2024 ICD-10-CM Expert for Physicians : Spiral Bound NEW The plastic shrink wrap is loose and torn towards the bottom - book has never been used. Please see close up photos for more detail. These photos are taken with no filters. The item you see is the closest depiction of what you will receive. Items are sealed after photos. Stored in a smoke free environment. If item is pre-owned, it’s cleaned per standards. I do not use any freshener or scents. I ship daily via USPS with tracking information, so expect a speedy delivery! Please feel free to reach out to me with any questions. I am happy to assist in any way I can.