ICD-9 2010 Updates and Revisions

2010 ICD9The new 2010 ICD-9 Updates are out and take effect October 1, 2009. The Bill Dunbar and Associates site provides free Powerpoints, PDF’s, and an online presentation that details the changes.

Check it out:

New CPT Code Updates 2009

The AMA recently released the 2009 Revised CPT codes that will become effective January 1, 2009. As a reminder, CMS no longer allows a grace period for implementation of any code sets.

New CPT Code Updates 2009

Contains over 290 New Codes, as compared to just over 240 codes in  2008. There are 17 code additions to the E /M  section, 36 additions to the Surgery section, and 67  new codes in the Medicine Section.Contains over 290 New Codes, as compared to just over 240 codes in 2008. There are 17 code additions to the E /M section, 36 additions to the Surgery section, and 67 new codes in the Medicine Section.

Downloads: PowerPoint .PPT · Adobe .PDF · Word .DOC


Deleted CPT Code Updates 2009

E/M, Surgery, Radiology, and Medicine.This report contains over 90 codes that are to be deleted by Jan 1, 2009. Over 70% of the deleted codes occur in the following four sections: E/M, Surgery, Radiology, and Medicine.

Downloads: PowerPoint .PPT · Adobe .PDF · Word .DOC


Revised CPT Code Updates 2009

There are over 130 code revisions in this report. The Preventive Medicine Services area was given the additional wording of  appropriate immunizations to the code sets 99381-99386 and 99387-99397.There are over 130 code revisions in this report. The Preventive Medicine Services area was given the additional wording of “appropriate immunization(s)” to the code sets 99381-99386 and 99387-99397.

Downloads: PowerPoint .PPT · Adobe .PDF · Word .DOC


New Category II and III Code Updates 2009

This report contains over 150 new Category ll Codes, which are supplemental tracking codes that can be used for performance measurements. In addition, there are 13 Category lll Codes that contain a temporary set of codes for emerging technologies, services, and procedures.This report contains over 150 new Category ll Codes, which are supplemental tracking codes that can be used for performance measurements. In addition, there are 13 Category lll Codes that contain a temporary set of codes for emerging technologies, services, and procedures.

Downloads: PowerPoint .PPT · Adobe .PDF · Word .DOC

Bill Dunbar and Associates, LLC.

  • Bill Dunbar and Associates

    Bill Dunbar and Associates, LLC (BDA) provides revenue management consulting services with an emphasis on documentation, coding, and reimbursement. BDA’s focus of services includes a comprehensive revenue operational system review, fee analysis, training on documentation and coding, chart audits, development of documentation templates, and review of CPT, HCPCS and ICD-9-CM Codes utilized with billing and coding. Founded in 1988, BDA provides a select team of experienced clinical, coding and financial professionals with over 200 years of experience in the healthcare field.

    David Dann
    Phone: (800) 783-8014
    Fax: (317) 247-0499
    dbd@billdunbar.com
    http://billdunbar.com/

    Learn More

AMA 2008 CPT Books

Solutions designed for

today’s busy physician practice

See page 9 for

complete details.

2008 American Medical Association books and products Spring 2008 Vol. 2

See page 2 for

complete details.

FREE

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See page 12.

Contains the largest number of

modifier changes in eight years,

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Quickly find coding and policy

information needed to accurately

report and reduce claim denials.


A message from Dr. Maves

The American Medical Association (AMA) is committed to improving the future of medicine. Whether advocating

on Capitol Hill, working to improve patient safety, or developing new tools or products to make your day as a

medical professional run smoothly, we’re here to make a difference.

On this final point, I’m happy to announce several unique new AMA products for 2008, that I’m confident will

find great use in your daily practice routine. The CPT® Handbook for Office-based Coding: AMA and CMS

Perspectives (pg.2) is designed to help you quickly find coding and policy information to save time and reduce

denial claims. For additional coding support, try CPT® Network (pg. 11), a tool that researches a database of

commonly asked coding questions and clinical examples to find answers quickly and accurately. Finally, for the

practice looking to successfully implement an electronic health records system, turn to the AMA’s Practical EHR

resource (pg.19) for expert guidance in making the switch from paper to digital medical records.

To our AMA members, we say “thank you” by offering exclusive savings on these resources, as well as our other

products in the current catalog. We value your commitment to making a difference and supporting the AMA’s

mission of helping doctors help patients.

Michael D. Maves, MD, MBA

Executive Vice President, CEO

phone: (800) 621-8335 fax: (312) 464-5600

CPT® Handbook

<<NEW>>

CPT® Handbook for Office-based Coding:

AMA and CMS Perspectives

The only resource that includes information for both national

Medicare policy and Current Procedural Terminology (CPT®)

code information for the office-based physician. The American

Medical Association (AMA) understands how difficult it is for

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coding and reimbursement maze in one place. That is why we’ve

developed an easy-to-navigate and timesaving handbook to help

readers quickly find coding and policy information needed to

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Topics include emergency department services, pathology and

laboratory, care plan oversight services, medicine guidelines, consultations,

special evaluation and management services, maternity

care, and more. Each chapter begins with a section summary highlighting

key points discussed. Clinical examples and illustrations

are provided throughout to better aid in understanding commonly

performed services provided by the office-based physician.

Also included is a detailed glossary of terms, acronyms and useful

appendices that address a variety of related subjects including:

National Correct Coding Initiative (NCCI) overview; directory

of Medicare carriers by state; health care practitioners recognized

by Medicare; Physician Quality Reporting Initiative (PQRI);

common ICD-9-CM descriptors and more.

