2025 Current Procedural Coding Expert -- Expert Edition (Spiral)
Optum | 2025 |
Turn to the resource that goes beyond basic coding with the Current Procedural Coding Expert – Expert Edition your CPT® coding resource.
Equipped with the entire 2025 CPT® code set with easy-to-use coding that includes and excludes notes for coding guidance and Medicare icons for speedy coding, billing, and reimbursement, this easy-to-navigate resource will benefit physician practices, outpatient hospitals, and ASCs.
You will also find a comprehensive listing of annual code additions, revisions, deletions, and reinstatements in the appendix; new code icons and notes; plus, reimbursement information and mid-year changes not found in the American Medical Association’s (AMA) CPT® code book.
Equipped with the entire 2025 CPT® code set with easy-to-use coding that includes and excludes notes for coding guidance and Medicare icons for speedy coding, billing, and reimbursement, this easy-to-navigate resource will benefit physician practices, outpatient hospitals, and ASCs.
You will also find a comprehensive listing of annual code additions, revisions, deletions, and reinstatements in the appendix; new code icons and notes; plus, reimbursement information and mid-year changes not found in the American Medical Association’s (AMA) CPT® code book.
- Optum Edge — Code-specific definitions, rules, and references. Reference comprehensive information compiled from the Centers for Medicare and Medicaid Services (CMS), the AMA, Optum and other sources to assist with accurate coding and speed reimbursement.
- Evaluation and Management (E/M) Services Guidelines. AMA CPT® section guidelines for the Evaluation and Management (E/M) Services Guidelines are provided in their entirety.
- Extended Understanding Modifiers Appendix. Provides easy-to-understand guidance for some of the more difficult modifiers, assisting in appropriate usage and reimbursement.
- Extended Evaluation and Management Appendix. Easy-to-use grids and extended guidelines to facilitate E/M code selection.
- Icons/color bars. Familiar icons or color bars used for new, revised, add-on, resequenced, telemedicine, and for correct modifier usage. Also identify which new or revised CPT® codes are valid, but not in the current CPT® book.
- Extensive user-friendly index. Find codes in a flash with our accurate and expansive alphabetic index with terms listed in a variety of ways.
- New, Revised, and Deleted codes appendix. Easily identify changes to CPT® code descriptions, including code changes made mid-year by the AMA, but not found in the AMA’s CPT® code book.
- CPT® Assistant references. Identifies that an article or discussion of a CPT® code exists in the AMA’s CPT® Assistant newsletter. Use the citation to locate the correct volume.
- Medicare coverage rules with icons and IOM references at the code level. Understand which CMS policies apply to CPT® codes prior to claim submission. Some of these icons include CCI and Provider MUE edits, ASC payment and OPPS status indicators, and IOM references.
- Facility and non-facility RVUs and global/follow-up days. Evaluate your fees and understand the impact on standard post procedure coverage.
- Helpful illustrations. Detailed color anatomy illustration appendix. Plus, many illustrations at the code level identifying specific code-related anatomy.
- Expanded Modifier appendix. Includes CPT® and HCPCS Level II modifiers and descriptions and easy-to-understand guidance for some of the more difficult modifiers, assisting in appropriate usage and reimbursement.
- Brand-name vaccinations associated with CPT® codes. Vaccine names are listed by the CPT® code to aid accurate coding for medications.
- Appendix with codes used to report inpatient only procedures. Avoid payment denials and coding errors by using this unique reference.
- Glossary of terms. Increase your understanding of coding, billing, and reimbursement terms to improve coding accuracy.
- Product Updates. CPT® code changes and updates, as well as other significant updates, will be made available on the Optum Product Update page on optumcoding.com for our valued Current Procedural Coding Expert customers.
- Spiral binding. Allows the book to lay flat for ease of use and durability.
- Interventional radiology guidance. Access an appendix of illustrations showing interventional radiology vascular families, as well as an appendix of grids detailing vascular family order for more accurate radiology coding.
- Snap in tabs. Locate often-used sections for easy reference.
CPT is a registered trademark of the American Medical Association.
Elizabeth Leibold, RHIT
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).
LaJuana Green, RHIA, CCS
Ms. Green is a Registered Health Information Administrator with more than 35 years of experience in multiple areas of information management. She has proven expertise in the analysis of medical record documentation, assignment of ICD-10-CM and PCS codes, DRG validation, and CPT code assignment in ambulatory surgery units and the hospital outpatient setting. Her experience includes serving as a director of a health information management department, clinical/technical editing, new technology research and writing, medical record management, utilization review activities, quality assurance, tumor registry, medical library services, and chargemaster maintenance. Ms. Green is an active member of the American Health Information Management Association (AHIMA).
Tara Rose, CPC-I, CPMA, RHIA, CCS-P, AHIMA- approved ICD-10-CM/PCS Trainer
Ms. Rose has more than 15 years of experience in the healthcare profession. She has extensive experience in auditing, teaching, physician billing, and multi-specialty coding with experience in coding CPT, HCPCS, and ICD-10-CM. Most recently Ms. Rose was a post payment auditor and coding consultant. She also taught coding to physicians and at a local community college. Ms. Rose has been a member of her local American Academy of Professional Coders (AAPC) chapter and the American Health Information Management Association (AHIMA) for many years.
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