Coding Certification Prep Course Objectives

ICD-10 Coding Objectives 

Basic CPT Coding Concepts  

HCPCS

CPT Modifiers

E & M Services

Anesthesia

Integumentary

Respiratory System  

Cardiology  

Digestive System

Urinary

Male / Female Urinary  

Endocrine  

Nervous

 Eye  

Auditory  

Radiological  

Pathology/ Lab  

Medicine  

Musculoskeletal System

Pain Management

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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