Coding Certification Prep Course Objectives

ICD-10 Coding Objectives:  

• Familiarize yourself with the layout of the ICD-10 manual  

• Translate a written diagnosis into the correct ICD-10-CM codes.  

• Learn the correlation between the alphabetic index and the tabular list.  

• Effectively use the Table of Drugs and Chemicals and the Index to External Causes of Injury and Poisoning.  

• Know what "main terms" and "sub-terms" are.  

• Know what Eponyms are.  

• Understand the concept of sub-categories.  

• Be familiar with ICD-10 Instructional Notes  

• Know the nine steps for accurate coding.  

• Know Acute versus Chronic coding  

• Coding Suspected Conditions  

• Combination Codes  

• Multiple Coding  

• Infectious and Parasitic Diseases  

• Know the difference between HIV and AIDS  

• Neoplasms  

• Diabetes  

• Arthritis and Arthropathies  

• Respiratory Diseases  

• Circulatory System (cardiology)  

• Injuries  

• Fractures  

• Burns  

• E Codes  

• V Codes  

• Coding for Late Effects  

• Coding for Complications from Medical care

Basic CPT Coding Concepts  

• What does CPT mean?  

• Who developed and manages CPT?  

• What is the organization of CPT?  

• What are the coding conventions of the CPT manual?  

• How are new codes or changed/revised codes identified?  

•  What are CPT modifiers?  

• What are subsections of CPT?  

•  What are the classes of main terms?  

• What are Eponyms?  

• What is the difference between See This & See Also?  

• What are the general rules for CPT Coding?

HCPCS  

• What does HCPCS stand for?  

• What are the three levels of HCPCS?  

• What is the organization of the HCPCS manual?  

• Which codes are temporary codes?  

• How do you use the Table of Drugs?  

• Which letters are reserved for local use?

CPT Modifiers  

• Know why modifiers are used.  

• Know the three (3) ways to report modifiers.  

• Review all modifiers and examples.  

• Know how and when to use HCPCS National modifiers  

• Know what information carriers may need to justify payment of modified procedure and service codes.

E & M Services  

• Introduction of E & M  

• The levels of E & M Services  

• New versus Established patient.  

• Coding for E & M Services and surgical procedures.  

• Coding for preventive medicine services.  

• Coding for Emergency Room and Critical Care.  

• Coding for Inpatient services.  

• Coding for Special E & M Services.  

• Key components.  

• Contributory "ancillary" components.  

• How Time, Coordination of care and Counseling impact the level of E & M Service.  

• Know what systems are included in a Review of Systems.  

• Know what PFSH is.  

• Know the levels of Examination  

• Understand the levels and components of Medical Decision Making.  

• Understand the role of the three main components of MDM (possible diagnoses, amount of tests and information and risk of complications, morbidity and comorbidities.  

• Understand how to document for an Encounter Dominated by Counseling or Coordination of Care.  

• Understand the difference between a consult and a referral

Anesthesia  

• Know the difference between general, region and local anesthesia.  

• Know what services are/are not included in an anesthesia services.  

• Know how anesthesia values are determined.  

• Know what basic units, time units and modifying units are.  

• Anesthesia modifiers (P1 - P6).  

• Know the Four qualifying circumstances modifiers (99100; 99116; 99135 & 99140).  

• Know what constitutes an emergency condition for anesthesia.  

• Know when time is not a factor in coding Anesthesia services.  

• Know the Anesthesia Billing Formula

Integumentary  

• Know the difference between the epidermis, dermis and subcutaneous tissue.  

• Know the components of the dermis.  

• Know the Incision and Drainage Codes.  

• Know the Debridement codes.  

• Know biopsy codes.  

• Code for removal of skin tags.  

• Coding for excision of lesions.  

• Coding for excisions and avulsions.  

• Know the difference & how to code simple, intermediate and complex repairs.  

• Know the 7 steps of coding for repairs.  

• Understand tissue transfers, flaps and grafts.  

• Know the 4 categories of tissue transplantation.  