Available December 2008, 8½” x 11″, spiralbound, 600 pages

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Save the date!

Expert opinions. Relevant information.

Effective strategies.

The American Medical Association

CPT® and RBRVS 2009 Annual Symposium

The Hyatt Regency Chicago

Nov. 12–14, 2008


CPT® Professional 2009

Your trusted source!

The only official CPT® codebook with rules

and guidelines from the AMA’s CPT

Editorial Panel

New!

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—As reviewed by Jo Dick, CMM, CENTCS, Hoffman Estates, Ill.

CPT® 2009 Professional Edition

Your trusted source for official CPT® coding guidelines from

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This essential resource contains:

AMA exclusive and new! “Appeal that claim” CD-ROM for

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accurate payments are received for physician services. This

CD-ROM is an electronic PDF guide that will eliminate

the administrative and financial burden of underpaid and

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AMA exclusive! Crosswalk table—summarizes the deleted

2008 codes and directs the user to the appropriate 2009

procedure/service code

E/M decision-tree process flowchart—guides the user in

determining whether to report the E/M services provided

as a new or established patient encounter

Updated CPT® Assistant and Clinical Examples in Radiology

newsletter and CPT® Changes book citations—provide

guidance and practical advice on how to best apply CPT codes

Comprehensive appendixes—list vascular families, genetic

testing code modifiers and more

Clinical examples for E/M services codes—help you learn how

to use and report services

Summary of additions, deletions and revisions—provides a

quick reference to make 2009 code and text changes apparent

without having to refer to previous editions

Place of service codes with facility name and description

Color-coded symbols, thumb-notch tabs, legends and

dictionary-style headers

Available October 2008, spiralbound, 8½” x 11″, 750 pages

Order #: EP888809DIF ISBN: 978-1-60359-064-8

Price: $102.95 AMA member price: $73.95

*Not available for wholesalers/resellers. Supplies are limited. The AMA

reserves the right to determine order eligibility.

CPT® 2009 Standard Edition

Stay in compliance with code changes each year with the AMA’s

official coding resource for procedural codes, rules and guidelines.

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Renew today! Don’t wait until

it expires. By renewing today, issues

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CPT® Assistant newsletter and Archives

Critical code changes—keep you informed on timely, up-todate

information on code changes and correct code assignment

Case studies and clinical examples—enhance your coding

proficiency by offering insight into confusing code situations

Direct link to AMA coding experts—“coding consultation”

section features a “questions and answers” format

AMA exclusive features—receive special report bulletins and

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resolve differences in opinion between physicians and third-party For information and pricing for licensing the content of CPT® Assistant,

payers. The CPT® Assistant features articles used for answering please call (312) 464-5022.

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CPT® Assistant Archives 1990–2007

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Expanded by

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Principles of CPT® Coding Workbook, second edition

The second edition of Principles of CPT® Coding Workbook provides

in-depth instruction on key coding concepts by CPT code section.

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Principles of CPT® Coding, fifth edition

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Expanded and revised chapter sections—explain major

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Timesaving coding resources

Revisions to modifiers 25, 32, 51, 58,

59, 76, 78 and new modifier 95

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Coding with Modifiers: A Guide to Correct CPT® and

HCPCS Level II Modifier Usage, third edition

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New clinical examples—guide readers in determining the

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Additional Test-Your-Knowledge questions—test your

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Modifiers approved for hospitals and ASCs provide information

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Practical E/M: Documentation and Coding Solutions

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CPT® Changes and Archives

CPT® Changes Archives 2000–2009

20092009

CPT®

Changes 2009

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phone: (800) 621-8335 fax: (312) 464-5600

CPT® Changes 2009: An insider’s view

Learn about critical coding changes directly from the source

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hundreds of added, revised and deleted codes.

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Useful clinical examples and procedural descriptions help

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“At-a-glance” tabular review of 2009 changes easily determines

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CPT® Changes Archives 2000–2009 software

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CPT® coding tools

<<NEW>>

Stedman’s CPT® Dictionary

End the guesswork of code assignment by truly understanding

CPT® code descriptions

Understanding medical definitions can be one of the biggest

struggles a coding or reimbursement professional can face.

Confusion often surrounds the process of reconciling differences

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Medical Dictionary, the AMA’s CPT experts have developed a

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Dictionary.

This new reference contains definitions of medical terms found

within the CPT codebook descriptions. Each entry contains a

CPT Stedman’s medical definition as it relates to code descriptions.

Definitions are organized by CPT section, giving the user context

to further understand the meaning behind these descriptions.

This reference was designed for side-by-side usage with the

AMA CPT codebook in an effort to clear confusion surrounding

complicated medical terms.

Stedman’s CPT Dictionary also contains other information critical

for medical understanding, including synonym, eponym,

abbreviation and medical terminology appendixes. Illustrations

from Stedman’s Medical Dictionary are also included to supplement

definitions and further understanding.

Softbound, 8″ x 10″, 425 pages

Order #: OP300607DIF ISBN: 978-1-57947-882-7

Price: $124.95 AMA member price: $94.95

CPT® Reference of Clinical Examples:

Official scenarios for correct coding

Straight from the AMA, the only reference organized by CPT®

codebook section that provides more than 475 detailed clinical

examples of the top-reported codes pulled from the proprietary

CPT information database and Medicare claims data. This one-

of-a-kind resource has never-before seen, exclusive illustrations,

as well as:

CPT clinical examples—provide official scenarios of a

procedural situation to understand correct code selection

Pre-/Intra-/Post-service—gives detailed information of what

was performed before, during and after the procedure

Coding conventions—include appropriate add-on, modifier -51

exempt and moderate sedation symbols and references to CPT®

Assistant and Clinical Examples in Radiology newsletter articles and

CPT® Changes book citations listed by several codes

Work value from Relative Value System (RVS) and global

period information

Softbound, 7″ x 10″, 400 pages

Order #: OP153907DIF ISBN: 978-1-57947-874-2

Price: $99.95 AMA member price: $74.95

order online www.amabookstore.com

CPT® Network

Your resource for CPT® coding answers straight from the source!

