2
Encoder Pro ® and EncoderPro.com Encoder Pro and EncoderPro.com are the coder’s essential CPT ® , ICD-9-CM, and HCPCS Level II code lookup software. With fast search capabilities across all three code sets, these applications can greatly reduce the time it takes to build or review a claim and help improve overall coding accuracy. The Expert version offers ICD-10 mapping, compliance editing, and fee calculation, delivering integrated search results, code details, lay descriptions, and audit and report functionality. Choose from the desktop software (an updated CD is sent quarterly) or the online application. Boost your efficiency with advanced coding solutions. Ingenix 2012 resources can help you: Prepare for a successful transition to ICD-10 Attain higher productivity with electronic coding Manage upcoming ICD-9, CPT ® , and HCPCS changes Cardiology/Cardiothoracic/Vascular Surgery OB/GYN Plastics/OMS/Dermatology Emergency Medicine Oncology/Hematology Podiatry ENT/Allergy/Pulmonology Ophthalmology Primary Care General Surgery/Gastroenterology Orthopaedics—Lower: Hips and Below Radiology Neurosurgery/Neurology Orthopaedics—Upper: Spine and Above Urology/Nephrology Pediatrics Available: December 2011 $199.95 each 2012 Fast Finder ® Sheets Fast Finder ® quick-reference laminated sheets include 200-300 codes with shortened descriptions based on actual frequencies for each specialty. 2012 Coding and Payment Guides The Coding and Payment Guides provide the coding, documentation, and reimbursement information users need to efficiently submit more precise claims and reduce the risk of audit. Specialties available: Name Item # ISBN Cost Anesthesia Services SAP12 978-1-60151-533-9 $179.95 Behavioral Health Services SYCH12 978-1-60151-536-0 $179.95 OMS SOMS12 978-1-60151-592-6 $199.95 Chiropractic Services CGCS12 978-1-60151-537-7 $179.95 Dental Services CGDS12 978-1-60151-538-4 $179.95 Laboratory Services SLAB12 978-1-60151-534-6 $179.95 Physical Therapy SPT12 978-1-60151-535-3 $179.95 Available: December 2011 2012 Cross Coders Simplify and speed the coding process with this one-stop, cross-coding resource. Each Cross Coder provides essential links from CPT ® codes to the appropriate ICD-9-CM and HCPCS Level II codes along with corresponding, clarifying illustrations. This resource is sure to help you code it right—the first time! Specialties available: Name Item # ISBN Cost Anesthesia Services ACC12 978-1-60151-595-2 $174.95 Procedural PCC12 978-1-60151-530-8 $159.95 Radiology RCC12 978-1-60151-531-5 $174.95 Surgical SCC12 978-1-60151-532-2 $174.95 Available: December 2011 Name Item # Cost Encoder Pro Desktop 3460 $999.95 EncoderPro.com 1137 $299.95 EncoderPro.com/Payer 1145 $999.95 EncoderPro.com/Professional 1221 $549.95 EncoderPro.com/Expert 1127 $999.95 Available: Now 2012 Relative Values for Physicians Relative Values for Physicians is a complete relative value system established by national surveys of physicians in all specialties. This tool helps you establish, defend, and negotiate fees for medical and surgical procedures with the same relative values used by many insurance companies. Item # ISBN Cost RVP12 978-1-60151-563-6 $329.95 Available: December 2011 2012 The Essential RBRVS The RBRVS for the Medicare physician fee schedule (MPFS) is not a complete schedule. Medicare does not pay for certain services—these services usually are not assigned relative value units (RVUs) by CMS. Codes not valued by Medicare are referred to as gap codes. The Essential RBRVS gives you all the codes valued by CMS, as well as relative values for codes not valued by Medicare. The valuation of “gap” codes provides a logical way to value services performed using one relative value scale. Format Item # ISBN Cost Annual Softbound 1811 978-1-60151-594-0 $199.95 Updateable Binder 1761 NA $279.95 Updateable eBook on CD 4627 N/A $299.95 Annual and RBRVS Available: December 2011 Updateable Available: Now 2012 Auditing and Denial Management Tool Kit with CD The Auditing and Denial Management Tool Kit helps you understand your denials, better manage your claims process, and learn what actions to take for a quicker turn-around time on your reimbursement. From data collection and claims submission to payer inquiries and denial management—you’ll submit the right information up front and you’ll know exactly how to correct denied claims so you spend less time and money resubmitting. Item # ISBN Cost ADMTK12 978-1-60151-553-7 $199.95 Available: May 2012 CPT ® is a registered trademark of the American Medical Association. HCPCS Fast Finder 2012 Physician Office Supplies and Services 2012 E/M Fast Finder ® Quickly assign E/M codes witth this durable carry-along reference that allows the user to quickly make level, difficulty, and other determinations in the exam room for each E/M code. Item # ISBN Cost EMFF12 978-1-60151-576-6 $39.95 Available: December 2011 Uniform Billing Editor Facilities can use this reference tool daily to get detailed, accurate, and timely information about Medicare and UB-04 billing rules and prepare for UB-04 and 837i requirements that will have to be met in the future. Now includes 5010 information! Name Item # Cost Updateable Binder 4787 $309.95 eBook on CD 9011 $309.95 Available: Now Outpatient Billing Expert Outpatient Billing Expert provides detailed references with payment information and reimbursement guidance for both hospital outpatient departments (HOPDs) and free-standing ambulatory surgical centers (ASCs). This all-in-one resource also provides APC and ASC groups, reimbursement amounts, coverage issues and information on what is not covered. Name Item # Cost Updateable Binder 4709 $199.95 eBook on CD 9068 $199.95 Available: Now 2012 Coding Companion ® Specialty Guides Simplify the coding process with this one-stop resource. Each Coding Companion guide includes 2012 CPT ® and ICD-9-CM code sets specific to your specialty in a quick-find, single-page format that includes the official description and a detailed illustration. Each page also features other relevant information to help your staff find the correct code including lay descriptions, coding tips, terminology, cross coding, and national Medicare relative value units. Please call for specialties offered. ICD-9-CM $24.95 each HCPCS $24.95 each Available: September – December 2011 ICD-9-CM Fast Finder 2012 General Surgery To order please call: The Physicians Practice S.O.S Group, Seminars and Office Solutions at 1-770-333-9405, or fax orders: 1-770-333-9406 or visit us at www.ppsosgroup.com

