

commonly used ophthalmology 

diagnoses. 

2009 Coders’ Desk Reference: 

Ophthalmology Diagnoses 


ISBN: 978-1-60151-246-8 $129.95 

» Optimizes reimbursement through 

correct diagnoses coding. 

» Supports medical necessity with 

clinical background. 

P For use by Physicians & Clinics H For use in Hospitals & Facilities Y For use by Payers CEU Earn CEUs. See table of contents.

www.shop 


 

 

New Products 

New 

Expert Briefings: Understanding RACs 

Expert Briefings: Understanding RACs is a set of 75 

Microsoft ® PowerPoint slides that can be used for 

printed handouts or presentations. Be prepared for 

audits with information such as typical errors, clinical 

cases likely to be reviewed by auditors, and more. 

Plus, question & answer slides test audience retention 

of the presentation. 

EBRAC 

Expert Briefings: Understanding RACs 


ISBN: 978-1-60151-248-2 $159.95 

h 

Expert Briefings includes: 

» Suggested narration and talking points. 

» Customizable slides can include your content. 

» Official citations for all facts and figures. 

Online Coding Tests 

New 

Ingenix Learning: Coding 

Knowledge Assessment 

Partner with Ingenix for an objective and 

convenient way to assess new and existing 

staff’s coding skills and identify potential 

training requirements. 

Quantify coding 

skills quickly 

and easily. 

Ingenix Learning: Coding Knowledge Assessment P h Y 

Course Skill Level Item# 

Assessment for Diagnosis Coding Novice Z1000 

Assessment for Evaluation & Management Coding Professional Z1001 

Assessment for Medical Terminology Novice Z1002 

Assessment for Guidelines for Coding from the Operative Report Master Z1003 

Assessment for Medical Coding Basics Novice Z1004 

Assessment for Auditing Physician Services Master Z1005 

Assessment for Procedure Coding Novice Z1006 

Assessment for Supplies & Services Coding Novice Z1007 

Assessment for Understanding and Using Modifiers Professional Z1008 

Assessment for Denial Management Master Z1009 

Available: Online 

*Multi-user pricing available. 

$39.95 per single user* 

P 

For use by Physicians & Clinics H 

For use in Hospitals & Facilities Y 

For use by Payers CEU 

Earn CEUs. See table of contents.

1 800 (464 3649) 

 

Over 700 CPT ® 

Code Changes 

for 2009! 

ce 

P H Y CEU 

2009 Current Procedural Coding 

Expert with Tab Dividers (Spiral) 

Item # CET09 Available: Now 

ISBN: 978-1-60151-196-6 $104.95 


Expert (Spiral) 

Item # CE09 Available: Now 

ISBN: 978-1-60151-196-6 $99.95 

cec 

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Expert (Compact) 

Item # CEC09 Available: Now 

ISBN: 978-1-60151-197-3 $89.95 

We listened. Our 2009 editions have 

been updated with new valuable, 

customer recommended features. 

Print Coding Products 

2009 Current Procedural Coding Expert 

This expert resource includes valuable information and new resources in an easy-tonavigate, 

logical format designed for coders by coders. 

» 

Just Added 

Medically Unlikely Edits (MUEs) Appendix. 

» New Format Option! Tab dividers with pre-printed headings help you quickly find frequently 

used information. 

» New Body system headings on each page and detailed Ingenix subheadings for each section. 

» New Includes Medicare global/follow-up days. 

» New Identifies brand name vaccinations associated with CPT ® codes. 

2009 CPT ® Standard Edition 

» Official CPT ® products include all 2009 

codes and modifiers, so you’re covered for 

the coming. 

» Sample cases demonstrate how to use and 

assign the codes properly. 

» Comprehensive index for rapidly finding 

the code you need. 

cbst 

P H Y 

2009 CPT ® Standard Edition 

(Softbound) 

Item # CB09 Available: Now 

ISBN: 978-1-60359-063-1 $74.95 

CPT is a registered trademark of the American Medical Association. 

P For use by Physicians & Clinics H For use in PHospitals & Facilities Y For use by Payers CEU Earn CEUs. See table of contents.

www.shop 


 

 


IPP 

P CEU 

2009 ICD-9-CM Professional for Physicians, 

Vols 1 & 2 (Softbound) 

Item # IPB09 Available: Now 

ISBN: 978-1-60151-122-5 $86.95 

Over 500 

ICD-9-CM 

code changes 

for 2009. 

ippC 

P CEU 

2009 ICD-9-CM Professional for Physicians, 

Vols 1 & 2 (Compact) 

Item # IPC09 Available: Now 

ISBN: 978-1-60151-123-2 $74.95 

Softbound Compact (6x9) 

Why work harder? Work smarter. 

2009 ICD-9-CM for Physicians, Volumes 1 & 2 

» Ingenix Hallmark color coding and 

Edge® 

symbols. Identify critical coding and 

reimbursement issues, including V code 

sequencing restrictions and additional 

digit requirements for specificity and 

validity. 

» Ingenix Code alerts for ‘unspecified’/ 

Edge® 

’other specified’ diagnosis codes. 

» Ingenix Summary of new and revised 

Edge® 

codes. Avoid the frustration of searching 

for the new and revised codes. Use this 

convenient list to locate the codes that 

will impact your coding practices. 

» Ingenix V Code Alerts. Symbols 

Edge® 

identify primary- and secondary-only use 

restrictions. 

» Manifestation code alert. Know when 

two codes are required for reporting. 

» Coding efficiency and accuracy. 

Definitions, illustrations, hallmark color 

coding and intuitive symbols integrate 

coding and reimbursement into a single 

task. 