CPT® Network provides the tools to quickly research a database

of commonly asked coding questions and clinical examples. The

CPT® Online Knowledge Base is a fee-for-service, newly converted

Internet-based inquiry system, that allows you to search an online

knowledge base of CPT® code information filled with FAQs and

a vast amount of data collected by the AMA CPT division. Subscribers

also have the capability to submit an electronic inquiry

directly to a CPT expert for a quick, accurate solution to their

coding question.

Free 30-day trial! Visit

www.ama-assn.org/go/cpt30daytrial

and get one free electronic inquiry.

CPT Network additional features:

Inquiry history—lets you track the history of any request that

has been submitted

Add credits—allows you to add additional credits to your

account for electronic inquires

My account—includes a customer profile (contact information,

credits remaining on account, etc.) and can be updated

as necessary

Contact information—available for general information or

problems you may be encountered with accessing the service

For complete details, and to choose the subscription service

or special AMA member pricing that best fits your needs, visit

www.cptnetwork.com today.


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Coding software

phone: (800) 621-8335 fax: (312) 464-5600

Includes Netter anatomy illustrations

linked to CPT® codes

CPT® 2009 Electronic Professional Edition

Access the entire CPT® 2009

Professional Edition codebook on

your desktop computer. Easy-to-use 2009 Professional Edition

and fully searchable, this invaluable

software contains all of the favorite

CPT® Professional book features and

links CPT codes to detailed, true-

to-life Frank Netter illustrations—

a combination that provides a complete visual understanding

of the anatomic structures described within CPT codes.

Arranged just like the CPT codebook—easily access the

information you need by clicking through the table of contents

or search directly by CPT code number, keyword or phrase

Interfacing capabilities with CPT® Assistant Archives 1990–2007

(see page 7) and CPT® Changes Archives 2000–2009 (see

page 10) easily expands your coding resources

Available December 2008, CD-ROM, shipping included

Includes a free CPT® 2009 Professional Edition codebook

CPT® 2009 Electronic Professional Edition

Users Order # Price AMA ISBN

member price

Single OP134309DIF $249.95 $189.95 978-1-60359-060-0

Network 2–5 OP134409DIF $874.95 $659.95 978-1-60359-061-7

Network 6–10 OP134509DIF $1,133.95 $859.95 978-1-60359-062-4

11+ users: The AMA licenses this product on an individual, per-uniqueuser

basis. Please contact rosa.karbowiak@ama-assn.org for pricing and

further details.

Visit www.amabookstore.com for system requirements.

Add

-a-

CodeManager® 2009 with Netter’s Atlas book

of Human Anatomy for CPT® Coding See p. 6

Invest in the AMA’s CodeManager

with Netter’s software and get a CodeManager®

powerful coding solution that helps

2009

with Netter’

Atlas of Human

Anatomy for

CPT Coding

reduce the time and effort spent

researching and coding medical

claims. This version includes all

the tools and references found in

CodeManager®, plus links CPT®

codes to 400 detailed, true-to-life Frank Netter illustrations—a

combination that provides a complete visual understanding of the

anatomic structures described within CPT codes.

Available December 2008, CD-ROM, shipping included

One-year calendar subscription

Users Order # Price AMA ISBN

member price

Single OP135309DIF $564 $464 978-1-57947-962-6

Network 2–5 OP135409DIF $2,060 $1,710 978-1-57947-963-3

Network 6–10 OP135509DIF $3,840 $3,190 978-1-57947-964-0

Two-year calendar subscription

SAVE 25% per year off one-year price

Users Order # Price AMA

member price

Single OP136309DIF $846 $696

Network 2–5 OP136409DIF $3,090 $2,565

Network 6–10 OP136509DIF $5,760 $4,785

11+ users: The AMA licenses this product on an individual per-uniqueuser

basis. Please contact rosa.karbowiak@ama-assn.org for pricing and

further details.

CodeManager® 2009 with RBRVS 2009 Data

Manager package #1

Order #: OP114509DIF (single user)

Price: $704 AMA member price: $544

Compare at non-package full price of $784!

CodeManager® 2009 with Netter’s with RBRVS

2009 Data Manager package #2

Order #: OP115809DIF (single user)

Price: $804 AMA member price: $644

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Visit www.amabookstore.com or call (800) 621-8335 for network pricing.

CodeManager® 2009 plus RBRVS

2009 Data Manager packages

Package includes:

CodeManager® 2009 or CodeManager® 2009 with Netter’s Atlas

of Human Anatomy for CPT® Coding

PLUS

RBRVS 2009 Data Manager at 25 percent off (see page 18)

plus…

2009RBRVS

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or…

2009CodeManager®

2009

with Netter’

Atlas of Human

Anatomy for

CPT Coding

CodeManager®

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Request your free demo today!

Visit www.codemanager.com for details

2009

®

CodeManager®

Add

-a-

book

See p. 6

Watch for

CodeManager®

online

CodeManager® 2009—Increase your coding

accuracy and efficiency

CodeManager saves users countless hours by delivering fast code

look-ups, superior results and features 11 fully integrated medical

coding reference books in one, easy-to-use software program.

