Official Course Description: MCCCD Approval: 11/26/02
HSE204 20032-99999	LEC	2 Credit(s)	2 Period(s)
Intermediate Coding Applications
Medical service coding, billing and reimbursement issues for non-hospital based providers. Documentation guidelines. Expanded overview of medical services and their relationship to ICD-9CM and CPT-4. Data translation into numeric language for audit review. Prerequisites: Medical terminology skills and HCE227 or (two years of provider (non-hospital based) service coding experience and permission of instruction).

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MCCCD Official Course Competencies:
HSE204   20032-99999	Intermediate Coding Applications

1.	Describe differences between the 1995 and 1997 documentation guidelines as they relate to E&M coding. (I)
2.	Identify staffing responsibilities, professional certification and affiliations, networking and updates related to ICD-10CM and ICD-10PC. (I)
3.	Select correct ICD-9 and CPT-4 medical codes. (I, II)
4.	Demonstrate correct use of CPT-4 and the "ELEMENTS" of E&M service coding. (II)
5.	Select correct audit descriptions for the "history", "exam" and "medical decision making" components of E&M service coding. (II)
6.	Select appropriate complex codes and modifiers for specialty medical coding. (II, III)

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MCCCD Official Course Outline:
HSE204   20032-99999	Intermediate Coding Applications

I. Diagnostic Coding Methods and Responsibilities A. 1995 and 1997 Documentation Guidelines B. Utilization Responsibilities C. Professional Affiliations D. Certification Processes E. Using ICD-9CM F. Overview of ICD-10CM and ICD10PCS II. Expanded Review of CPT-4 A. Using CPT-4 E&M Services & Medicine Coding B. Anesthesia and Modifiers III. Expanded Review of CPT-4 Surgical Services A. Integumentary B. Musculoskeletal C. Respiratory D. Cardiovascular E. Female Genital & Maternity F. General Surgery G. Radiology H. Pathology/Laboratory

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