Boost your efficiency with advanced coding solutions. · Encoder Pro® and EncoderPro.com Encoder Pro and EncoderPro.com are the coder’s essential CPT®, ICD-9-CM, and HCPCS Level

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Page 1: Boost your efficiency with advanced coding solutions. · Encoder Pro® and EncoderPro.com Encoder Pro and EncoderPro.com are the coder’s essential CPT®, ICD-9-CM, and HCPCS Level

,

Encoder Pro® and EncoderPro.com Encoder Pro and EncoderPro.com are the coder’s essential CPT®, ICD-9-CM, and HCPCS Level II codelookup software. With fast search capabilities across all three code sets, these applications can greatlyreduce the time it takes to build or review a claim and help improve overall coding accuracy. The Expertversion offers ICD-10 mapping, compliance editing, and fee calculation, delivering integrated searchresults, code details, lay descriptions, and audit and report functionality. Choose from the desktopsoftware (an updated CD is sent quarterly) or the online application.

Boost your efficiency withadvanced coding solutions.

Ingenix 2012 resourcescan help you:• Prepare for a successful

transition to ICD-10• Attain higher productivity

with electronic coding• Manage upcoming ICD-9,

CPT®, and HCPCS changes

Cardiology/Cardiothoracic/Vascular Surgery OB/GYN Plastics/OMS/Dermatology

Emergency Medicine Oncology/Hematology Podiatry

ENT/Allergy/Pulmonology Ophthalmology Primary Care

General Surgery/Gastroenterology Orthopaedics—Lower: Hips and Below Radiology

Neurosurgery/Neurology Orthopaedics—Upper: Spine and Above Urology/Nephrology

Pediatrics

Available: December 2011 $199.95 each

2012 Fast Finder® SheetsFast Finder® quick-reference laminated sheets include 200-300 codes withshortened descriptions based on actual frequencies for each specialty.

2012 Coding and Payment GuidesThe Coding and Payment Guides provide the coding, documentation, andreimbursement information users need to efficiently submit more preciseclaims and reduce the risk of audit. Specialties available:

Name Item # ISBN CostAnesthesia Services SAP12 978-1-60151-533-9 $179.95

Behavioral Health Services SYCH12 978-1-60151-536-0 $179.95

OMS SOMS12 978-1-60151-592-6 $199.95

Chiropractic Services CGCS12 978-1-60151-537-7 $179.95

Dental Services CGDS12 978-1-60151-538-4 $179.95

Laboratory Services SLAB12 978-1-60151-534-6 $179.95

Physical Therapy SPT12 978-1-60151-535-3 $179.95

Available: December 2011

2012 Cross CodersSimplify and speed the coding process with this one-stop, cross-coding resource. Each Cross Coderprovides essential links from CPT® codes to the appropriate ICD-9-CM and HCPCS Level II codes alongwith corresponding, clarifying illustrations. This resource is sure to help you code it right—the first time!Specialties available:

Name Item # ISBN Cost

Anesthesia Services ACC12 978-1-60151-595-2 $174.95

Procedural PCC12 978-1-60151-530-8 $159.95

Radiology RCC12 978-1-60151-531-5 $174.95

Surgical SCC12 978-1-60151-532-2 $174.95

Available: December 2011

Name Item # Cost

Encoder Pro Desktop 3460 $999.95

EncoderPro.com 1137 $299.95

EncoderPro.com/Payer 1145 $999.95

EncoderPro.com/Professional 1221 $549.95

EncoderPro.com/Expert 1127 $999.95

Available: Now

2012 Relative Values for PhysiciansRelative Values for Physicians is a complete relative value systemestablished by national surveys of physicians in all specialties. This toolhelps you establish, defend, and negotiate fees for medical and surgicalprocedures with the same relative values used by many insurancecompanies.

