The ICD-10-CM Expert for Physicians with OPTUM360 s hallmark features and format makes facing the challenge of accurate diagnosis coding easier. Developed specifically to meet the needs of physicians,the Optum360 codebook contains the complete ICD-10-CM code set which is the cornerstone for establishing medical necessity,determining coverage,and ensuring appropriate reimbursement. Now with a new symbol in the tabular for codes associated with CMS quality payment program (QPP) measures and a symbol to identify codes associated with CMS hierarchical condition categories (HCC) used in risk adjustment (RA) coding.
Supplementary appendixes available only in the expert edition include: pharmacology listings,Z codes for long-term use of drugs and associated drug names; and Z codes used only as primary diagnosis.