» Change symbols identify what code 

information has changed. Don’t be caught 

off guard—know what changed and 

when for more efficient coding practices. 

» HIPAA code set compliance. Official 

code set, complete coding guidelines 

and AHA’s Coding Clinic for ICD-9-CM 

references. 

When placing your order on www.shopingenix.com, 

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IPET 

P CEU 

2009 ICD-9-CM Expert for Physicians, 

Vols 1 & 2 with Tab Dividers (Spiral) 

Item # IPT09 Available: Now 

ISBN: 978-1-60151-125-6 $99.95 

IPEU 

P CEU 

ICD-9-CM Expert for Physicians, Vols 1 & 2 

(Updateable binder) 


$169.95 


2009 ICD-9-CM Expert for Physicians, 

Vols 1 & 2 (Spiral) 

Item # IPS09 Available: Now 

ISBN: 978-1-60151-124-9 $95.95 

Exclusive to the Expert editions: 

» New Format Option! Spiral edition with 

exclusive tab dividers featuring detailed 

clinical information and coding tips 

with scenarios for all the new codes by 

chapter makes training and referencing 

the code changes quick and easy. 

» Ingenix Exclusive coding tables 

Edge® 

simplify coding for complex diagnoses. 

» Ingenix Valid three-digit code list. 

Edge® 

Exclusive to the Updateable edition: 

» Ingenix Three updates a year included 

Edge® 

in a subscription. 

» September—Full text update with 

new codes and AHA’s Coding Clinic 

references and summary of current 

topics. 

» February—Update with new 

illustrations and definitions, plus AHA’s 

Coding Clinic references and summary 

of current topics. 

» July—Code Report 2010, a list of all the 

new codes for 2010. 

New Format Option: 

Spiral edition with Snap-in Tabs places critical new code 

information and coding tips at your fingertips. 

Also available: ICD-9-CM Expert for Payers. 

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ihp H CEU ihpc 

H CEU 

2009 ICD-9-CM Professional for Hospitals, 

Vols 1 & 2 (Softbound) 

Item # IHB09 Available: Now 

ISBN: 978-1-60151-127-0 $94.95 

Over 500 

ICD-9-CM 

code changes 

for 2009. 

2009 ICD-9-CM for Hospitals, Volumes 1, 2 & 3 

2009 ICD-9-CM Professional for Hospitals, 

Vols 1, 2 & 3 (Compact) 

Item # IHC09 Available: Now 

ISBN: 978-1-60151-128-7 $84.95 

Softbound Compact (6x9) 

New Feature 

Ingenix Exclusive—Chapter by chapter, detailed clinical and coding 

information with coding scenarios for all the new codes adopted for 2009. 

» New Feature Ingenix Exclusive—Hospital 

acquired condition alerts. 

» Ingenix Critical MS-DRG code edits. 

Edge® 

» Ingenix CC and MCC condition symbol 

Edge® 

with principal diagnosis exclusions. 

» Ingenix Includes color-coded symbols 

Edge® 

and alerts, illustration and definitions, 

and updated AHA’s Coding Clinic 

references. 

iphYr 

H CEU 

Comprehensive package option— 

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benchmarking data, patient assessment 

form tips, and quality initiatives specific 

for each post acute facility. Companion 

CD may be purchased separately. 

2009 ICD-9-CM Expert for Home 

Health Services, Nursing Facilities 

and Hospices, Volumes 1, 2 & 3 with 

Companion CD 

Item # IHHR09 Available: Now 

$229.95 

2009 ICD-9-CM Expert for 

Home Health Services, Nursing 

Facilities and Hospices, 

Volumes 1, 2 & 3 

Item # IHHS09 Available: Now 

ISBN: 978-1-60151-133-1 $154.95 

2009 Coding, Reporting and 

Documentation Guidance for Home 

Health Services, Nursing Facilities 

and Hospices CD 

Item # XIHH09 Available: Now 

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iheu 

H CEU 

ICD-9-CM Expert for Hospitals, 

Vols 1, 2 & 3 (Updateable binder) 


$174.95 

Exclusive to the Updateable edition: 

» Ingenix Edge® Three updates a year included 

in a subscription. 

» September—Full-text update with new 

codes, updated edits and updated AHA’s 

Coding Clinic references with a summary 

of Coding Clinic topics. 

» February—Update with new 

illustrations and definitions, plus updated 

AHA’s Coding Clinic references and 

Medicare code edits. 

» July—PPS Alert Newsletter with 

new code list and summary proposed 

changes to the IPPS for 2010. 

ihes 

H CEU 

2009 ICD-9-CM Expert for Hospitals, 

Vols 1, 2 & 3 (Spiral) 

Item # IHS09 Available: Now 

ISBN: 978-1-60151-129-4 $99.95 

Exclusive to the Expert editions: 

» Ingenix Edge® Present on admission indicator 

tutorial with source documentation table 

and list of POA Exempt codes. 

» Ingenix Edge® Dx/MDC/DRG list and DRG 

mapping. 

» Ingenix Edge® Valid three-digit code list, 

complete CC and MCC code lists and 

pharmacological listing. 

» Ingenix Edge® Email alerts for special 

reports. 


2009 ICD-9-CM Expert for Home Health Services, Nursing Facilities 

and Hospices, Volumes 1, 2 & 3 

» New Feature Ingenix Exclusive— 

Chapter by chapter, detailed clinical 

and coding information with coding 

scenarios for all the new codes 

adopted for 2009. 

» Ingenix Features for home health 

Edge® 

agencies include excerpts from the 

Home Health PPS, coverage issues 

and alerts. 

