Course title:

Business, Management, & Administration Cluster

Course Title:
ICD-CPT Coding

Course Number:

Pre-requisite:
Foundations of Medical Office Assistant/Medical Terminology
Locations:

Instructor:
180 hours (55 hours theory/125 lab hours)
Possible Career Outcome: ICD-9/CPT Certified Coding Associate or Certified
Coding Specialist, Medical Insurance Coder and Administrative Medical Assistant.
Course Description: This course introduces the basic principles and
conventions of the International Classification of Diseases (ICD) as well as
Current Procedural Terminology (CPT) coding. It simulates the application of
coding principles with examples and exercises based on actual case
documentation.
Specific Learning Competencies - Upon successful completion of this
course, the student will be able to:

Appendices
Coding Process
2. Determine the diagnoses codes for the following situations: surgery for a 3. Determine the E codes for the following situations: vehicle accident, motorcycle accident, hair tourniquet, assault with a BB gun, and assault CPT Coding
1. Introduction to the CPT Manual consisting of the purpose of the CPT Manual, updating the CPT Manual, the CPT Manual format, starting with the Index, contents of the E/M section, three factors of E/M codes, various levels of E/M service, E/M Code examples, using the E/M codes, and documentation guidelines. Identify and define symbols used in the 2. Anesthesia section and modifiers section to include: types of anesthesia, anesthesia section format, formula for anesthesia payment, unlisted anesthesia codes, and the CPT modifiers. 3. Surgery section and Integumentary system to include: Format of the surgery section, separate procedures, surgical packages, general subsections of the Integumentary system, format of the Integumentary system, skin, subcutaneous and accessory structures, nails, closure repairs, burns, destruction, and breast procedures. 4. Musculoskeletal system to include: Format, coding highlights, the general section, application of casts and strapping, and endoscopy and 5. Respiratory system to include: Format, coding highlights, nose, accessory sinuses, larynx, trachea, bronchi, lungs, and pleura coding. 6. Cardiovascular system to include: Coding highlights, cardiovascular coding in the surgery section, cardiovascular coding in the medicine section, and cardiovascular coding in the radiology section. 7. Female genital system and maternity care and delivery to include: Format of the female genital system, coding highlights of the female genital system, format of the maternity care and delivery, and coding highlights of 8. General Surgery Section I to include: The male genital system, intersex surgery, urinary system, digestive system, mediastinum and diaphragm. 9. General Surgery Section II to include: Hemic and lymphatic systems, endocrine system, nervous system, eye and ocular adnexa, and the 10. Radiology Section to include: Format, radiology terminology, procedures, planes, guidelines, and the radiology subsections. 11. Medicine section and the Level II National Codes to include: Diagnostic and Therapeutic Services and the History of National Level Coding. 13. Determine which codes including modifiers that may be used for the following situations: emergency room physician splinting both arms, handling specimens for transfer between physicians office to lab, computer-assisted total knee replacement using fluoroscopic imaging techniques, follow-up wound care dressing, digital nerve block, unlisted mucous membrane surgical procedure, initial reducible inguinal hernia report and orchiopexy via inguinal approach, anesthesia for blepharoplasty, excised lateral ¼ of a toe nail with scissors and performed matrixectomy using electrocautery, and physician visit at 14. Determine which section of the CPT manual for the following: laryngoscopy, and injection procedure for a cardiac catheterization 15. Define how anesthesiologists bill units of service based on time 16. Define brachytherapy in reference to radiation oncology Diagnostic Coding
1. Determine the purpose of diagnostic coding ICD Basics
1. An Overview of the ICD-9-CM Code Book to include: What is the ICD-9- CM, format, convention, alphabetic index, tabular list, the five appendices in the tabular list, and procedures volume. 2. Using the ICD-9-CM to include: General information about the official guidelines for coding and reporting, V codes, Late Effects, chapter specific guidelines, general guidelines, diagnostic coding, reporting guidelines for outpatient services, overview of ICD-10-CM and ICD-10- 3. Determine the codes and sequences for the following situations: infected blister to the right leg, chondrocalcinosis of shoulder due to calcium pyrophosphate, and hyperphenylalaninemia. Medical Billing
1. Identify how CPT and ICD-9-CM codes are used in medical billing 2. Third Party Reimbursement Issues to include: An introduction, the basic structures of the Medicare program, the importance of the Federal Register, understanding DRGs, the purpose of PROs, what is RBRVS, the PPS for the skilled nursing facility, Outpatient Medicare Reimbursement System, APC, Medicare fraud and abuse, and the Practice Coding
1. Determine the diagnostic codes for the following situations: decreased libido, cirrhosis of the liver due to alcohol dependence with continuous alcohol use, Pregnancy complications due to hypertension, late effects, Oat cell carcinoma of the right upper lobe of the lung with metastasis to 2. Determine the procedural codes for the following situations: laparoscopic removal of six intramural myomas with a total weight of 300 grams; transabdominal amnioinfusion; gastric saline load test; radionuclide ventilation perfusion lung scan; glucose tolerance test for five hours; hospital consultation with multiple substance abuse and mental health issues; critical care; rapid test to detect antigens for influenza by immunoassay method; physician visit for post-partum care for another physician; dilantin toxicity; rapid Strep-A test to detect Streptococcal pharyngitis; hypokalemia; administer a 1,000 cc IV of.45 normal saline; ER visit for sexually active 14 year old vaginal discharge, afebrile and 3. Determine which modifiers are used for unusual anesthesia, 4. Determine the E/M codes based on the levels of complexity, decision 5. Determine the code range for neoplasms 6. Use the neoplasms table to determine appropriate codes 7. Use the drug and chemical table to determine appropriate codes for 8. Determine and define physical status modifiers 9. Determine when cardiac arrest would be the principal diagnosis 10. Determine E codes for vehicle accidents Using the ICD-9-CM
1. Determine the diagnostic codes for the following situations: admitted to hospital with staphylococcus aureus septicemia with systematic inflammatory response syndrome with no signs of renal failure or other 3. Determine the clinical findings that are indicative to congestive heart 4. Identify the correct identification for ICD-9-CM 6. Determine the procedures used in the normal delivery code 650 7. Match the diagnostic code to the appropriate procedure
Instructor/Student Responsibilities: The instructor of this course assumes
responsibility to provide explicit information regarding expectations of students on
required assignments and activities and dates for completion.
The major obligation of the student is to demonstrate proficiency while meeting
the requirements for this course. Included in this obligation is the necessity of
meeting timetables for completion of activities, assignments, and tests. Students
who need additional help should notify the instructor who will provide additional
assistance and/or refer the student to the Academic Center for assistance.
Evaluation of Student Achievements: Final grades will be assigned on the
following scale:

Work and Assignments Missed: Students who are absent are responsible for
making up the work. It is the responsibility of the student to obtain missed
assignments from the instructor.
Academic Dishonesty or Misconduct: Academic dishonesty or misconduct is
not tolerated at Autry Technology Center. Whether in the form of plagiarism or
cheating, it is a serious matter that can result in expulsion from the institution.
Representing someone else’s ideas as one’s own or using unauthorized notes,
aids, or other means to improve scores on an assignment, a project, or an exam
will result in disciplinary action against the student. The disciplinary procedures
are as described in the Autry Student Handbook.

Instruction:

55 Hours
Theory/ Certification Preparation and Attainment
Methods of Instruction include:

Discussions, hands-on training, demonstrations, projects and performance evaluation
Required Brainbench Certifications (or equivalent industry certification):

American Health Information Management Associates:
American Academy of Professional Coders
 Certified Coding Specialist - Apprentice
Recognized Primary Course Textbooks and Instructional Resources:

Step-by-Step Medical Coding, 2012 Edition, by Carol J. Buck, Saunders Workbook for Step-by-Step Medical Coding, 2012 Edition, by Carol J. Buck, Saunders 2012 ICD-9-CM for Hospitals, Volumes 1, 2, & 3, Professional Edition, by Carol J. Buck, Saunders 2012 HCPCS Level II, by Carol J. Buck, Saunders Current Procedural Terminology, American Medical Association Elsevier Website for additional resources and learning

Source: http://www.autrytech.edu/Portals/0/docs/2012%20Eval%20Autry/2012%20Booklets/Syllabus/Syllabus%20-%20TD/ICD.CPT%20Coding%20Syllabus.pdf