Item # ISBN CostRVP12 978-1-60151-563-6 $329.95

Available: December 2011

2012 The Essential RBRVSThe RBRVS for the Medicare physician fee schedule (MPFS) is not acomplete schedule. Medicare does not pay for certain services—theseservices usually are not assigned relative value units (RVUs) by CMS.Codes not valued by Medicare are referred to as gap codes. The EssentialRBRVS gives you all the codes valued by CMS, as well as relative valuesfor codes not valued by Medicare. The valuation of “gap” codes provides alogical way to value services performed using one relative value scale.

Format Item # ISBN Cost

Annual Softbound 1811 978-1-60151-594-0 $199.95

Updateable Binder 1761 NA $279.95

Updateable eBook on CD 4627 N/A $299.95

Annual and RBRVS Available: December 2011Updateable Available: Now

2012 Auditing and Denial Management Tool Kit with CD The Auditing and Denial Management Tool Kit helps you understand yourdenials, better manage your claims process, and learn what actions to takefor a quicker turn-around time on your reimbursement. From data collectionand claims submission to payer inquiries and denial management—you’llsubmit the right information up front and you’ll know exactly how tocorrect denied claims so you spend less time and money resubmitting.

Item # ISBN CostADMTK12 978-1-60151-553-7 $199.95

Available: May 2012

CPT® is a registered trademark of the American Medical Association.

HCPCS Fast Finder 2012

1766

Physician Office Supplies and Services

Cast/Splint/Sling Supplies

Q4002 Body cast fiberglass adultQ4001 plaster A4580 Casting supplies; plasterA4590 special (i.e., fiberglass)Q4014 Gauntlet, cast; fiberglass,

adult Q4016 fiberglass, child Q4013 plaster, adult Q4015 plaster, child Q4026 Hip spica, cast, one or both

legs; fiberglass, adultQ4028 fiberglass, child Q4025 plaster, adult Q4027 plaster, child Q4006 Long arm cast; fiberglass,

adult Q4008 fiberglass, child Q4005 plaster, adult Q4007 plaster, child Q4018 Long arm splint; fiberglass,

adult Q4020 fiberglass, childQ4017 plaster, adultQ4019 plaster, childQ4034 Long leg; cylinder;

fiberglass, adult Q4036 fiberglass, childQ4033 plaster, adult Q4035 plaster, child Q4030 Long leg cast; fiberglass,

adult Q4032 fiberglass, child Q4029 plaster, adult Q4031 plaster, child Q4042 Long leg splint; fiberglass,

adult Q4044 fiberglass, child Q4041 plaster, adult Q4043 plaster, child L0220 Rib belt; custom fabricatedQ4010 Short arm cast; fiberglass,

adult Q4012 fiberglass, childQ4009 plaster, adultQ4011 plaster, childQ4022 Short arm splint;

fiberglass, adult Q4024 fiberglass, childQ4021 plaster, adult Q4023 plaster, child Q4038 Short leg cast; fiberglass,

adult Q4040 fiberglass, child Q4037 plaster, adult Q4039 plaster, child Q4046 Short leg splint; fiberglass,

adult Q4048 fiberglass, childQ4045 plaster, adultQ4047 plaster, childQ4004 Shoulder cast; fiberglass,

adult Q4003 plaster, adultA4565 Sling A4570 Splint; not specifiedS8450 digit, prefabS8452 elbow, prefabQ4049 finger, staticS8451 wrist or ankle, prefab