» Ingenix Features for skilled nursing 

Edge® 

facility include descriptions of the 

RUG-III system. 

» Ingenix Features for Hospice 

Edge® 

include alerts for noncancer diagnosis. 

» Ingenix Email alerts for special 

Edge® 

reports. 


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hes P H CEU hec P H CEU heu P H CEU 

2009 HCPCS Level II Expert 

(Spiral) 

Item # HS09 Available: Now 

ISBN: 978-1-60151-155-3 $99.95 

hp 

P H 

2009 HCPCS Level II Professional 

(Softbound) 

Item # HB09 Available: Now 

ISBN: 978-1-60151-159-1 $72.95 

2009 HCPCS Level II Expert 

(Compact) 

Item # HC09 Available: Now 

ISBN: 978-1-60151-157-7 $86.95 

Stay on top of 

the 394 HCPCS 

changes in 

2009. 

HCPCS Level II Expert 

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$149.95 

2009 HCPCS Level II 

PQRI Ready! Icons denoting which HCPCS codes and their denominators are part of the 

Physician Quality Reporting Initiative help you get your bonus. 

» Ingenix Edge® Comprehensive code updates. 

» Ingenix Edge® Comprehensive table of drugs. 

» Ingenix Edge® AHA Coding Clinic for HCPCS 

references. 

» Ingenix Edge® Reference color-coded 

icons indicating Pub. 100 references; 

DMEPOS; age and sex edits; new, 

deleted or revised code changes; and 

government coverage and rules. 

» Detailed Illustrations. 

» APC status indicators and ASC 

designation symbols. 

Expert Advantage: 

» Appendixes for National Average 

Payment, Medically Unlikely Edits 

(MUEs), Deleted Code Crosswalk and 

Glossary. 

Updateable Advantage: 

» Easy-to-follow information helps identify 

reimbursement based on Medicare and 

commercial fee data. 

» Keep current with the latest codes and 

regulations through quarterly updates. 

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Mention source code 122102 to receive the early bird discount. 

Attention all healthcare providers and payers! ICD-10 News Flash! 

The Department of Health and Human Services published a final rule setting a 

compliance date of October 1, 2013 for replacing the 30-year-old ICD-9-CM code set 

with ICD-10-CM and ICD-10-PCS. 

For more information on the proposed rule and the Ingenix resources to help guide 

you through ICD-10, visit http://www.shopingenix.com/content/ICD10/. 

ICD-10 Corner 

Ingenix Essentials / ICD-10 Corner 

XITPC 

H Y 

ITPC H Y ITEN P H Y 

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ICD-10-PCS: A Preview of the 

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ICD-10-PCS: Source 

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Preview the ICD-10-CM (diagnoses) and ICD-10-PCS (inpatient procedures) 

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13 

13 

NEW for 

2009 

Discount for 

AAO-HNS 

members 

agen P H Y aent 

P H Y atob 

P H Y aPED 

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2009 Coding Companions ® 

Boost your coders’ efficiency with Coding Companions ® , specialty-specific books 

that offer the most up-to-date coding information in a quick-search format. These 

valuable resources contain 2009 CPT ® and ICD-9-CM code sets specific to your 

specialty. Find all the information you need for each code on a single, illustrated 

page: clear, concise descriptions, as well as coding tips, terminology, cross coding, 

Medicare RVUs and Pub. 100 references. 

Specialty Coding 

» Organized by CPT ® code for easy and 

logical lookup. 

» Get information faster with crosswalks 

to ICD-9-CM diagnosis, procedure and 

anesthesia codes. 

» Minimize claim denials and help 

avoid audits with Medicare Pub. 100 

guidelines for follow-up days and 

assistant-at-surgery. 

» Medicare RVUs for surgery and 

diagnostic procedures included. 

» Quickly identify newly prohibited coding 

and billing combinations and reduce 

audit risk with CCI edits delivered to your 

desktop via e-mail. 

Simplify coders’ jobs with these quick-find reference guides. 

2009 Coding Companions ® 

Title Item No. ISBN 

Coding Companion ® for Cardiology/Cardiothoracic Surgery/Vascular Surgery A1645 978-1-60151-164-5 

Coding Companion ® for Emergency Medicine A1751 978-1-60151-175-1 

Coding Companion ® for ENT/Allergy/Pulmonology A1713 978-1-60151-171-3 

Coding Companion ® for General Surgery/Gastroenterology A1690 978-1-60151-169-0 

Coding Companion ® for Neurosurgery/Neurology A1768 978-1-60151-176-8 

Coding Companion ® for OB/GYN A1621 978-1-60151-162-1 

Coding Companion ® for Oncology/Hematology A1720 978-1-60151-172-0 

Coding Companion ® for Ophthalmology A1638 978-1-60151-163-8 

Coding Companion ® for Orthopaedics—Lower: Hips & Below A1706 978-1-60151-170-6 

Coding Companion ® for Orthopaedics—Upper: Spine & Above A1652 978-1-60151-165-2 

NEW Coding Companion ® for Pediatrics A2246 978-1-60151-224-6 

Coding Companion ® for Plastics/OMS/Dermatology A1669 978-1-60151-166-9 

Coding Companion ® for Podiatry A1744 978-1-60151-174-4 

Coding Companion ® for Primary Care A1683 978-1-60151-168-3 

Coding Companion ® for Radiology A1676 978-1-60151-167-6 

Coding Companion ® for Urology/Nephrology A1737 978-1-60151-173-7 


$199.95 each 



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14 

Discount 

for APTA 

members 


spt 

P H Y 

2009 Coding and Payment Guide 

for the Physical Therapist 

Item # SPT09 Available: Now 

ISBN: 978-160151-182-9 $179.95 

Includes the 

information 

from the 

Laboratory 

Cross Coder 

on CD 

sych 

P H Y 


for Behavioral Health Services 

Item # SYCH09 Available: Now 

ISBN: 978-160151-183-6 $179.95 

2009 Coding and Payment Guides 

The 2009 Coding and Payment Guide is a one-stop 

coding, billing and documentation resource for 

submitting accurate claims. 