Ability to search and receive results across the AMA CPT®

Professional Edition, ICD-9-CM Volumes 1, 2 and 3 and HCPCS

Level II codebooks simultaneously

AMA exclusive! More than 1,700 CPT clinical examples

AMA exclusive! Access the entire Dorland’s Illustrated

Medical Dictionary

AMA exclusive! RBRVS Payment Calculator easily calculates

the Medicare physician fee schedule payment amounts

Access the full text of Medicare’s physician fee schedule rules

and regulations on a code-by-code basis

Access RVUs and verify the appropriate Medicare relative value

for reimbursement; ambulatory surgery center (ASC) payment

groups and rates also included

Access a full year of National Correct Coding Policy—includes

modifier pop-up tips designated specifically for use with the

correct coding and mutually exclusive code pairs

ICD-9-CM code mapping to correct diagnosis related groupings

(DRGs), and CPT and HCPCS code mapping to correct

ambulatory payment classification (APC) group

Note Pad tool allows you to create a centralized location for all

your coding notes in each code set or to a general notes page

Available December 2008, CD-ROM, shipping included

CodeManager® 2009

One-year calendar subscription

Users Order # Price AMA ISBN

member price

Single OP081709DIF $464 $364 978-1-57947-959-6

Network 2–5 OP082209DIF $1,560 $1,460 978-1-57947-960-2

Network 6–10 OP082309DIF $3,060 $2,660 978-1-57947-961-9

Two-year calendar subscription

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Users Order # Price AMA

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Single OP514809DIF $696 $546

Network 2–5 OP514909DIF $2,340 $2,190

Network 6–10 OP515009DIF $4,590 $3,990

11+ users: The AMA licenses this product on an individual per-uniqueuser

basis. Please contact rosa.karbowiak@ama-assn.org for pricing and

further details.

Visit www.codemanager.com for system requirements and more information.

order online www.amabookstore.com

CodeManager® 2009 all-inclusive package #1

Order #: OP114809DIF (single user)

Price: $1,054.97 AMA member price: $810.97

Compare at non-package full price of $1,288.95!

CodeManager® 2009 with Netter’s all-inclusive

package #2

Order #: OP116109DIF (single user)

Price: $1,154.97 AMA member price: $910.97

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Visit www.amabookstore.com or call (800) 621-8335 for network pricing.

CodeManager® 2009

all-inclusive packages

Package includes:

CodeManager® 2009 or CodeManager® 2009 with Netter’s

Atlas of Human Anatomy for CPT® Coding

PLUS the following products at 30 percent off:

RBRVS 2009 Data Manager

CPT® Assistant Archives 1990–2008

CPT® Changes Archives 2000–2009

or…

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2009

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ICD-9-CM 2009 Physician and Hospital

ICD-9-CM Code Change Summary and

Crosswalk Guide enclosed free with every Physician

and Hospital AMA ICD-9-CM purchase

phone: (800) 621-8335 fax: (312) 464-5600

Add

-a-

book

Physician ICD-9-CM 2009, Volumes 1 and 2 See p. 6

Be prepared with the most recent ICD-9-CM code changes

with this comprehensive resource strategically organized to help

improve coding accuracy and efficiency. Includes dictionary-style

headings, color tabs and legends on each page. Features include:

Current official code set with complete summary of code changes

provides a quick reference to all relevant 2009 changes (includes

instructional notes, additional conventions and complete

coding guidelines)

Clinically oriented definitions and illustrations

Color fourth- and fifth-digit alert symbols in index and tabular

Valid three-digit list

V-code designation symbol alerts

“Unspecified” and “Other Specified” code alerts

Available September 2008, spiralbound, 8½” x 11″, 810 pages

Order#: OP065109DIF ISBN: 978-1-60359-012-9

Price: $92.95 AMA member price: $74.95

Available September 2008, softbound, 8½” x 11″, 810 pages

Order#: OP065309DIF ISBN: 978-1-60359-011-2

Price: $89.95 AMA member price: $72.95

Physician ICD-9-CM 2009, Volumes 1 and 2—

compact edition

A space-saving, color-coded physician resource. Includes current

accepted national guidelines for diagnostic coding, summary

of 2009 changes along with full-color anatomical charts.

Intuitive symbols representing codes that require additional

digits, “Nonspecific” and “Unacceptable” Primary Diagnosis

code symbol alerts, ICD-9-CM crosswalk, age and sex edits

and much more

Available September 2008, softbound, 6″ x 9″, 1,520 pages

Order#: OP096609DIF ISBN: 978-1-60359-015-0

Price: $74.95 AMA member price: $57.95

Add

-a-

Hospital ICD-9-CM 2009, book

Volumes 1, 2 and 3—full-size edition See p. 6

Stay up to date with the most recent Hospital ICD-9-CM

code changes. Includes dictionary-style headings, color tabs

and legends on each page. Complete features include:

Current official code set with complete summary of code changes

provides a quick reference to all relevant 2009 changes (includes

instructional notes, additional conventions and complete

coding guidelines)

2009 crosswalk—allows the user to easily replace no longer

valid codes with the appropriate 2009 codes

Current official code set with complete summary of code

Full-color anatomical charts

Color alert systems

Valid three-digit list

V-code designation symbol alerts

“Nonspecific” and “Unacceptable” Primary Diagnosis code

symbol alerts

Available September 2008, spiralbound, 8½” x 11″, 1,040 pages

Order#: OP066509DIF ISBN: 978-1-60359-014-3

Price: $102.95 AMA member price: $82.95

Hospital ICD-9-CM 2009, Volumes 1, 2 and 3—

compact edition

Enjoy the convenience of our handy compact size, which includes

all the features of our full-size Hospital ICD-9-CM 2009, Volumes

1, 2 and 3.