Dressings

A6413 Adhesive bandage, first aid type, any size, each

A6196 Alginate dressing, wound cover, sterile; < 16 sq in, ea

A6197 > 16 sq in to < 48 sq in, ea

A6198 > 48 sq in, eaA6199 Alginate dressing, wound

filler, sterile, per 6 inches

A6011 Collagen based woundfiller, sterile, gel/paste, pergram of collagen

A6021 Collagen dressing, sterile;pad size 16 sq. in. or less,each

A6022 pad size > 16 sq. in. but < 48 sq in, each

A6023 pad size > 48 sq. in., each

A6024 wound filler, per 6 inA6203 Composite dressing, sterile,

w/adhesive border, padsize; < 16 sq in, ea

A6204 > 16 sq in to < 48 sq in,ea

A6205 > 48 sq in, ea A6206 Contact layer, sterile; < 16

sq in, ea A6207 > 16 sq in to < 48 sq in,

eaA6208 > 48 sq in, eaA6212 Foam dressing, wound

cover, sterile, w/adhesiveborder, pad size; < 16 sq in,ea

A6213 > 16 sq in to < 48 sq in,ea

A6214 > 48 sq in, eaA6209 Foam dressing, wound

cover, sterile, w/o adhesiveborder, pad size; < 16 sq in,ea

A6210 > 16 sq in to < 48 sq in,ea

A6211 > 48 sq in, eaA6215 Foam dressing, wound

filler, sterile, per gramA6231 Gauze, impregnated,

hydrogel, for direct woundcontact, sterile, pad size;16 sq. in., each dressing

A6232 > 16 sq. in., but < 48 sq.in., each

A6233 > 48 sq. in., eachA6219 Gauze, nonimpregnated,

sterile, w/adhesive border,pad size; < 16 sq in, ea

A6220 > 16 sq in to < 48 sq in,ea

A6221 > 48 sq in, eaA6216 Gauze, nonimpregnated,

nonsterile, w/o adhesiveborder, pad size; < 16 sq in,ea

A6217 > 16 sq in to < 48 sq in,ea

A6218 > 48 sq in, eaA6402 Gauze, nonimpregnated,

sterile, w/o adhesiveborder; < 16 sq in, ea

A6403 > 16 sq in to < 48 sq in,ea

A6404 > 48 sq in, eaA6222 Gauze, impregnated, other

than water/NS/hydrogel,sterile, w/o adhesive bor-der, pad size; < 16 sq in, ea

A6223 > 16 sq in to < 48 sq in,ea

A6224 > 48 sq in, eaA6266 Gauze, impregnated, other

than water/NS/ zinc paste,sterile, any width, perlinear yard

A6228 Gauze, impregnated,water/normal saline, w/oadhesive border, sterile,pad size; < 16 sq in, ea

A6229 > 16 sq in to < 48 sq in,ea

A6230 > 48 sq in, ea

A6234 Hydrocolloid, wound cover,sterile, w/o adhesive bor-der, pad size; < 16 sq in, ea

A6235 > 16 sq in to < 48 sq in, eaA6236 > 48 sq in, ea A6237 Hydrocolloid dressing,

wound cover, sterile,w/adhesive border, padsize; < 16 sq in, ea

A6238 > 16 sq in to < 48 sq in,ea

A6239 > 48 sq in, ea A6240Hydrocolloid dressing,

wound filler; paste, sterile,per fluid oz

A6241 dry form, sterile, pergram

Asterile, w/adhesive, pad 16 sq in, ea

A6246 > 16 sq in to < 48 sq in,ea

A6247 > 48 sq in, ea A6242 Hydrogel, wound cover,

sterile, w/o adhesive; < 16sq in, ea

A6243 > 16 sq in to < 48 sq in,ea

A6244 > 48 sq in, ea A6248 Hydrogel dressing, wound

filler, gel, sterile, per fl ozA6025 Silicone gel sheet, eaA6254 Specialty absorptive,

wound cover, sterile,w/adhesive border, padsize; < 16 sq in, ea

A6255 > 16 sq in to < 48 sq in,ea

A6256 > 48 sq in, eaA6251 Specialty absorptive,

wound cover, sterile, w/oadhesive border, pad size;< 16 sq in, ea

A6252 > 16 sq in to < 48 sq in,ea

A6253 > 48 sq in, ea A4461 Surgical dressing holder,

nonreusable, ea A4463 Surgical dressing holder,

reusable, ea A4450 Tape; nonwaterproof, per

18 sq in A4452 waterproof, per 18 sq inA6457 Tubular dressing, any

width, w or w/o elastic, perlinear yard

GYN SuppliesContraceptive SuppliesA4261 Cervical cap A4268 Condom, each; femaleA4267 male J1055 Depo-Provera 150 mgA4266 Diaphragm J7307 Etonogestrel

(contraceptive) implantsystem, including implantand supplies

J7304 Hormone containing patch,ea

S4989 IUD, implant/suppliesJ7300 IUD, copper J7306 Levonorgestrel (Norplant)

implant system, inclimplants/supplies

S4981 Levonorgestrel-releasingintrauterine system, in-sertion

J1056 MA/EC contracept inj (

Other GYN Supplies/DevicesA4470 Gravlee jet washer A4561Pessary, rubber, any type A4562nonrubber, any type A4480VABRA aspirator

Incontinence Appliances, UrinaryAnchoring Device/Supplies

A4332 Lubricant, ind sterile pack,ea

A4333 Urinary catheter; adhesiveskin attachmentA4334 leg strap

External Catheter, MaleA4326 Specialty type w/integral

collection chamber, eaA4349 w/ or w/o adhesive, eaIndwelling Catheter

A4338 Foley type, 2-way latex w/

coating (Teflon, silicone,silicone elastomer, hydro-philic, etc), ea

A4344 Foley type, 2-way, allsilicone, ea

A4346 Foley type, 3-way for con-tinuous irrigation, ea

A4340 specialty type (e.g. coude,mushroom, wing, etc),ea

Insertion Tray and Sets

A4310 Insertion tray w/o drainagebag; w/o catheter(accessories only)

A4311 w/indwelling catheter, Foley type, 2-way latexw/coating (Teflon, silic-one, silicone elastomeror hydrophilic, etc)