» Minimize claim denials with Medicare payer 

and Pub. 100 references. 

sap 

P H Y 


for Anesthesia Services 

Item # SAP09 Available: Now 

ISBN: 978-160151-184-3 $179.95 

slab 

P H Y 

» Access specialty-specific ICD-9-CM, 

HCPCS Level II and CPT ® code sets. 


for Laboratory Services 

Item # SLAB09 Available: Now 

ISBN: 978-160151-185-0 $179.95 

» CCI edit updates delivered to your desktop 

via e-mail. 

NEW for 

2009 

cpENT 

Discount for 

AAO-HNS 

members 

P H Y 

2009 Code Pathways 

A great supplement to your Coding 

Companion ® , Code Pathways provides a 

time-saving reference tool for quick and 

accurate coding of complex procedures. 

Specialty-specific, these laminated flip 

charts provide guidance and simplify 

procedure code selection by mapping out 

various options. 

2009 Code Pathways 

Title ISBN Item# 

Code Pathways for Dermatology 978-1-60151-213-0 1715 

NEW Code Pathways for ENT/Pulmonology 978-1-60151-223-9 1721 

Code Pathways for General Surgery 978-1-60151-214-7 1714 

Code Pathways for OB/GYN 978-1-60151-209-3 1716 

Code Pathways for Ophthalmology 978-1-60151-210-9 1717 

Code Pathways for Orthopaedics–Lower Hips & Below 978-1-60151-212-3 1718 

Code Pathways for Orthopaedics–Upper Spine & Above 978-1-60151-211-6 1719 

Code Pathways Urology and Nephrology 978-1-60151-215-4 1720 


$59.95 each 



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15 

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scc P H Y 

acc 

P H Y 

2009 Radiology Cross Coder 


ISBN: 978-1-60151-178-2 $174.95 

2009 Cross Coders 

2009 Surgical Cross Coder 


ISBN: 978-1-60151-177-5 $174.95 

Bridge the gap between common codes with cross-coding resources that help improve 

coding consistency and compliance with essential links from CPT ® codes to the 

appropriate ICD-9-CM and HCPCS Level II codes. 

2009 Anesthesia Cross Coder 


ISBN: 978-1-60151-180-5 $174.95 


» Numerical organization by CPT ® code 

allows for quick location of diagnosis and 

procedure code information. 

» Appendix offers a quick reference for 

add-on and unlisted codes, along with 

CPT ® and HCPCS modifiers. 

» Referencing clear explanations of CPT ® , 

ICD-9-CM, and HCPCS Level II codes 

help reduce erroneous claim submissions. 

» Icons help identify the most accurate use 

of ICD-9-CM codes. 

pcc 

H Y 

cgds 

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2009 Procedural Cross Coder 

Save time with an ideal tool for 

efficiently coding both inpatient and 

outpatient procedures. Crosswalks 

from ICD-9-CM procedure to HCPCS 

Level II and CPT ® codes allow you to 

complete claims requiring both using 

a single resource. 

2009 Procedural Cross Coder 


ISBN: 978-1-60151-181-2 $159.95 

2009 Coding Guide for Dental Services 


ISBN: 978-1-60151-186-7 $119.95 

2009 Coding Guide for Dental Services 

Code common dental procedures more 

efficiently with a comprehensive claims 

processing, reimbursement, billing and 

fee setting and documentation resource. 

Includes definitions and guidelines for 

current ICD-9-CM, CPT ® , HCPCS Level II 

and 2009-2010 CDT codes. 



