2024 ICD-10-PCS Expert (Spiral)

• Optum Edge — Color-coding and symbols for Medicare Code Edits. Includes our hallmark color-coding and symbols identifying ICD-10 MS-DRG MCEs for non-covered procedures, limited coverage procedures, combination only procedures, non-operating room procedures affecting MS-DRG assignment, non-operating room procedures NOT affecting MS-DRG assignment, hospital acquired condition (HAC) related procedures, and new technology add-on payment (NTAP).
• Approach illustrations. The approach illustrations show components that determine the approach, including access location, method, and instrumentation.
• Body part definitions included in root operation tables. All terms listed in the body part definition appendix are included in the root operation tables for the Medical/Surgical section eliminating the need to reference the appendixes when selecting the correct body part value.
• Illustrations. Illustrations of body parts with body part values accompany the Character Meaning tables in the Medical/Surgical section.
• Procedure combination tables. Identify ICD-10-PCS code combination requirements needed to satisfy certain MS-DRG requirements.
• Spiral bound with snap tabs. Spiral binding allows the book to lay flat for ease of use and snap in tabs provide faster access to index and tabular sections.
• Product Updates. Code changes and updates will be made available on the Optum Product Update page on optumcoding.com to our valued ICD-10-PCS customers.

Ms. Schmidt has expertise in Level I Adult and Pediatric Trauma hospital coding, specializing in ICD-9-CM, ICD-10-CM/PCS, DRG, and CPT coding. Her experience includes analysis of medical record documentation, assignment of ICD-10-CM and PCS codes, DRG validation, as well as CPT code assignments for same-day surgery cases. She has conducted coding training and auditing, including DRG validation, conducted electronic health record training, and worked with clinical documentation specialists to identify documentation needs and potential areas for physician education. Most recently she has been developing content for resource and educational products related to ICD-10-CM and ICD-10-PCS. Ms. Schmidt is an AHIMA-approved ICD-10-CM/PCS trainer and is an active member of the American Health Information Management Association (AHIMA) and the Minnesota Health Information Management Association (MHIMA).

Ms. Anderson is a Registered Nurse and CDI Specialist/Educator with more than 20 years of experience in the healthcare profession. She obtained her BSN at the University of Minnesota and spent most of her bedside nursing career on Medical-Surgical care units. Her clinical documentation experience began in 2007, covering CDI specialist training, education development, and physician engagement. She has served as a CDI Team Lead and consultant, working with senior leadership to incorporate CDI work into documentation compliance and quality metrics. Ms. Anderson also has a BS degree in Biology (Winthrop University), with research experience in liver cancer and radiation-induced leukemia. She has presented at the state and national levels for the Association of Clinical Documentation Integrity Specialists (ACDIS) and has served as a co-lead for the Minnesota state chapter.