A4312 w/indwelling catheter, Foley type, 2-way, allsilicone

A4313 w/indwelling catheter, Foley type, 3-way, contirrigation

A4354 Insertion tray w/drainagebag, w/o catheter

A4314 Insertion tray w/drainage

bag, w/indwelling catheter;Foley type, 2-way latex w/coating

A4315 Foley type, 2-way, allsilicone

A4316 Foley type, 3-way, forcontinuous irrigation

Irrigation Supplies/TherapeuticAgent

A4322 Irrigation syringe,bulb/piston, ea

A4320 Irrigation tray w/bulb orpiston syringe, any pur-pose

A4355 Irrigation tubing set for

continuous bladder ir-rigation through 3-wayindwelling Foley catheter,ea

A4321 Therapeutic agent for ur-inary catheter irrigation

Infusion/Injection Supplies

2012 E/M Fast Finder®

Quickly assign E/M codes witth this durable carry-along reference thatallows the user to quickly make level, difficulty, and other determinations inthe exam room for each E/M code.

Item # ISBN CostEMFF12 978-1-60151-576-6 $39.95

Available: December 2011

Uniform Billing Editor Facilities can use this reference tool daily to get detailed, accurate, andtimely information about Medicare and UB-04 billing rules and prepare forUB-04 and 837i requirements that will have to be met in the future. Nowincludes 5010 information!Name Item # CostUpdateable Binder 4787 $309.95

eBook on CD 9011 $309.95

Available: Now

Outpatient Billing Expert Outpatient Billing Expert provides detailed references with paymentinformation and reimbursement guidance for both hospital outpatientdepartments (HOPDs) and free-standing ambulatory surgical centers(ASCs). This all-in-one resource also provides APC and ASC groups,reimbursement amounts, coverage issues and information on what isnot covered.

Name Item # CostUpdateable Binder 4709 $199.95

eBook on CD 9068 $199.95

Available: Now

2012 Coding Companion® Specialty GuidesSimplify the coding process with this one-stop resource. Each Coding Companion guide includes2012 CPT® and ICD-9-CM code sets specific to your specialty in a quick-find, single-page formatthat includes the official description and a detailed illustration. Each page also features otherrelevant information to help your staff find the correct code including lay descriptions, coding tips,terminology, cross coding, and national Medicare relative value units.

Please call for specialties offered. ICD-9-CM $24.95 each HCPCS $24.95 each Available: September – December 2011

ICD-9-CM Fast Finder 2012

NEW CODES APPEAR IN GREEN TEXT 16227

General Surgery

Breast

611.83 Capsular contraction ofimplant

612.0 Deformity, reconstructedbreast

610.1 Diffuse cystic mastopathy612.1 Disproportion, reconstructed breast

610.2 FibroadenosisHistory, malignantneoplasm, breast

V16.3 Family V10.3 P ersonal 611.1 Hypertrophy 611.82 Hypoplasia 611.0 Inflammatory disease

Mammogram793.89 Abnormal, other 793.80 Abnormal, NOS 793.82 Inconclusive mammogram793.81 Microcalcification 611.71 Mastodynia 996.54 Mech comp d/t breast

prosthesis

611.79 Nipple inversion 611.79 Nipple retraction 611.89 Other specified disorderV50.41 Prophylactic breast removal611.81 Ptosis 610.0 Solitary cyst

Circulatory System

414.00 Atherosclerosis, coronary,native/graft, NOSAtherosclerosis, nativearteries of extremities

440.20 Unspecified 440.24 w/gangrene 440.21 w/intermittent claudication

Compartment syndrome

729.73 Nontraumatic, abdomen729.72 Nontraumatic, lower extremity729.79 Nontraumat, other sites 729.71Nontraumat, upper extremity958.90 NOS/unspecified

958.93 Traumatic, abdomen958.92 Traumatic, lower extremity958.99 Traumatic, other sites958.91 Traumatic, upper extremityComplication

995.24 Failed mod sedation996.1 Mechanical 996.74 Other complications (embolism, thrombosis,

stenosis, occlusion)

996.62 Other vascular device/graft,infection/inflammatoryCongenital Anomalies

756.72 Omphalocele756.73 Gastroschisis

Embolism, thrombosis,artery

444.81 Iliac artery444.22 Lower extremity444.21 Upper extremityInfection

999.31 Central venous cath (CRBSI)999.39 Infusion procedure 9

999.31 P ICC 999.39 Transfusion 433.10 Occlusion/stenosis carotid

artery w/o cerebral infarction

459.89 Other specified circulatorysystem disorders

443.81 Peripheral angiopathy (codefirst underlying disease as diabetesmellitus, 249.7_, 250.7_)Phlebitis/thrombophlebitis