Salpingitis is an 

inflammation of the 

fallopian tube while 

oophoritis pertains 

to the ovary; metritis 

is an inflammation 

Ovary 

of the uterus 

Uterus 

Cervix 

Uterus 

Areola 

Fallopian tube 

Lactiferous 

ducts 

Broad 

ligament 

Vaginal 

canal 

Nipple 

Areolar 

glands 

Gland 

lobules 

Pectoralis 

muscle 

Dysplasia is abnormal development of breast tissue; fibroadenosis is a 

degeneration of gland tissue marked by formation of fibrous nodules 

Fat 

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16 

16 

ICD-9-CM Fast Finder 2009 

Coding, Print Billing, Coding and Products Payment 

IFAST 

Abortion 

631 Blighted ovum 

629.81 Habit abort w/o curr preg 

632 Missed 

Spontaneous 

634.92 Complete 

634.91 Incomplete 

634.90 Unspecified 

AIDS and STDs 

AIDS 

V08 HIV, asymptomatic 

V65.44 HIV, counseling 

042 HIV, symptomatic 

078.11 Condyloma acuminatum 

V01.6 Exposure to STD 

078.19 Genital warts 

Gonococcal infection 

098.10 Acute, upper GU tract 

098.11 Cystitis (acute) 

098.31 Cystitis (chronic) 

Herpes 

054.10 Genital (simplex), NOS 

054.12 Vulva, ulceration 

054.11 Vulvovaginitis 

079.4 Human papilloma virus (HPV) 

Syphilis 

092.0 Early, latent, serological 

relapse after tx 

091.0 Genital chancre (primary) 

Breast 

611.0 Abscess 

Abnormal mammogram 

793.81 Microcalcification 

793.89 Other 

Benign dysplasia 

610.1 Diffuse cystic mastopathy 

610.2 Fibroadenosis 

610.0 Solitary cyst 

611.6 Galactorrhea (not obstetrical) 

611.72 Lump/mass 

611.0 Mastitis 

611.71 Mastodynia 

611.79 Nipple inversion/discharge 

Contraception 

Counseling/management 

V25.03 Emerg contraceptive counsel 

V25.02 Fitting, diaphragm 

V25.01 Prescription, oral 

V25.02 Prescription, vaginal agents 

V26.4 Procreative, general 

Follow-up 

V25.43 Implantable subdermal 

V25.42 IUD 

V25.41 Oral agent prescrip 

Insertion 

V25.5 Implantable subdermal 

V25.1 IUD 

V25.2 Sterilization 

2009 Fast Finders 

Make coding faster and easier with 

these double-sided, laminated sheets 

each containing approximately 300 

commonly reported codes for your 

specialty. 

» Alphabetically arranged for quick 

location. 

Diabetes Mellitus 

Requires fifth digit: 

0 type II or unspec type, not stated as 

uncontrolled; assign for type II 

regardless of insulin requirement; 

assign V58.67 for long-term insulin use 

1 type I, not stated as uncontrolled 

2 type II or unspec type, uncontrolled; 

assign for type II regardless of insulin 

requirement; assign V58.67 for longterm 

insulin use 

3 type I, uncontrolled 

250.0_ w/o complication 

Diseases of Ovary/Fallopian 

Tube/Pelvis/Peritoneum 

614.8 Oth spec inflam dz of pelvic 

organs & tissues 

614.3 Parametritis/pelvic 

cellulitis, acute 

614.4 Parametritis/pelvic 

cellulitis, chronic 

614.9 PID 

Salpingitis and oophoritis 

614.0 Acute 

614.1 Chronic 


Endometriosis 

617.2 Fallopian tube 

617.1 Ovary 

617.3 Pelvic peritoneum 

617.0 Uterus/cervix 

Estrogen receptor status 

V86.1 Negative [ER-] 

V86.0 Positive [ER+] 

Exam/Screening 

Other exam 

V26.21 Fertility testing 

V67.01 Follow-up pap smear after surg 

V76.11 Mammogram, high risk 

V72.41 Preg exam, negative 

V72.42 Preg exam, positive 

V72.40 Preg exam, unconfirmed 

V72.84 Preoperative, NOS 

V72.31 Routine gynecological 

V72.32 Smear to confirm recent 

norm follow abnorm smear 

Ob/Gyn 

Screening 

V73.88 Chlamydial disease, specified 

V26.31 Genet dz carrier status, fem 

V26.32 Genet testing, other 

V76.19 Neop, breast exam, other 

V76.2 Neoplasm cervix, malignant 

V76.50 Neoplasm, intestine 

V76.46 Neoplasm, ovary 

V76.47 Neoplasm, vagina 

V77.0 Thyroid disorders 

V74.5 Venereal disease 

General Signs/Symptoms 

Abdomen 

789.04 Pain, left lower quadrant 

789.07 Pain, generalized 

789.03 Pain, right lower quadrant 

Anemia 

280.0 Due to chronic blood loss 


Backache 

724.2 Lumbago 

V49.84 Bed confinement status 

626.7 Bleeding, postcoital 

780.6 Fever 

784.0 Headache 

455.6 Hemorrhoids, unspecified 

Hypertension, nonpregnant 

401.1 Benign 

796.2 Elevated BP w/o HTN dx 

Nausea 

787.02 Alone 

787.01 w/vomiting 

278.00 Obesity, unspecified 

629.89 Oth spec disor, fem gen org 

625.0 Painful intercourse 

Pelvis swelling, mass or lump 

789.34 Left lower quadrant 

789.33 Right lower quadrant 

Genital mutilation status 

629.21 Clitorectomy 

629.22 Clitorec w/excis of lab min 

629.23 Infibulation 

629.29 Other 

629.21 Type I 

629.22 Type II 

629.23 Type III 

629.29 Type IV 


Infertility 

628.0 Anovulation 

628.8 Other specified origin 

628.2 Tubal origin 

628.9 Unspecified origin 

Lab findings, abnormal 

795.81 Elevated CEA 

795.82 Elevated CA 125 

795.89 Other abn tumor markers 

Menopause 

627.4 Artificial state 

V49.81 Asymptom, age-rel status 

Bleeding 

627.1 Postmenopausal 

627.0 Premenopausal 

627.2 Climacteric states 

V07.4 Hormone replace therapy 

256.31 Premature 

627.3 Vaginal atrophy 

Menses 

626.0 Absence 

625.3 Dysmenorrhea 

626.2 Excessive/frequent 

626.4 Irregularity 

626.6 Metrorrhagia 

625.2 Mittelschmerz 

625.4 Premenst tension syn (PMS) 

626.1 Scantiness/infrequency 

626.8 Uterine hemorrhage 

Neoplasm 

Benign 

217 Breast 


220 Ovary 

221.1 Vagina 

221.2 Vulva 

Carcinoma in situ 

233.0 Breast 

233.1 Cervix uteri 

233.3 Genitalia, NOS 

233.2 Uterus, NOS 

2009 ICD-9-CM Fast Finders 


$24.95 

Malignant 

174.6 Breast, axillary tail 

174.8 Breast, contiguous/other 

174.4 Breast, upper, outer 

180.8 Cervix, other site 

180.9 Cervix uteri, NOS 

182.0 Corpus uteri, exc isthmus 

180.0 Endocervix 

180.1 Exocervix 


182.1 Isthmus 

184.1 Labia majora 

184.2 Labia minora 

183.0 Ovary 

182.8 Uterine body, other spec 

184.0 Vagina 

184.4 Vulva, NOS 

3745 

P H Y CEU 

2009 HCPCS Level II Fast Finders 


$27.95 

» Short, functional code descriptions. 

