Spiral bound books are identical in content to our perfect bound books. The only difference is the method of binding.  

• Identical in content to perfect bound version.

• Spiral binding allows open book to lay completely flat.

• A spiral bound book can fold all the way back upon itself and yet still remain flat, so takes up less space on a desk or table.

ICD-10-CM 2026 IS ALSO AVAILABLE IN PERFECT BOUND FORMAT...CLICK FOR DETAILS.