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Official Course
Description: MCCCD Approval: 12-13-05 |
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HIM214
2006 Fall – 2009 Summer II |
L+L |
2.0 Credit(s) |
4.0 Period(s) |
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CPT
Coding II |
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In-depth
exposure to CPT (Current Procedural Terminology) coding, reimbursement
trends, guidelines, and coding from source documents. Application of current
evaluation and management documentation guidelines. Emphasis on surgical
procedures. Appropriate assignment of CPT and HCPCS (Healthcare Common
Procedural Coding System) Level II modifiers. Introduction to computerized
encoders. Prerequisites: (HCC204 and HIM212), or
permission of Program Director. |
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Go to Competencies Go to Outline
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MCCCD
Official Course Competencies: |
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HIM214 2006
Fall – 2009 Summer II |
CPT Coding II |
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1.
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Interpret information contained in the CPT section
guidelines. (I) |
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2.
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Apply appropriate modifiers to codes for physicians and
facilities. (II) |
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3.
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Identify and explain factors and key components in
evaluation and management services code assignment. (III) |
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4.
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Use documentation guidelines to determine evaluation and
management level of service from health information records. (III) |
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5.
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Analyze surgical source documents to determine services
that can be coded. (IV) |
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6.
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Define terminology for surgery subsections. (V-XIII) |
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7.
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Describe components of surgical techniques by body system.
(V-XIII) |
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8.
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Assign appropriate CPT codes to surgical procedures.
(V-XIII) |
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9.
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Interpret guidelines for interventional radiology
services. (XIV) |
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10.
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Describe the various interventional radiology procedures.
(XIV) |
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11.
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Assign CPT codes for interventional radiology procedures.
(XIV) |
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12.
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Evaluate current reimbursement issues with respect to CPT
coding guidelines. (XV) |
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13.
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Explain the relationship between CPT and Ambulatory
Surgery Center (ASC) payment groups and other payment methodologies/options.
(XVI) |
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14.
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Explain the role of CPT in Ambulatory Patient Categories
(APCs). (XVI) |
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15.
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Appropriately use software programs for code and
reimbursement determination. (XVII) |
Go to Description Go to top of
Competencies
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MCCCD
Official Course Outline: |
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HIM214 2006
Fall – 2009 Summer II |
CPT Coding II |
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I. CPT Guidelines Update II. Modifier Applications A. Physician B. Facility III. Evaluation and
Management Services A. General guidelines B. Documentation guidelines
C. Interpreting source
documents IV. Surgical Procedures A. General guidelines B. Analyzing an operative
report V. Integumentary
System A. General guidelines/format
B. Skin lesions C. Repairs D. Grafts E. Breast procedures F. Other VI. Musculoskeletal System A. General
guidelines/format B. Spinal surgery C. Fracture/dislocation
treatment D. Hand and foot procedures
E. Arthroscopy F. Other VII. Respiratory System A. General
guidelines/format B. Endoscopic procedures C. Other VIII. Cardiovascular System
A. General
guidelines/format B. Pacemakers C. Coronary artery bypass D. Arteriovenous
fistula procedures E. Other IX. Digestive System A. General
guidelines/format B. Endoscopic procedures C. Hernia repairs D. Intestinal surgery E. Other X. Urinary/Male
Reproductive System A. General
guidelines/format B. Endoscopic procedures C. Prostate surgery D. Other XI. Female Reproductive System
A. General
guidelines/format B. Laparoscopic procedures C. Maternity care and
delivery D. Other XII. Endocrine/Nervous
Systems A. General
guidelines/format B. Skull base surgery C. Spine and spinal cord
procedures D. Carpal tunnel surgery E. Nerve blocks/injections F. Other XIII. Ocular and Auditory
Systems A. General
guidelines/format B. Cataract surgery C. Strabismus surgery D. Middle ear surgery E. Other XIV. Interventional
Radiology A. Description of
procedures B. General guidelines C. Body system applications
XV. Current Reimbursement
Issues XVI. CPT and Payment
Methodologies/Options A. Resource Based Relative
Value System (RBRVS) B. Ambulatory Surgery
Center (ASC) payment groups C. Ambulatory Patient
Categories (APCs) XVII. Computer Applications |
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