• Know what a decubitus ulcer is.  

• Coding for burns.  

• Understand what the "Rule of Nines" means.  

• Coding for breast disorders.  

• Know the different types of mastectomies (radical, partial, simple).  

• Know the chest wall excision codes.

Musculoskeletal System  

• Introduction  

• Arthritis and Arthropathies (ICD-10 Review)  

• Understand the wound exploration codes.  

• Understand the three (3) types of fracture care categories.  

• Understand the two (2) types of fixation.  

• Understand the types of manipulation and stabilization.  

• Understand how to code for casts and strapping.  

• Coding for dislocations.  

• Understand arthroscopies and the difference between diagnostic versus surgical.  

• Know the different purposes for surgery.  

• Shoulder Procedures  

• Special procedures for knees.  

• Understand Osteochondritis Dissecans.  

• Cruciate Ligament repair, augmentation & reconstruction.  

• Understand arthrodesis, the proper questions and approaches.  

• Understand the correct steps to code Bone Grafting.  

• Understand the correct steps to code Bone Grafting.

Respiratory System  

• Understand polyps and excision of polyps.  

• Understand the vocabulary for accessory sinuses.  

• Understand nasal endoscopy. Larynx procedures.  

• Coding for bronchoscopies.  

• Terms associated with thoracotomy.  

• Coding for Laryngoscopy.  

• Coding for surgical thoracoscopy.

Cardiology  

• Know the kinds of blood vessels.  

• Understand the difference between the technical and professional component of a procedure.  

• Understand the cardiac graphics (Medicine section).  

• Coding for Rhythm Strips.  

• Know what a Signal Averaged Electrocardiogram is.  

• Coding for patient event recorders.  

• Coding for exercise stress tests.  

• Coding for electrocardiography.  

• Coding for and understanding TEE.  

• Coding for and understanding Doppler Echocardiography.  

• Coding for stress echocardiography.  

• Coding for PTCA.  

• Coding for Stent Placement.  

• Coding for cardiac catheterization.  

• Know what CABG is and how to code for it.  

• Coding for pacemakers, their insertion and removal.  

• Know what an AICD is.  

• Know what VAD's are and do.  

• Know what a PICC line is.  

• Coding for implantable infusion pumps.

Digestive System  

• Review the format and organization of the digestive system section.  

• Review the medical terminology of the structures of the mouth (above the esophagus).  

• Coding and terminology for tonsillectomies.  

• Understand the variations of code 43121.  

• Understand the mechanics and coding for insertion of a stent.  

• Know how to code for a PEG tube.  

• Know how to code for EGD.  

• Understand and know how to code for ERCP.  

• Understand the difference between a gastronomy, gastrectomy and gastrostomy.  

• Be familiar with the gastric bypass procedure.  

• Understand the difference between a proctosigmoidoscopy, sigmoidoscopy and a colonoscopy.  

• Coding for hemorrhoid surgery.  

• Coding for laparoscopic cholecystectomy.  

• Coding for hernias (important!).

Urinary  

• Understand what the lithotomy approach is.  

• Understand the difference between Endoscopy,

• Cystoscopy, Urethroscopy, and Cystourethroscopy.  

• Know urological medical terms.  

• Know the difference between the Ureter and urethra (important!).

Male / Female Urinary  

• Coding for Vasectomy  

• Coding for the biopsy of the prostate  

• Coding for Laparoscopy and related procedures.  

• Know coding for an inguinal hernia.  

• Know how to code for the insertion and removal of contraceptive devices.  

• Know how to code for surgical sterilization procedures.  

• Know the difference between a surgical and a diagnostic hysteroscopy.  

• Coding for a D & C.  

• Know how to code for laparoscopy/hysteroscopy procedures.

• O/B  

• Know how to code for maternity care and delivery  

• Know the difference between delivery, postpartum and antepartum care.  

• Know the components of ante partum care.  

• Know how to code for multiple births.

Endocrine  

• Know what organs are part of the endocrine system.  