2009 2009 

ICD-9-CM HCPCS 

2009 Fast Finder Description Item# Item# 

Allergy and Immunology 2121 

Behavioral Health 2122 

Cardiology 2123 

Cardiovascular/Thoracic 2124 

Chiropractic Medicine 2125 

Dental/OMS 2126 

Dermatology 2127 

Drug Codes 1561 

Emergency Medicine 2128 

Endocrinology 2129 

ENT 2130 

External Causes - E Codes 2131 

Family Practice 2132 

Gastroenterology 2133 

General Surgery 2134 

Hematology Oncology 2135 

Home Health 1562 

Infectious Diseases 2136 

Modifiers 1563 

Neurology/Neurosurgery 2137 

OB/GYN 2138 

Ophthalmology/Optometry 2139 

Orthopaedics 2140 

Orthotics 1564 

Pain Management 2141 

Pediatrics 2142 

Physical Medicine/Rehabilitation 2143 

Physician Office Supplies 1565 

Physical Therapy 2144 

Plastic and Reconstructive Surgery 2145 

Podiatry 2146 

Primary Care/Internal Medicine 2147 

Prosthetics 1566 

Signs and Symptoms 2148 

Urology/Nephrology 2149 

V Codes 2153 

Vision and Hearing 1567 

Available: Now Now 

emff 

p h CEU 

2009 E/M Fast Finder 


ISBN: 978-1-60151-201-7 $39.95 

2009 E/M Fast Finder 

Assign the evaluation and management codes that 

are part of the 99000 series of the CPT ® code set with 

the E/M Fast Finder for 2009. It’s the durable, carryalong 

reference that enables level, difficulty and other 

determinations for each E/M code in the exam room, 

lab or office—anywhere you go. 


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CIFC 

Encoder Pro 




Encoder Pro 

Encoder Pro is the essential lookup tool for CPT ® , ICD-9-CM and HCPCS codes. 

Encoder Pro 

» Search across all code 

sets simultaneously. 

» Automatic quarterly 

updates. 

For a full list of 

features, visit 

shopingenix.com. 

P 

EPRO 

Encoder Pro Professional 




Encoder Pro Professional 

Includes tools found in 

Encoder Pro, plus: 

» Local coverage 

determinations (LCDs) 

and Medicare’s Pub.100 

access. 

» Modifier crosswalk. 

P 

EPRC 

Encoder Pro Expert 




Encoder Pro Expert 

Includes tools found 

in Encoder Pro 

Professional, plus: 

» Compliance Editor. 

» Fee Calculator. 

P 

Coding, Billing, and Payment 

Code It Fast I-9 

Code It Fast I-9 is a desktop/network application that delivers fast, efficient ICD-9-CM 

code lookup in a desktop application. This tool references all Volume 1 diagnosis. 

» Use the fast search engine to quickly 

look up clinically accurate diagnosis and 

procedure codes by term. 

» Reduce research time and improve coding 

accuracy with handy color-coded edits and 

network-shareable notes. 

» Quickly reference code selection and its 

appropriate diagnosis-related group, using 

the DRG crosswalk. 

» Quickly reference code selection and its 

appropriate diagnosis-related group, using 

the DRG crosswalk. 

CIFI9 

P H Y 

Code It Fast I-9 



Multi-user pricing available. 



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CDR 

P H Y CEU 

2009 Coders’ Desk Reference 

for Procedures 


ISBN: 978-1-60151-200-0 $134.95 


for Procedures 

Master CPT ® codes and details, plus 

improve your accuracy for Medicare 

code selection with the comprehensive 

guide to procedural coding. 

» Contains over 8,000 CPT ® codes and 

more than 6,000 lay descriptions of 

CPT ® procedures. 

» Anatomical illustrations of body sites 

described in operative reports. 

» Reduce research time and improve 

accuracy with modifier definitions, 

narrative descriptions and rules. 

IDR 


for Diagnoses 

For clinical, coding and documentation 

guidance beyond the ICD-9-CM book, 

turn to the Coders’ Desk Reference for 

Diagnoses. 

» Ingenix Edge® Learn about the changes 

for 2009 with complete information on 

new codes and their impact on coding 

practices. 

P H Y CEU 


for Diagnoses 

Item # IDR09 Available: Now 

ISBN: 978-1-60151-136-2 $134.95 

» Select codes using detailed, clinical 

explanations, coding tips and scenarios. 


for ICD-9-CM Procedures 

This reference guide describes all ICD-9-CM 

procedures in full detail with complete coding 

advice. 

» Ingenix Edge® Updated to include detailed clinical 

information and coding tips with scenarios for all 

the new ICD-9-CM procedure codes for 2009. 

IDR3 

H Y 


for ICD-9-CM Procedures 


ISBN: 978-1-60151-137-9 $134.95 

» Select the right ICD-9-CM code every time 

using detailed descriptions, coding advice 

and scenarios. 

» ICD-9-CM procedural coding instruction. Helps 

you understand the conventions and guidelines 

of ICD-9-CM procedure coding. 


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XID 

CDRH 

P H Y CEU 

2009 Coders’ Desk Reference for HCPCS Level II 


ISBN: 978-1-60151-161-4 $134.95 


for HCPCS Level II 

Simplify the rules governing HCPCS codes. 