Available September 2008, softbound, 6″ x 9″, 1,837 pages

Order#: OP066409DIF ISBN: 978-1-60359-013-6

Price: $79.95 AMA member price: $62.95


HCPCS 2009 and coding education

HCPCS 2009 Level II

Your guide to Medicare’s National Level II codes! Organized for

efficiency and accuracy, with enhanced icons, detailed illustrations,

quick-flip color tabs and dictionary-style headings. Additional

features include:

All HCPCS 2009 codes, modifiers and deleted codes

DMEPOS icon alerts

APC status indicators

Age and sex edit icons

AHA’s Coding Clinic for HCPCS

ASC designation symbols

Expanded Pub 100 references and excerpts

Expanded table of drugs

Available December 2008, softbound, 8½” x 11″, 380 pages

Order#: OP095109DIF ISBN: 978-1-60359-065-5

Price: $94.95 AMA member price: $74.95

Add

-a-

book

See p. 6

<<NEW>>

Mastering the Reimbursement Process,

fourth edition

Simplify reimbursement issues with the resource that guides users

Add

-a-

bookSee p. 6

through the reimbursement process from start to finish. Published

by the AMA, the fourth edition of Mastering the Reimbursement

Process covers insurance basics, types of insurance, third-party

payers, coding systems, insurance claim processing, insurance

accounts receivable management, HIPAA regulations and the

review and the appeal request process.

New to this edition:

New chapter on ancillary services provides information on

durable medical equipment, ambulance services, home health

care, hospice, skilled nursing facility services and dietary services

Revised chapters feature added statistics and other pertinent

information, including recent regulatory changes

A glossary and six appendixes cover extensive new material

Softbound, 8½” x 11″

Order #: OP080003DIF ISBN: 978-1-57947-351-8

Price: $64.95 AMA member price: $49.95

<<NEW>>

Principles of ICD-9-CM Coding, fourth edition

This educational resource to ICD-9-CM coding provides

guidelines for identifying and locating the most appropriate

codes including chapter learning objectives, checkpoint exercises

throughout the chapters and informative coding tips in the

margins—which allow readers to learn by doing. Additional

features include:

New CD teaching tool—gives instructors the ability to

administer tests using questions and answers developed

by the AMA

New chapters—cover symptoms, signs and ill-defined conditions

along with injury and poisoning as well as an overview of

ICD-9-CM, Volume 3

Expanded appendix—includes ICD-9-CM Official Guidelines

for Coding and Reporting

A discussion of the future of coding involving ICD-10-CM

Spiralbound, 8½” x 11″, 356 pages, includes CD-ROM

Order #: OP065808DIF ISBN: 978-1-57947-899-5

Price: $74.95 AMA member price: $59.95

ICD-9-CM survival kit

Order #: OP503809DIF

Price: $125.92 AMA member price: $101.17

Compare at the non-package full price of $167.90!

ICD-9-CM survival kit

Save 25% when you purchase one copy of Principles of ICD-9-CM

Coding, fourth edition and one copy of the Physician ICD-9-CM

2009, Volumes 1 and 2 spiral.

SAVE

25%

order online www.amabookstore.com


Medicare resources

Just

published!

Medicare RBRVS 2008: The Physicians’ Guide

Provides the insights and tools needed to understand the RBRVS

system and to calculate payment schedules accurately. This

authoritative guide offers quick access to 2008 relative values by

CPT® code, geographic practice cost indices for each Medicare

payment locality, appropriate use of new modifiers, a summary

of payment reform, an easy-to-read listing of relative values

and Medicare payments, updated payment policies and an

explanation of Medicare payment methodology.

Softbound, 8½” x 11″, 500 pages

Order #: OP059608DIF ISBN: 978-1-57947-971-8

Price: $89.95 AMA member price: $70.95

Medicare RBRVS 2009: The Physicians’ Guide

Pre-order today!

Available February 2009, softbound, 8½” x 11″

Add

-a-

book

See p. 6

phone: (800) 621-8335 fax: (312) 464-5600

<<NEW>>

2008RBRVS

Data Manager

RBRVS 2008 Data Manager

Includes

the RBRVS

Payment

Calculator

Order #: OP059609DIF ISBN: 978-1-60359-087-7

Price: $91.95 AMA member price: $71.95

CPT®/RVU 2008 Data Files available

now. Visit www.amabookstore.com

to read the full description.

Performs calculations for your local private payor payment using

conversion factors you input

Ten years of Medicare utilization data for each CPT code,

including the specialties that perform the service, site-of-service,

diagnosis and patient demographics; refer to the screen shot

above for detailed information

Physician time data for each individual physician service

AMA/Specialty Society Relative Value Scale Update

Committee (RUC) rationale for work value recommendations

to the Centers for Medicare & Medicaid Services

Interfacing capabilities with CodeManager (see page 15)

CD-ROM, shipping included

Order #: OP088109DIF (single-user license) ISBN: 978-1-60359-088-4

Price: $320 AMA member price: $240

Visit www.amabookstore.com or call (800) 621-8335 for network pricing.

Gain deeper insight into the Resource-Based Relative Value Scale

(RBRVS) and understand how medical procedures are evaluated

within the Medicare Physician Payment Schedule with the new

RBRVS Data Manager. The RBRVS Data Manager provides access

to proprietary information related to the assignment of the relative

value units, provides a rationale for each code valuation, explains

the relativity between these codes and much more.

