UP FOR SALE: CPT 2021 Professional Edition by American Medical Association (2020, Spiral) AS IS AS SHOWN Please take a look at the pictures for the best description. A photo is as good as a thousand words and is the best description of cosmetic condition. Use your ZOOM TOOL to best see this item! Please look closely at all the photos for condition--Thank you *Vintage and secondhand items may have flaws. Please review item(s), description and picture(s). I do my best to research and describe the items accurately, but I am not an expert on all of the items I sell. Unless specified in the listing, all items are sold AS-IS AS-SEEN in photos* All of My Items Come from a Smoke Free Home and have been cleaned per's standards I do Ship everyday Monday - Friday I do my best to ensure that my photos are as true to color as possible. However, due to inconsistencies of various monitors, lighting sources, digital photography, product color may slightly vary Feel Free to Visit My Store and Browse Through My Other Listings as I am happy to combine shipping for you. Please contact me with any issues prior to leaving negative/neutral feedback or low detail ratings, as I will always do my best to solve any problems that may come up! If you have any further questions, please feel free to message me Any props that are used in the taking of the photos are not included. Only the item/items in the title of the listings are being sold