451.11 Femoral vein 451.2 Lower extremities, NOS 451.19Lower extremities, other deep

vessels 451.0 Lower extremities, superficial

vessels 451.9 Unspecified 443.0 Raynaud’s syndrome

Varicose veins, legs454.9 Unspecified 454.1 w/inflammation 454.0 w/ulcer 454.2 w/ulcer and inflammation997.72 Vasc comp, renal artery459.81 Venous insufficiency,

peripheral, NOS

Diabetes MellitusRequires the use of a fifth digit: 0 type II or unspec type, NOS 1 type I, NOS 2 type II or unspec type, uncontrolled 3 type I, uncontrolled 250.7_ w/peripheral circulatory

disorders (code alsomanifestation)

250.9_ w/complication, NOS250.0_ w/o complication

Diabetes, SecondaryRequires fifth digit: 01 uncontrolled249.7_ w/peripheral circulatory

disorders (code alsomanifestation)

249.9_ w/complication NOS249.0_ w/o complication

Digestive System

787.5 Abnormal bowel sounds792.1 Abnorm stool contents, NOS566 Abscess, anal/rectal 530.19 Abscess, esophagusAppendicitis

540.9 Acute 540.1 Acute w/peritoneal abscess540.0 Acute w/peritonitis 542 Other (chronic, recurr) 541 Unqualified 530.85 Barrett’s esophagus 576.8 Bile duct torsion 751.69 Bile duct torsion (congen)578.1 Blood in stool 560.2 Bowel/colon/intestinal

torsionCalculus

574.00 Gallbladder (cholelithiasis),w/acute cholecystitis

574.01 Gallbladder w/acutecholecystitis w/obstr

5

574.11 Gallbladder w/other (ch ronic)cholecystitis w/obstructi on

574.20 Gallbladder w/ocholecystitis/obstr

787.99 Change in bowel habitsCholecystitis

575.0 Acute 575.12 Acute and chronic575.11 Chronic 567.81 CholeperitonitisComplications, mecha nical

569.62 Colostomy/enterostomy530.87 Esophagostomy 536.42 Gastrostomy 996.56 P eritonealdialysis cath 569.71Pouchitis 569.79 Pouch, other 562.11 Diverticulitis, colon562.10 Diverticulosis, colon537.3 Duodenum torsion

Dysphagia787.21 Oral phase 787.22 Oropharyngeal phase787.29 Other 787.23 P haryngealphase 787.24 P haryngoesophagealphase 787.20 Unspecified

Enteritis, regional555.1 Large intestine (Crohn’s

disease)555.9 NOS (Crohn’s disease)

555.0 Small intestine (Crohn’s disease)

530.10 Esophagitis, NOS530.11 Esophagitis, reflux565.0 Fissure, anal 565.1 Fistula, anal 5 hemorrhage536.3 Gastroparesis 569.3 Hemorrhage, anal/rectal578.9 Hemorrhage, GI tract, NOS

Hemorrhoids455.3 External

455.4 External, thrombosed455.5 External, w/other complication (bleeding,strangulated, ulcerated,prolapsed)

455.0 Internal 455.1 Internal, thrombosed 455.2 Internal, w/other complication (bleeding, strangulated,

ulcerated, prolapsed)

751.3 Hirschsprung’s disease536.41 Infection of gastrostomy560.81 Intestinal/peritoneal adhesions w/obstruction

(postop, postinfection) 793.3Nonspec abnorm findings radiological/other exam,biliary

618.05 Perineocele 567.22 Peritoneal abscess 568.0 Peritoneal adhesions (postop, postinfection)

5

556.4 Pseudopolyposis of colon567.31 Psoas muscle abscess618.04 Rectocele567.38 Retroperiton abscess, oth567.39 Retroperiton infctns, oth567.82 Sclerosing mesenteritis567.23 Spontan bacterial peritonitis567.29 Suppurative peritonitis, other

Ulcer532.90 Duodenum, acute/chronic,

NOS531.90 Gastric, acute/chronic, NOS533.90 Gastroduodenal, acute/

chronic, NOS534.90 Gastrojejunal, acute/ chronic,

NOS556.3 Ulcerative (chronic)

proctosigmoiditis569.79 Vomiting fecal matter

Disruption, Operative Wound998.32 External998.31 Internal998.30 Unspecified998.33 Wound repair, traumatic

Endocrine/MetabolicGoiter

241.1 Nontoxic multinodular241.0 Nontoxic uninodular240.0 Simple242.00 Toxic diffuse, w/o thyrotoxic

crisis/storm (Graves’ disease)272.4 Hyperlipidemia, NOS

Hyperparathyroidism252.01 Primary252.02 Secondary (non renal)252.08 Other278.01 Obesity, morbid 278.00 Obesity, unspecified

Extremities996.52 Complication due to graft of

other tissue, NEC996.40 Mechanical complication of

internal orthopedic device,implant, graft

729.5 Pain in soft tissues of limb729.81 Swelling of limb ForeignBody 998.4 Accidentally left during a

procedure

9

To order please call: The Physicians Practice S.O.S Group,Seminars and Office Solutions at1-770-333-9405, or fax orders: 1-770-333-9406 or visit us at www.ppsosgroup.com

Page 2: Boost your efficiency with advanced coding solutions. · Encoder Pro® and EncoderPro.com Encoder Pro and EncoderPro.com are the coder’s essential CPT®, ICD-9-CM, and HCPCS Level

2012 ICD-9-CM Expert for Home Health, and Hospice, Volumes 1, 2 & 3Turn to the ICD-9-CM resource that places a special focus on the professional challenges of the Home Health Agency—the Ingenix ICD-9-CM Expert, Volumes 1, 2 & 3 for Home Health. Also includes a free Fast Finder for a quick reference list of codes that impact a case’s mix.

