Current Procedural Coding Expert Spiral 2025

Turn to the resource that goes beyond basic coding with the Current Procedural Coding Expert 2025 – Expert Edition your CPT coding resource.

Equipped with the entire 2025 CPT code set with easy-to-use coding 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 codebooks.

Exclusive features to this Optum CPT Expert Edition:

• 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 an appendix of grids detailing vascular family order for more accurate radiology coding.
• Optum360 Edge — Code-specific definitions, rules, and references. Reference comprehensive information compiled from the Centers for Medicare and Medicaid Services (CMS), the AMA, Optum360, and other sources to assist with accurate coding and speed reimbursement.

Common features to both Current Procedural Coding Expert and the Current Procedural Coding Expert — Professional Edition:

• New — Extended Understanding Modifiers Appendix. Provides easy-to-understand guidance for some of the more difficult modifiers, assisting in appropriate usage and reimbursement.
• Icons/color bars. Familiar icons or color bars used for new, revised, add-on, re-sequenced, telemedicine, and for correct modifier usage. Also identify which new or revised CPT codes are valid, but not in the current CPT book.
• 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.
• Extensive user-friendly index. Find codes in a flash with Optum360’s accurate and expansive alphabetic index with terms listed in a variety of ways.
• CCI edit icon. Quickly identify those CPT codes with corresponding CCI edits.
• Evaluation and Management Appendix. Easy-to-use grids and extended guidelines to facilitate E/M code selection.
• 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.
• Medically Unlikely Edits (MUEs). Improve claims accuracy by ensuring CMS compliance through easy-to-access codes and their associated MUE units. These will be available via electronic download.
• 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 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.
• Modifier appendix. Includes CPT and HCPCS Level II modifiers and descriptions for easy reference for Medicare coding.
• 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 by making coding errors.
• 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 online.
• Spiral binding. Allows the book to lay flat for ease of use and durability.

CPT is a registered trademark of the American Medical Association.