CPT® 2008 codes plus the short and full descriptions

2,600 clinical examples, descriptions of the physician service,

relative values, payment policy information and local Medicare

payment information

Practice expense inputs (clinical staff, medical supplies and

medical equipment) included for every CPT code


Electronic health records

Practical EHR: Electronic Record Solutions for

<<NEW>>

NEW

Pre-order

today!

Compliance and Quality Care

An essential reference for physicians and their staff to better understand

critical components of electronic health records (EHRs)

and their impact on physicians and patients at the point of care.

The primary focus of this new title explores how easily and

comfortably a physician can integrate an electronic history and

physical into his or her patient care—a process essential for the

successful implementation of EHR in your practice. This practical

resource delivers invaluable information to guide the physician

and the medical practice towards successful quality of care in

coordination with today’s EHR.

Features include:

Reviewing the EHR at the point of care

Medical records and E/M compliance

Evaluation and design of the electronic history and physical

(H&P)

Practice transition and health information transformation

Samples of practical EHR forms

Available June 2008, softbound, 8½” x 11″, 450 pages

Order #: OP324408DIF ISBN: 978-1-57947-987-9

Price: $84.95 AMA member price: $64.95

order online www.amabookstore.com

Technical and Financial Guide to

EHR Implementation

A must-have working guidebook designed to provide technical

guidance for the physician practice that has made the decision

to move from paper-based records to electronic health records

(EHR). This handbook will pave the way for a successful move

to a digital, more efficient practice. Features include:

Security preparedness—stay up to date with security issues,

federal regulations and learn techniques to help manage your

security risks

Organizational readiness—access workflow analyses to help

assess your practice’s IT readiness

How to measure your EHR return on investment—use your

electronic data to improve workflow efficiency

Three-ring binder with CD-ROM, 9″ x 12″, 384 pages

Order #: OP321906DIF ISBN: 978-1-57947-776-9

Price: $99.95 AMA member price: $74.95

EHR Implementation: A Step-by-Step Guide for

the Medical Practice

An invaluable resource that guides physicians and administrators

through the evaluation, selection, negotiation and culture

management transition to an electronic environment. Provides

a logical and well-defined, step-by-step EHR selection and

implementation process for your medical practice. Complete features

include:

Tools to evaluate your work flow—early EHR adopters, vendors

and PM consultants explain what works and what doesn’t

Flowcharts, graphs and checklists—manage the right EHR

for your practice

Softbound, 6″ x 9″, 240 pages

Order #: OP322205DIF ISBN: 978-1-57947-643-4

Price: $60 AMA member price: $45


Insurance resources

NEW

Pre-order

today!

<<NEW>>

Add

-a-

book

See p. 6

Ingenix Insurance Directory 2009

Provides information needed to efficiently process health care

claims, with more than 5,000 listings of insurance companies.

Includes alphabetized state-by-state listings, addresses, phone

numbers, Web addresses and icons to identify types of claims

processed. Confirmed and updated every year, this comprehensive

resource provides a complete appendix of state workers’ compensation

boards, complete listing of state insurance commissioners

and detailed instructions for the CMS-1500 form.

Softbound, 8½” x 11″, 460 pages

Order #: OP949809DIF ISBN: 978-1-60151-194-2

Price: $79.95 AMA member price: $74.95

phone: (800) 621-8335 fax: (312) 464-5600

Physicians’ Guide to Implementing

Medicare’s Physician Quality Reporting

Initiative: An Insider’s View 2008

Written by a physician, this must-have resource provides necessary

information to ensure that readers are up to speed on issues

surrounding Physicians’ Guide to Implementing Medicare’s Physician

Quality Reporting Initiative (PQRI) and what it means for

physician practices. Practical insight and in-depth coverage

of key concepts surrounding PQRI such as:

Current code changes, up-to-date information from CMS

containing more than 100 measurement sets with data

collection worksheets developed by the AMA

Reporting requirements and tips

Description of Category II CPT®

Strategies for endorsement standards

Available April 2008, softbound, 8½” x 11″, approx. 500 pages

Order #: OP157408DIF ISBN: 978-1-57947-986-2

Price: $99.95 AMA member price: $74.95

Insurance Claim Forms and Envelopes

Designed by the AMA, the revised CMS-1500 (08/05) claim form accommodates the reporting of the National Provider Identifier

(NPI) and meets government mandates for Medicare. Forms are printed in OCR-scannable red ink and come in several convenient formats

and quantities. Visit www.nucc.org to view documents related to the release of the revised (08/05) form, including the Reference

Instruction Manual document for completing the form.

Format/style

250-sheet

convenience

pack Price

AMA

member

price

1,000-sheet

carton Price

AMA

member

price

Single-sheet laser form DS050607DIF $29.50 $24.50 DS050107DIF $42.50 $32.50

Snap-out form (two-part) DS051207DIF $35.50 $30.50 DS050207DIF $67.50 $57.50

Continuous form without barcode (one-part) Not available DS040107DIF $29.50 $24.50

Continuous form without barcode (two-part) Not available DS050507DIF $69.50 $59.50

UB-04 claim form (single-sheet, laser printed) Not available DS040507DIF $30.50 $30.50

AMA

member

500 envelopes Price price

Envelopes #10.5, self-sealed, right window OP041105DIF $34.50 $27.50

Envelopes 9″ x 12″, jumbo, right window OP041205DIF $84.50 $67.50

Visit www.nucc.org and click on

“1500 Claim Form” to download the 1500 Reference

Instruction Manual detailing how to complete

the 08/05 revised form.


