2024 Coders’ Desk Reference for HCPCS Level II (Compact)

• Optum Edge — More than 3,000 HCPCS Level II codes and 2,000 lay descriptions. Gain a clear understanding of the clinical definitions for thousands of alphanumeric codes for supplies and services to improve coding accuracy.
• Modifier definitions and usage rules. Choose the appropriate modifiers and HCPCS Level II codes with a thorough list of modifiers, accompanied by narrative explanations of each.
• Coding and billing instructions. Reduce research time and improve coding accuracy with tips on the quickest methods to bill and code HCPCS Level II codes.
• Additional chapters for documentation, durable medical equipment (DME), fraud and abuse, compliance, and appeals. Prevent the risk of audits and fines by clearly understanding the regulatory requirements that affect HCPCS Level II coding.

Ms. Leibold has more than 25 years of experience in the healthcare profession. She has served in a variety of roles, ranging from patient registration to billing and collections and has an extensive background in both physician and hospital outpatient coding and compliance. She has worked for large healthcare systems and health information management service companies and has wide-ranging experience in facility and professional component coding, along with CPT expertise in interventional procedures, infusion services, emergency department, observation, and ambulatory surgery coding. Her areas of expertise include chart-to-claim coding audits and providing staff education to both tenured and new coding staff. She is an active member of the American Health Information Management Association (AHIMA), Middle Tennessee Health Information Management Association (MTHIMA), and West Tennessee Health Information Management Association (WTHIMA).

Ms. Petersen is a Registered Health Information Administrator with 30 years of experience in the healthcare profession. She has served as Senior Clinical Product Research Analyst with Optum developing business requirements for edits to support correct coding and reimbursement for claims processing applications. Her experience includes development of data-driven and system rules for both professional and facility claims and in-depth analysis of claims data inclusive of ICD-10-CM, CPT, HCPCS, and modifiers. Her background also includes consulting work for Optum, providing coding and reimbursement education to internal and external clients. Ms. Petersen is a member of the American Academy of Professional Coders (AAPC), and the American Health Information Management Association (AHIMA).