• Be familiar with the options of the endocrine system procedures (i.e., partial, complete, limited, etc...).  

• Know what organs are part of the endocrine system.  

• Know where to find surgical operations on the pituitary and pineal gland.  

• Be familiar with the options of the endocrine system procedures (i.e., partial, complete, limited, etc...).  

• Understand the variations of a thyroidectomy  

• Understand the variations of a Parathyroidectomy  

• Know what a Carotid Body is.

Nervous  

• Know the anatomy and terminology of the nervous system.  

• Familiarize yourself with the twelve (12) cranial nerves.  

• Know the difference between parasympathetic and sympathetic nerves.  

• Understand and know how to code for pain management.

Pain Management  

• Be able to define Pain Management  

• Be familiar with pain management methods.  

• Be sure to follow the coding guidelines for unilateral / bilateral procedures and radiological guidance.

Eye  

• Know how to code for Adnexa  

• Know what is included in the code for extraction of a lens.  

• Coding for insertion and removal of ocular implants.  

• Coding for strabismus surgery

Auditory  

• Be familiar with the 69100 ear excision codes.  

• Understand what a tympanostomy is and how to code for it.  

• Know which procedure code to use when the physician inserts ventilating tubes in to the opening of the tympanum.  

• Understand the difference between a stapedectomy and a stapedectomy.  

• Auditory System 2  

• Know what cochlear implant, aural rehabilitation, speech processor mean.  

• Know what a Basic Audiologic Assessment includes.  

• Know the components and factors involving coding for hearing screening

Radiological  

• Know the difference between the professional and technical component.  

• Understand the terms and coding for diagnostic radiology.  

• Always pay careful attention to the number of views for X-rays.  

• Be familiar with CAT technology.  

• Understand the purpose and coding associated with contrast studies.  

• Be familiar with Computed Tomographic Angiography (CTA).  

•  Understand MRI coding and techniques.  

• Understand diagnostic ultrasound techniques and coding.  

• Be familiar with the different types of ultrasound.  

• Understand the role and coding for radiation oncology.  

• Note the difference between simple, intermediate and complex planning for the treatment of radiation oncology.  

• Be familiar with nuclear medicine.

Pathology/ Lab  

• Review the sections of the Path/Lab section.  

• Know that mod-51 is not used with Path/Lab codes.  

• Know the different types of lab test methods used.  

• Understand the guidelines for billing panels.  

• Lab panels have changed over the last few years.

• If you have been coding for years, be sure to review this section as many codes have been deleted.  

• Familiarize yourself with the 11 panels.  

• Familiarize yourself with the drug screening tests.  

• Note that coding for qualitative screening tests is based on procedure, not method or analyte.  

• Be familiar with the types of tests included under Evocative/Suppression Testing.  

• Know the guidelines for coding blood transfusions.  

• Be familiar with anatomical and surgical pathology.

Medicine  

• Be familiar with what type of information is found in the medicine section.  

• Be familiar with the Immunization Injection Codes.  

• Know how to use Prolonged Intravenous Infusion codes.   

• Be sure to read the Psychiatry Guidelines at the beginning of the Psychiatry section of CPT.  

• Be familiar with coding for dialysis for ESRD.  

• Understand the "separate procedure" rule.  

• Be sure to read the notes under the different vestibular and audiologic function tests.  

• Know how to code for hand-held doppler devices.  

• Know how to code for ventilation assist and management.  

• Know how to code for code 95004.  

• Understand how to code for the Skin End Point Titration Test.  

• Review the five levels of dermatological services.  

• Know that time is a major factor in coding physical therapy and rehabilitation codes.  

• Familiarize yourself with Osteopathic, Chiropractic and Special Services. Even though you may never code them, they still may (and probably will) be on the certification exam

IMPORTANT*** Due to the individual attention we give each student we are forced to limit this to only 10 students at a time. If you try to sign up and see the Course Closed sign please get on the mailing list and we will contact you as soon as a spot opens up!

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