Practice management success

<<NEW>>

Tools for an Efficient Medical Practice

Designed by the author of the AMA’s best-selling Medical Practice

Policies & Procedures and written from a physician office manager’s

perspective, this invaluable resource will help physicians and

their staff develop a more productive, prosperous medical practice.

Content is organized around the use of thoughtfully designed

forms, templates and checklists extending to all areas of the

medical practice including: administrative, financial, personnel,

managed care, marketing and more. Includes more than 180

customizable forms on CD-ROM to help protect your practice

from threatening audit liability while enhancing work flow

efficiencies and operations.

Available June 2008, hardbound, 8½” x 11″, 380 pages

with CD-ROM

Order #: OP127108DIF ISBN: 978-1-60359-000-6

Price: $64.95 AMA member price: $49.95

order online www.amabookstore.com

Maximizing Billing and Collections in the

Medical Practice

Provides a systematic approach to reviewing the billing and

collections process to discover problems and prevent undue

financial loss in today’s medical practice. This invaluable resource

integrates the patient encounter with the billing and collections

function to increase the likelihood of collecting every dollar the

physician is entitled to receive. Sample tables, forms and reports

are also included on the accompanying CD-ROM.

Softbound with CD-ROM, 7″ x 10″, 160 pages

Order #: OP318607DIF ISBN: 978-1-57947-867-4

Price: $75.95 AMA member price: $56.95

Contact rosa.karbowiak@ama-assn.org to learn more about the AMA’s

commitment to instructors, educators and students of coding, reimbursement,

compliance and practice management.

Handbook of Medical Office Communications

Save valuable time and achieve excellence in internal and external

written communication with staff and patients. Learn and

adopt proven techniques for organizing and editing frequently

used documents in the medical practice. Customize the documents

using the templates provided on CD-ROM.

Softbound with CD-ROM, 7″ x 10″, 208 pages

Order #: OP142505DIF ISBN: 978-1-57947-629-8

Price: $65 AMA member price: $50


Practice management success

phone: (800) 621-8335 fax: (312) 464-5600

AMA Physicians’ Guide to Financial Planning

All the information physicians need for successful financial

planning. Offers solid, common-sense tools tailored to help

physicians and their families manage day-to-day financial

issues. This interactive guide provides expert advice on financial

planning, saving, investing, self-guided portfolio management,

obtaining loans and mortgages, buying and selling real estate,

retirement, estate planning, and many other aspects of money

and investment. Contains helpful worksheets, sample agreements

and letters, do-it-yourself formulas, an extensive glossary of terms

and much more.

Softbound, 6″ x 9″, 269 pages

Order #: OP230107DIF ISBN: 978-1-57947-875-9

Price: $39.95 AMA member price: $29.95

A Guide to Patient Safety in the Medical Practice

An in-depth review into the risks and consequences of errors and

adverse events in ambulatory care. This helpful reference begins

with a historical perspective of patient safety and the important

role it plays today with regards to medical liability, medication

dosages, electronic health records (EHRs), potentially problematic

drugs lists and rules for satisfying patient needs.

Included case-studies provide additional insight for patient

safety in the medical practice. Emphasis is also given to creating

a business model and system support to accomplish your patient

safety initiatives.

Softbound, 8½” x 11″, 200 pages

Order #: OP401006DIF ISBN: 978-1-57947-674-8

Price: $59.95 AMA member price: $44.95

Medical Practice Policies & Procedures

Monitor workplace rules and better manage staff with this

invaluable collection of well-defined policies and procedures.

Customizable office policies, procedures, forms and samples are

provided that cover a variety of operational and financial areas—

scheduling, patient and staff communication, compliance, collections,

internal controls, OSHA and much more.

Three-ring binder with CD-ROM, 9″ x 12″, 307 pages

Order #: OP310304DIF ISBN: 978-1-57947-407-2

Price: $125 AMA member price: $100

The Physician’s Guide to Survival

and Success in the Medical Practice

This invaluable reference guide details the day-to-day operations

of a medical practice offering tools and techniques for managing

personnel, finance and operations, marketing and promotion and

risk. Up-to-date coverage of electronic health records and other

technologies are also included. A user-friendly, three-ring binder

format offers many forms, evaluation and assessment tools, with

additional aids are provided on the CD-ROM.

Three-ring binder with CD-ROM, 400 pages

Order #: OP401607DIF ISBN: 978-1-57947-780-6

Price: $135 AMA member price: $105

A physician’s guide to practice

and financial success package

Includes AMA Physicians’ Guide to Financial Planning and The

Physician’s Guide to Survival and Success in the Medical Practice

Guide to practice and financial success package

Order #: OP232107DIF

Price: $145 AMA member price: $115

Compare at the non-package full price of $174.95!