2012 ICD-9-CM Code BooksIngenix code books include improved readability, vibrant colors, feature enhancements, and key content additions to further support efficient and precise professional coding and reimbursement. By listening to our customers and experienced coding experts, Ingenix has designed an easy to use coding resource that helps address critical coding and reimbursement changes while providing complete Medicare code edit coverage.

ICD-10-CM Item # ISBN Cost

The Complete Official Draft Code Set (2011 Draft) ITEN11 978-1-60151-482-0 $99.95

eBook (CD) 1938 978-1-60151-483-7 119.95

ICD-10-CM Mappings ITCM11 978-1-60151-486-8 $129.95

Available: Now

NEW! Comprehensive Anatomy and Physiology for ICD-10-CM TAP11 978-1-60151-480-6 $139.95

Available: June 20112012 ICD-9-CM Books for Hospitals, Volumes 1, 2 & 3 Item # ISBN Cost

Expert Spiral – Available: September 2011 IHS12 978-1-60151-493-6 $103.95

Professional (Softbound) – Available: September 2011 IHB12 978-1-60151-491-2 $94.95

Standard (Compact) – Available: September 2011 IHC12 978-1-60151-492-9 $84.95

Expert (Updateable) – Available: Now 3539 N/A $179.95

Format Item # ISBN CostSpiral BIHA12 978-1-60151-496-7 $159.95

Available: September 2011

2012 ICD-9-CM Expert for Skilled Nursing Facilities, Inpatient Rehabilitation Facilities and Hospices, Volumes 1, 2 & 3Stay current with our resource designed specifically for the challenges of skilled nursing facilities (SNF), inpatient rehabilitation facilities (IRF), and hospices. With expanded postacute coverage, you’ll get essential coding and reimbursement edits and resources specific to your facility.

Format Item # ISBN Cost

Spiral BISN12 978-1-60151-498-1 $159.95

Available: September 2011

ICD-10-PCS Item # ISBN CostThe Complete Official Draft Code Set (2011 Draft) ITPC11 978-1-60151-484-4 $99.95

eBook (CD) 1939 978-1-60151-485-1 119.95

NEW! ICD-10-PCS Mappings ITPM11 978-1-60151-557-5 $129.95

NEW! ICD-10-PCS Quick Reference Cards (11 cards total) ITQR11 978-1-60151-565-0 $49.95

Available: Now

CPT® is a registered trademark of the American Medical Association.

2012 Current Procedural Coding ExpertTurn to the resource that goes beyond basic coding with the Ingenix Current Procedural Coding Expert, our CPT® coding resource designed for a coder’s daily work—not the classroom. Equipped with the entire CPT® code set, physician practices, outpatient hospitals, and ASCs will benefit from this easy to navigate resource that arranges codes in a format known to speed procedure coding, billing, and reimbursement.

Format Item # ISBN Cost

Professional (Softbound) – Available: December 2011 HB12 978-1-60151-573-5 $79.95

Expert (Compact) – Available: December 2011 HC12 978-1-60151-571-1 $92.95

Expert (Spiral) – Available: December 2011 HS12 978-1-60151-570-4 $99.95

Expert (Updateable) – Available: Now 4524 N/A $154.95

Format Item # ISBN Cost

Spiral CEW12 978-1-60151-568-1 $99.95

Compact CEC12 978-1-60151-569-8 $89.95

Available: December 2011

Format Item # ISBN Cost

Standard (Softbound) CBW12 978-1-60359-567-4 $84.95

Professional (Spiral) CSW12 978-1-60359-568-1 $109.95

Available: November 2011

2012 Coders’ DictionaryUnlike other medical dictionaries, the Coders’ Dictionary helps you understand medical terminology from the coder’s perspective. This unique dictionary was developed to meet the specific needs of medical coders, admitting clerks, billers, and adjudicators.

2012 DRG ExpertGain a clearer understanding of the DRG process and its associated reimbursement. Trusted for over 25 years, this is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively. With all information relative to DRG assignment within the MDCs, you’ll be able to follow the logical MS-DRG decision process.

Format Item # ISBN Cost

Book DRG12 978-1-60151-550-6 $124.95

eBook on CD 9051 978-1-60151-551-3 $124.95

Available: September 2011

Item # ISBN CostTCD12 978-1-60151-506-3 $99.95

Available: December 2011

2012 Insurance DirectoryUp to 80% of insurance company data changes every year. We verify the accuracy of the Insurance Directory by personally calling each insurance company listed to update the information published on an annual basis.