» More than 3,000 alphanumerical 

HCPCS Level II codes with lay 

descriptions for more than 2,000 codes. 

» Modifier definitions, diagnosis code 

suggestions and usage rules help 

you choose mofiferes and E/M codes 

accepted by payers. 

ID P Y 

2009 Insurance Directory 


ISBN: 978-1-60151-194-2 $79.95 

2009 Insurance Directory Data File 


ISBN: 978-1-60151-195-9 $499.95 

2009 Insurance Directory 

Most insurance companies have had a 

change in their contact information over 

the past year. Stay up-to-date with the 

Insurance Directory, a complete, updated 

resource of insurance company information. 

» New Listing of payers capable 

of receiving electronic billing and 

attachments. 


New-CD 

now contains 

code linkage 

information. 

2009 Physicians’ Guide to 

Implementing the Medicare Quality 

Reporting Initiative 

Own the information and tools you need to help 

capture the bonus payment for quality reporting 

to Medicare. 

» Gain in-depth understanding with detailed 

explanations and supporting information on all 

reporting guidelines and issues. 

GIR 

p H 

2009 Physicians’ Guide to Implementing the 

Medicare Quality Reporting Initiative 

Item # 1645 Available: Mar 2009 

ISBN: 978-1-60151-249-9 $229.95 

» Have all 175 quality reporting measures at your 

fingertips, including 62 new for 2009. 

» Now includes two searchable CDs of quality 

measure codes, cross coding information and 

flow charts. 

» Access code linkage information for ICD-9-CM, 

CPT ® or CPT ® Level II/HCPCS codes. 

P 

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20 

New, convenient 

softbound format 


2009 Coders’ Dictionary 

Unlike other medical dictionaries, the 

Coders’ Dictionary lays the groundwork 

for understanding medical terminology 

from a coder’s perspective. Ingenix has 

developed this dictionary with the specific 

needs of medical coders, admitting clerks, 

billers and adjudicators in mind. 

. 

TCD 

P H 

2009 Coders’ Dictionary 


ISBN: 978-1-60151-199-7 $99.95 

» Updated to include more than 8,000 

alphabetic entries and 250 illustrations 

for terminology key to code selection. 

» Clear, concise definitions for clinical, 

coding, billing and reimbursement terms. 

ATK 

P H Y 

2009 Auditing Tool Kit 

Item # 1572 Available: Feb 2009 

ISBN: 978-1-60151-191-1 $199.95 

2009 Auditing Tool Kit 

This resource helps guide your 

internal auditing processes 

and improve billing and coding 

accuracy—so you can comply with 

Office of Inspector General (OIG) 

standards and the annual work plan. 

» Equip yourself with the latest auditing 

forms to improve your audits and 

processes. 

» Quickly access the forms and 

terms you are seeking with a 

searchable CD with topics 

organized in an A-to-Z format. 

2009 CPT ® Changes: An Insider’s View 

CPT ® Changes: An Insider’s View outlines the 

specific changes to the CPT ® code set for 2009, 

provides the official rationale behind the changes 

and explains the impact on reporting and 

reimbursement for medical services. It includes 

all new, revised and deleted codes. 

CPTC 

P H Y 

» Organized by CPT ® code section and code 

number to easily find codes. 

2009 CPT ® Changes: An Insider’s View 

Item # CI09 Available: Now 

ISBN: 978-1-60359-059-4 $67.95 

» Illustrations demonstrate how to use new 

codes. 

» Clinical examples describe how services 

included in new CPT ® codes are performed. 

» Coding and billing tips focus on rules for billing. 


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HTKT 

HIPAA Tool Kit 

The HIPAA Tool Kit thoroughly explains 

HIPAA requirements, and helps you 

achieve and maintain compliance. 

» Security implementation guidance 

provides the latest rules, regulations 

and strategies. 

» Customizable training presentations in 

PowerPoint format are provided in the 

eBook. 

» Assessment and implementation 

guidance and templates help achieve 

compliance. 

HIPAA Tool Kit 


$259.95 

The all-in-one resource 

for managing your 

auditing process. 

P 

Denial Management Tool Kit 

The Denial Management Took Kit helps 

you understand your denials, better 

manage your claims process and learn 

what actions to take for a quicker 

turnaround time on your reimbursement. 

» Understand how to efficiently resolve 

denied claims and receive your money 

faster. 

dmtk 

Denial Management Tool Kit 


$199.95 

» Quickly respond to payer inquiries and 

take the necessary corrective action. 

» Reduce claim denials and delays. 

» Simplify your transition to electronic 

claim submission. 

» Understand what Medicare will cover 

as the secondary payer. 

» Print templates to help improve your 

appeals process. 

P 


Power Point 

Presentation 

Included 

» Updated twice a year to keep you 

informed of the latest Medicare 

changes. 

HTKTCD 

HIPAA Tool Kit eBook 


$259.95 

P 

The complete guide 

to managing your 

claims process! 

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DRG 

2009 DRG Expert 

Improve reimbursement management with 

DRG Expert, a comprehensive resource 

for accurate MS-DRG assignment and 

validation. DRG Expert is organized by 

major diagnostic categories and designed 

to follow the logical decision process. 

» Ingenix Edge® Updated CMS rates for current 

relative weight, geometric length of 

stay and average length of stay for each 

MS-DRG under both the IPPS and LTCH 

IPPS. 

H Y 

2009 DRG Expert 


ISBN: 978-1-60151-145-4 

$119.95 

» Ingenix Edge® Current MS-DRG structure. 

Diagnosis and procedure codes that 

define each DRG are listed. 

» Ingenix Edge® Ingenix hallmark color coding. 