SAVE

15%


Index

Clinical Examples in Radiology newsletter………..8

CMS-1500 health insurance claim forms…………20

CodeManager® 2009………………………………….6, 15

CodeManager® 2009 with Netter’s Atlas

of Human Anatomy for CPT® Coding…………6, 14

Coding with Modifiers…………………………………4, 9

CPT® 2009 Electronic Professional Edition……..14

CPT® 2009 Professional Edition………………..3, 4, 5

CPT® 2009 Standard Edition …………………………..3

CPT® Assistant Archives ………………………………..7

CPT® Assistant Archives Updates ……………………7

CPT® Assistant newsletter …………………………..5, 7

CPT® Changes 2009………………………………4, 5, 10

CPT® Changes Archives ……………………………….10

CPT® Changes Archives Update ……………………10

CPT® Handbook for Office-based Coding ….2, 4, 5

CPT® Network …………………………………………….11

CPT® Reference of Clinical Examples …………….11

EHR Implementation: A Step-by-Step

Guide for the Medical Practice……………………….19

Guide to Patient Safety in the

Medical Practice …………………………………………..22

Handbook of Medical Office

Communications…………………………………………..21

HCPCS 2009 Level II, AMA………………4, 5, 6, 17

ICD-9-CM 2009 Physician,

Volumes 1 and 2, AMA………………………4, 5, 6, 16

ICD-9-CM 2008 Physician, Volumes 1 and 2,

compact, AMA…………………………………………….16

ICD-9-CM 2008 Hospital,

Volumes 1, 2 and 3, AMA………………………….6, 16

ICD-9-CM 2008 Hospital, Volumes 1, 2 and 3,

compact, AMA…………………………………………….16

Insurance claim forms (CMS 1500) ………………..20

Insurance Directory 2008, Ingenix…………..5, 6, 20

Mastering the Reimbursement Process,

fourth edition……………………………………………6, 17

Maximizing Billing and Collections in the

Medical Practice …………………………………………..21

Medical Practice Policies & Procedures…………..22

Medicare RBRVS 2009…………………………..5, 6, 18

Netter’s Atlas of Anatomy for CPT® and

ICD-9-CM Coding: Musculoskeletal ………………..9

Physicians’ Guide to Financial Planning………….22

Physicians’ Guide to Implementing Medicare’s

Physician Quality Reporting Initiative: An Insider’s

View 2008 ……………………………………………………20

Physician’s Guide to Survival and Success

in the Medical Practice………………………………….22

Practical EHR ………………………………………………19

Practical E/M …………………………………………………9

Principles of CPT® Coding………………………………8

Principles of CPT® Coding Workbook………………8

Principles of ICD-9-CM Coding …………………….17

RBRVS 2008 Data Manager…………………………..18

Stedman’s CPT® Dictionary …………………………..11

Technical and Financial Guide to EHR

Implementation ……………………………………………19

Tools for an Efficient Medical Practice…………….21

FREE

AMA turtle

with any

purchase of

$150 or more!

order online www.amabookstore.com

Order early while supplies last.

See page 12.


Save the date! The American Medical Association

CPT® and RBRVS 2009 Annual Symposium

The Hyatt Regency Chicago

Nov. 12–14, 2008

Expert opinions. Relevant information.

Effective strategies.

Gain the knowledge and claims

processing tips you need to successfully

address changes in coding procedure and

policy for the coming year. Symposium

attendees will obtain valuable billing and

claims processing tips, identify coding

and reimbursement changes for 2009,

and network with key industry leaders

and colleagues.

CEUs

For more information on continuing education units (CEUs),

visit the American Academy of Professional Coders (AAPC)

Web site (www.aapc.com/education/continuing-education.

aspx) or the American Health Information Management

Association (AHIMA) Web site (www.ahima.org/certification/

index.asp).

Discounts: Quantity discounts are available. Contact Nancy

Wright-Redeaux via e-mail at nancy.wright-redeaux@ama-assn.org or

call (312) 464-4125. Large bulk orders will be sent via the fastest and

most economical ground method at purchaser’s expense.

Resellers: For reseller information and discounts, or to become a reseller,

please contact Reg Schmidt via e-mail at reg.schmidt@ama-assn.org or

call (312) 464-4512.

Education: To learn more about the AMA’s commitment to instructors,

educators and students of coding, reimbursement, compliance and

practice management, please contact Rosa Karbowiak via e-mail at

rosa.karbowiak@ama-assn.org or call (312) 464-4622.

Courtesy of the City of Chicago

NON-PROFIT

ORGANIZATION

U.S. Postage

PAID

American Medical

Association

YOUR CUSTOMER NUMBER

YOUR PRIORITY CODE


CPT – Current Procedure Technology

CPT Codes describe medical or psychiatric procedures performed by physicians and other health providers. The codes were developed by the Health Care Financing Administration (HCFA) to assist in the assignment of reimbursement amounts to providers by Medicare carriers. A growing number of managed care and other insurance companies, however, base their reimbursements on the values established by HCFA.

Category II Codes
HCPCS Codes
ICD Codes

Since the early 1970s, HCFA has asked the American Medical Association (AMA) to work with physicians of every specialty to determine appropriate definitions for the codes and to try to determine accurate reimbursement amounts for each code. Two committees within AMA work on these issues: the CPT Committee, which updates the definitions of the codes, and the RUC (Relative Value Update Committee), which recommends reimbursement values to HCFA based on data collected by medical societies on the going rate of services described in the codes.

Medical Coding, Medical Billing – American Academy of Professional Coders

Medical Coding, Medical Billing – American Academy of Professional Coders (AAPC): “The American Academy of Professional Coders (AAPC) provides certified credentials to medical coders in physician offices, hospital outpatient facilities, ambulatory surgical centers and in payer organizations. All members of AAPC agree to a Code of Ethics that ensures high levels of professionalism, integrity and ethical behavior. The three certifications (CPC®, CPC-H®, and CPC-P®) are the gold standard certification for medical coding.”

About Bill Dunbar and Associates

From its corporate headquarters in Indianapolis, Indiana, Bill Dunbar and Associates provides revenue growth strategies to medical professionals and hospitals throughout the United States. BDA’s team of healthcare professionals and certified coders increases the medical reimbursement to its clients by helping them improve the accuracy of their clinical documentation, billing, and coding solutions.

Every Client Benefits
Every client benefits in the short term from BDA’s ongoing education services which include staff training, physician coaching, and coding support.

Long-Term Benefit
The long term benefit of BDA’s 20+ years experience often results in its clients gaining increased revenue, improved compliance, and continued growth.