Item # ISBN CostID12 978-1-60151-507-0 $79.95

Available: October 2011

Medicare Correct Coding GuideUp to date and easy to use, Medicare Correct Coding Guide is a comprehensive manual of Medicare rules, payment restrictions, and claim submissions edits that provides medical practices with correct coding policies, CCI edits, and the Medicare physician fee schedule—all in one resource. Also available as an eBook on CD.

Format Item # Cost

Binder 3024 $259.95

eBook on CD 3676 $239.95

Available: Now

2012 Coders' Desk ReferencesCoding is a skill requiring in-depth knowledge of anatomy and physiology, coding guidelines, and documentation issues. Both novice and experienced coders will have questions—and when the code book and coding guidelines do not have the answer, you'll need the Ingenix Coders’ Desk References. With these comprehensive resources, you can reduce coding errors and improve coding confidence by gaining a better understanding of the clinical meanings behind codes and referencing essential coding tips before assigning a code.

Item # ISBN CostFor Procedures CDR12 978-1-60151-574-2 $139.95

For Diagnoses IDR12 978-1-60151-503-2 $139.95

For HCPCS Level II CDRH12 978-1-60151-575-9 $139.95

For ICD-9-CM Procedures IDR312 978-1-60151-504-9 $139.95

Available: December 2011

2012 ICD-9-CM Books for Physicans, Volumes 1 & 2 Item # ISBN Cost

Expert Spiral – Available: September 2011 IPS12 978-1-60151-489-9 $99.95

Professional (Softbound) – Available: September 2011 IPB12 978-1-60151-487-5 $86.95

Standard (Compact) – Available: September 2011 IPC12 978-1-60151-488-2 $74.95

Expert (Updateable) – Available: Now 3534 N/A $179.95

ICD-10-CM & ICD-10-PCS ResourcesPrepare for a successful transition to the new coding system with the new and improved ICD-10 code set resources. Exclusive to Ingenix—unlike competitors’ basic training guides, ease into the new code sets using the IngenixEdge® hallmark features and format similar to your ICD-9 code books. These are the only ICD-10 books used in training by the American Academy of Professional Coders (AAPC).

2012 HCPCS Level II BooksAccurately report supplies and services for physician, hospital outpatient, and ASC settings with Ingenix HCPCS Level II resources. Be prepared for several changes on January 1, 2012 with updated, comprehensive information for the HCPCS code set in a reference that focuses on management of reimbursement. This user-friendly book helps guide any coder confidently through current modifiers, code changes, additions, and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS).

2012 AMA CPT® Code BooksStay in compliance with CPT® code changes each year and increase the accuracy of your claims submission with the American Medical Association’s 2012 coding resources for procedural codes, rules, and guidelines.

Education and TrainingIngenix education and training manuals help beginning and intermediate coders in the office, facility, and classroom. This educational series can help the user master the basic skills needed to be an effective coder. Use these books in concert with Ingenix publications and software for consistent, accurate training.

Name Item # ISBN Cost Available

NEW! Detailed Instruction for Appropriate ICD-10-CM Coding ITCE11 978-1-60151-566-7 $99.95 July 2011

Coding Physician Services ILPS12 978-1-60151-589-6 $95.95 Nov 2011

Understanding Modifiers MDFR12 978-1-60151-580-3 $95.95 Dec 2011

Understanding E/M Coding RGEM12 978-1-60151-581-0 $95.95 Dec 2011

Coding from the Operative Report COP12 978-1-60151-577-3 $95.95 Dec 2011

Facilities and Ancillary Services ICL312 978-1-60151-579-7 $105.95 Dec 2011

Comprehensive Instruction for Hospital Based Physician Services ILHPB12 978-1-60151-593-3 $95.95 Dec 2011

Medical Billing Basics ICL112 978-1-60151-578-0 $95.95 Dec 2011

Comprehensive Instruction in the Use of Procedure Codes ILCPT12 978-1-60151-587-2 $95.95 Nov 2011

Comprehensive Instruction in the Use of Diagnosis Codes ILICD12 978-1-60151-588-9 $95.95 Sept 2011

You’ll also find a comprehensive listing of annual code additions/changes/deletions/reinstatements, new code icons and notes, plus reimbursement information, mid-year changes, and “resequenced” code alerts not found in the American Medical Association’s (AMA) CPT® code books.

2011 DRG Expert: The Complete Official Draft MS-DRG Using the ICD-10 Code SetTake your ICD-10 planning and transition efforts to the next level. Introducing DRG Expert based on ICD-10—a new tool designed to prepare your facility for ICD-10 implementation. You’ll be able to accurately assign and validate MS-DRGs using the ICD-10 code set based on version 28 DRG grouper logic.

Format Item # ISBN Cost

Book includes CD 2039 978-1-60151-597-1 $134.95

Available: September 2011