Has handwriting on several pages in pencil however book is completely usable. This textbook provides a comprehensive guide on medical coding techniques and is geared towards adults with beginner-level knowledge. It has over 1000 pages and covers a range of topics in health education. The book, titled "Step-by-Step Medical Coding, 2014 Edition, 1e," is published by Elsevier-Health Sciences Division and written by Carol J. Buck. It is a trade paperback format with dimensions of 10.9in x 8.5in and is in English language. Acceptable: The book has obvious wear. It may have some damage to the cover, but its integrity is intact. The binding may be slightly damaged, but its integrity is still intact. There may be possible writing in the margins and underlining and highlighting of text, but there are no missing pages or anything that would compromise the legibility or understanding of the text. MR BS 2