Maricopa Community Colleges  HIT212AA   20016-99999 
Official Course Description: MCCCD Approval: 05/28/02
HIT212AA 20016-99999 L+L 1.50 Credit(s) 2.50 Period(s)
Medical Services Current Procedural Terminology Coding (CPT)
Coding of medical procedures and services using the Current Procedural Terminology (CPT) coding system and other applicable classification systems for ambulatory care. Prerequisites: (HCC145, or HCC145AA, HCC145AB and HCC145AC), or (HCC146 and HCC145AC), and (BIO160 or BIO202), or permission of instructor.
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MCCCD Official Course Competencies:
 
HIT212AA   20016-99999 Medical Services Current Procedural Terminology Coding (CPT)
1. Identify the use and purpose of Current Procedural Terminology (CPT) coding. (I)
2. Explain the relationship between CPT and the Health Care Financing Administration (HCFA) Common Procedural Coding System (HCPCS). (II)
3. Describe the importance of CPT coding to health care reimbursement. (III)
4. Identify current coding compliance and fraud and abuse issues. (III)
5. Describe the format and organization of the CPT classification system. (IV)
6. Describe the conventions and punctuations used in CPT coding and note the functions of each. (IV)
7. Read and interpret encounter forms and/or medical record documentation to identify all services and procedures delivered. (IV)
8. Code radiology services in accordance with current CPT guidelines. (V)
9. Use CPT guidelines to accurately assign CPT codes for pathology, laboratory, medicine, and anesthesiology services. (VI, VIII, IX)
10. Describe the criteria used for evaluation and management service code selection. (VII)
11. Attach modifiers to procedure or service codes when applicable. (X)
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MCCCD Official Course Outline:
 
HIT212AA   20016-99999 Medical Services Current Procedural Terminology Coding (CPT)
    I. Introduction to Current Procedural Terminology (CPT)
        A. History
        B. Purpose
        C. Use in health care
      II. HCFA Common Procedural Coding System (HCPCS)
          A. Background
          B. Levels
        III. CPT and Reimbursement
            A. Resource-Based Relative Value Scale (RBRVS)
            B. Coding compliance/fraud and abuse
          IV. CPT Basics
              A. Format
              B. Indexing
              C. Conventions
              D. Source documents
            V. Radiology Coding
                A. Diagnostic radiology/diagnostic imaging
                B. Diagnostic ultrasound
                C. Radiation oncology
                E. Interventional radiology
              VI. Pathology and Laboratory Coding
                  A. Automated multichannel tests
                  B. Organ/disease oriented panels
                  C. Consultations
                  D. Chemistry and toxicology
                  E. Surgical pathology
                VII. Evaluation and Management Services
                    A. Organization of code section
                    B. Definitions
                      1. New versus established patients
                      2. Presenting problem
                      3. Components
                      4. Time
                    C. Selecting level of service VIII. Medicine Services
                    A. Organization of code section
                    B. Guidelines
                    C. Adjunct codes
                  IX. Anesthesiology Services
                      A. Guidelines
                      B. Physical status modifiers
                      C. Qualifying circumstances
                    X. Modifiers
                        A. Purpose
                        B. Application
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