HCPCS Level II Expert 2025 w/ Dental Codes Booklet

Dental codes from the American Dental Association (ADA) are included in a separate booklet for convenient access.

Accurately report supplies and services for physician, hospital outpatient, dental, and ASC settings with the 2025 HCPCS Level II Expert with Dental Codes. Use this comprehensive reference for the HCPCS Level II code set that focuses on management of reimbursement. This user-friendly book guides any coder confidently through current modifiers, code changes, additions, and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS).

Special edition of Optum’s HCPCS Level II Expert includes dental codes:

• American Dental Association Current Dental Terminology (CDT) code set. The included booklet provides all dental codes in one place, along with an index for ease of code lookup.

Brand new features added to this HCPCS book:

• New – Expanded Modifier appendix. Includes HCPCS Level II modifiers and descriptions and easy-to-understand guidance and coding tips for some of the more difficult modifiers, assisting in appropriate usage and reimbursement.
• New – Helpful illustrations. Detailed color anatomy illustration chapter. Plus, many illustrations at the code level identifying specific code-related supplies and services.

Key features and benefits exclusive to this Optum HCPCS Expert edition:

• Most complete HCPCS code set available. Find information on codes from sources that generate HCPCS codes, including CMS, OPPS addendum B, and the Medicare fee schedule.
• Table of Drugs. Locate both generic and brand-name drugs and their corresponding codes based on the amount and route of administration.
• Glossary of terms. Increase your understanding of HCPCS codes to improve coding accuracy.
• Special appendixes. Get additional information, such as the deleted codes crosswalk (Expert edition only).
• Access to Medically Unlikely Edits (MUE). Improve accuracy of claims by ensuring compliance with the CMS program through easy access to codes and their associated MUE units (downloadable).
• Medicare Average Payment Table. Access this Medicare table online for a baseline for payment rates (downloadable).
• Comprehensive code updates.
• APC status indicators and ASC designation symbols. Determine which codes are payable under OPPS and which codes enable billing using ASC groupings, as well as how to accurately use each to help ensure appropriate billing and reimbursement.
• DMEPOS icon. Distinguish codes paid under the DMEPOS fee schedule to improve efficiency when coding for supplies that should be submitted under the system to durable medical payers.
• In-depth illustrations. Enhance your coding process and accuracy for supplies and services with detailed visual references.
• AHA Coding Clinic for HCPCS references. Receive additional support with articles on difficult-to-code HCPCS Level II codes or sections.
• Color-coded bars and icons. Spot important information to help reduce inaccurate and denied claims with informative flags signaling Internet Only Manuals (IOM, formerly Pub. 100) references, age and gender edits, quantity alerts, new/deleted/revised code changes, and government coverage and rules for each code.
• User-friendly appendixes. Navigate additional information easily with structured references and excerpts, including a comprehensive drug table, acronyms/abbreviations, and modifiers.

CPT is a registered trademark of the American Medical Association.

CDT is a registered trademark of the American Dental Association.