HCPCS 2025 Level II Professional Edition
English
By (author): American Medical Association
This professional edition includes features such as Netters anatomical illustrations, dental codes, and ambulatory surgical center (ASC) payment and status indicators.
Features and Benefits
- Full-color Netters anatomical illustrations clarify complex anatomic information and how it affects coding.
- At-a-glance code listings and distinctive symbols identify all new, revised, reinstated, and deleted codes for 2025.
- The American Hospital Association Coding Clinic® for HCPCS citations provide sources for information about specific codes and their usage.
- Convenient spiral binding provides easy access in practice settings.
- Quantity feature indicates maximum allowable units of service per patient, per day, for physician and hospital outpatient per medically unlikely edits (MUEs) for enhanced accuracy on claims.
- Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other Food and Drug Administration (FDA) approved drugs.
- Color-coded Table of Drugs makes it easier to find specific drug information.
- Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators clearly identify supplies to report to durable medical third-party payers.
- Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System.
- American Dental Association (ADA) Current Dental Terminology code sets offer access to all dental codes in one place.
- Jurisdiction symbols show the appropriate contractor to be billed for suppliers submitting claims to Medicare contractors, Part B carriers and Medicare administrative contractors for DMEPOS services.
- Special coverage information provides alerts when codes have specific coverage instructions, are not valid or covered by Medicare or may be paid at the carriers discretion.
- Age/Sex edits identify codes for use only with patients of a specific age or sex.
Will deliver when available. Publication date 10 Jan 2025