Easily identify CC and MCC restrictions, 

PDx and SDx qualifications, special 

payment transfer DRGs, surgical/medical 

partitioning and other requirements. 

» Ingenix Edge® Valuable resources are at your 

fingertips. Easily find national average 

payment, CC and MCC lists, CMS-DRG 

to MS-DRG mapping table, surgical 

hierarchy tables, transfer DRG lists and 

MDC diagnosis lists. 

DRGCD 

H Y 

2009 DRG Expert eBook 


ISBN: 978-1-60151-146-1 

$119.95 

DDR 

2009 DRG Desk Reference 

Access crucial information to accurately 

guide and improve MS-DRG assignment 

and reference advice on clinical 

indicators of CC and MCC conditions. 

» Updated with over 400 pages of vital 

new information containing the latest 

MS-DRG optimizing tips. 

» Documentation Specificity Tables help 

differentiate between non-specific and 

specific codes by identifying clinical 

indicators and treatment information to 

potentially move a non-CC code to 

a CC/MCC designation. 

» Targeted DRG documentation and 

coding advice based on past DRG 

auditing activities performed by the OIG. 

» New information on RAC program to 

help you understand types of reviews, 

target strategies, targeted and top 

audited DRGs. 

» Tutorials demonstrate how to audit 

DRGs and document POA. 

» Includes list with expanded Hospital 

Acquired Conditions (HACs). 

H 



ISBN: 978-1-60151-149-2 

$199.95 

DDRCD 

H 


eBook 


ISBN: 978-1-60151-150-7 

$199.95 

» DRG decision trees outline the logic 

behind assigning a DRG within an MDC. 

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UBE 

Uniform Billing 

Editor 

Item # 4787 


$299.95 

H y 

Uniform Billing Editor 

Access detailed information about 

Medicare and UB-04 billing rules, as 

well as 837i requirements. Use this 

tool daily to navigate the requirements 

for each billing type and manage the 

constant changes to Medicare billing 

and reimbursement. 

UBECD 

» Quickly link HCPCS and CPT ® codes 

to applicable revenue codes to 

prevent mismatches and rejections. 

H y 

Uniform Billing 

Editor eBook 

Item # 1086 


$299.95 

OBE 

Outpatient Billing 

Expert 

Item # 4709 


$199.95 

Outpatient Billing Expert 

This reference tool is a one-source guide 

for both the free-standing ASCs impacted 

by the new ASC payment system and 

HOPDs paid under the APC system. The 

Outpatient Billing Expert also provides 

APC and ASC groups, reimbursement 

amounts coverage issues and information 

on what is not covered. 

» Keep all billing accurate with the most 

current code sets, rates and groups. 

H 

XOBE 

H 

Outpatient Billing 

Expert eBook 

Item # 3883 


$199.95 


» Crosswalk from UB-04 to UB-92 

and 837i institutional claim data and 

billing rules. 

» Find topics via field locators, revenue 

codes and coding structures—all 

fully indexed and tabbed for quick 

reference. 

» Identify data inconsistencies, 

potential rejections and denials 

through OCE and MCE edits. 

» Includes comprehensive coverage of 

both ASC and APC payment systems. 

» Contains information used daily by 

HOPD and ASC facilities to resolve 

billing and denial issues and establish 

payment and audit reimbursement 

processes. 

» eBook exclusive! APC and ASC 

payment finders, OPPS CCI edits, plus 

complete coverage of OCE and MCE 

editing systems. 

» Stay current with regulatory changes 

specific to your facility by accessing 

updates on our website. 





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24 


HPB 

2007 Hospital Professional Billing Editor 


ISBN: 978-1-56337-996-3 $199.95 

h 

2007 Hospital Professional Billing Editor 

Conquer the coding, billing and reimbursement issues 

associated with billing professional services provided 

by hospital-based physicians. Understanding the 

differences in billing requirements for the professional 

versus the facility is critical to revenue cycle 

management. 

» Ingenix Edge® Guidelines and tips for accurate billing of professional charges in the following 

areas: ER physicians, EKG readings, pathologists, medical nutrition consulting, diabetic 

self-management staff, CRNAs and hospitalists. 

» Ingenix Edge® Find out how to enroll the professional as a part of the hospital professional 

group. 

» Ingenix Access source documentation and coding tips for both facility and 

Edge® 

professional components covering each code set and type of service. 

» Reference billing instructions for completing the CMS-1500 and its electronic 

equivalent. 

2009 Facility Guide for Interventional Radiology 

Interventional radiology and cardiology coding can baffle even the most experienced 

coders. Developed to simplify coding for imaging-assisted surgical services, this facilitybased 

resource provides current CPT ® and Medicare reporting guidelines along with 

specific direction for coding complex interventional procedures. 

» Save time with ICD-9-CM, CPT ® and HCPCS Level 

II information specific to interventional radiology 

and cardiology. 

» Access the most current information, codes, 

reimbursement guidance and tips for interventional 

procedures. 

» Optimize revenue for your facility with detailed 

data on often-overlooked codes while capturing all 

allowable charges. 

FIR 

h y 

» Stay up-to-date with CCI edits delivered quarterly 

via e-mail. 

2009 Facility Guide for 

Interventional Radiology 


ISBN: 978-1-60151-151-5 $199.95 


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Hospital Chargemaster Guide 

Update and maintain an accurate charge description 

master (CDM). Organized by ancillary service 

department, this manual provides detailed guidelines 

for achieving optimal reimbursement and departmentspecific 

information for efficient auditing. 

» Guidelines on how to review the CDM for coding, billing, reimbursement and 

clinical accuracy. 

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27 Physician Pricing 

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If you’ve been buying an AMA 

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