| Originator: | Hogue, Lori Status: Approved Department: MEA Medical Assistant | |
| Date Created: | 11/19/2013 Submitted: 11/19/2013 Completed: 12/23/2014 | |
| Effective Semester: | Fall | |
| Catalog Year: | 2015-16 | |
| Course Prefix: | MEA | |
| Course Number: | 131 | |
| Course Full Title: | Medical Coding II CPT/HCPCS | |
| Reason for Evaluation: | Competencies Change Corequisite Change Description Change Prerequisite Change | |
| Current Credit: | 3 | |
| Lecture Hours: | 3 | |
| Lab Hours: | ||
| Clinical Hours: | ||
| New Credit Hours: | ||
| Lecture Hours: | ||
| If the credit hour change box has been marked, please provide the new credit hour: | ||
| New Lecture Hours: | ||
| New Lab Hours: | ||
| New Clinical Hours: | ||
| New Internship Hours: | ||
| New Externship Hours: | ||
| SUN Course?: | No | |
| AGEC Course?: | No | |
| Articulated?: | Yes | |
| Transfer: | NAU | |
| Prerequisite(s): | Successful completion of HES 113 and HES 129, or permission of the program director. | |
| Corequisite(s): | none | |
| Catalog Course Description: | Students use the CPT-4, HCPCS and ICD-10-CM to perform procedural coding. Students will learn how to extract information from medical reports used in the medical office to determine the exact codes needed for third party reimbursement. | |
| Course Learning Outcomes: | 1. Use the CPT-4, ICD-10-CM, and HCPCS to perform procedural and diagnostic coding
2. Recognize the purpose and roles of the coding process in the medical field 3. Properly identify the different purpose of the CPT-4, ICD-10-CM, and the HCPCS code books 4. Apply appropriate codes to corresponding documents |
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| Course Competencies: | Competency 1 Explain the purpose and organization of the CPT manual
Objective 1.1 Identify the uses of the CPT manual Objective 1.2 Articulate the importance of using the current year CPT-4 manual Objective 1.3 Outline the symbols used in the CPT-4 manual Objective 1.4 List the major sections found in the CPT Manual Objective 1.5 Interpret the information contained in the section guidelines and notes. Objective 1.6 Identify placement of CPT codes on the CMS-1500 forms Objective 1.7 Describe the text change symbols used in the CPT manual Objective 1.8 Distinguish between professional and facility services. Objective 1.9 Describe what is meant by unlisted procedures/services Objective 1.10 State the purposes of a special report Objective 1.11 Examine Category II and III CPT codes. Objective 1.12 Locate the terms in the CPT index. Objective 1.13 List the major features of Level II National Codes, HCPCS Objective 1.14 Demonstrate the ability to assign HCPCS codes Competency 2 Code using Modifiers Objective 2.1 Describe the purpose of Modifiers Objective 2.2 Assign Increased Procedural Services modifier-22 Objective 2.3 Assign Unusual anesthesia modifier-23 Objective 2.4 Assign Unrelated E/M Services by the Same Physician During a Postoperative Period modifier-24 Objective 2.5 Assign Significant Separately Identifiable E/M Service by the Same Physician on the Same Day of the procedure of Other Service modifier-25 Objective 2.6 Assign Professional Component modifier-26 Objective 2.7 Assign Mandated Services modifier-32 Objective 2.8 Assign Anesthesia by Surgeon modifier-47 Objective 2.9 Assign Bilateral Procedures modifier-50 Objective 2.10 Assign Multiple Procedures modifier-51 Objective 2.11 Assign Reduced Services modifier-52 Objective 2.12 Assign Discontinued Procedure modifier-53 Objective 2.13 Assign Surgical Care Only modifier-54 Objective 2.14 Assign Postoperative Management Only modifier-55 and Preoperative Management Only modifier-56 Objective 2.15 Assign Decision for Surgery modifier-57 Objective 2.16 Assign Staged or Related Procedure or Service by the Same Physician during the Postoperative Period modifier-58 Objective 2.17 Assign Distinct Procedural Service modifier-59 Objective 2.18 Assign Two Surgeons modifier-62 Competency 3 Code E/M services Objective 3.1 Differentiate between a new and an established patient Objective 3.2 Differentiate between and inpatient and an outpatient Objective 3.3 Explain levels of E/M service Objective 3.4 Examine the Key Component history and examination Objective 3.5 Examine the Key Component medical decision making Objective 3.6 List contributory factors Objective 3.7 Examine code information and the types of E/M codes Objective 3.8 Identify CMS Documentation Guidelines Objective 3.9 Explain the three factors of E/M code assignment Competency 4 Report anesthesia services Objective 4.1 Define types of anesthesia Objective 4.2 Explain the format of the Anesthesia section and subsections Objective 4.3 Describe the anesthesia formula. Objective 4.4 Identify other reporting issues Competency 5 Execute the Surgery section format Objective 5.1 Locate notes and Guidelines in the Surgery section Objective 5.2 State the use of the unlisted procedure codes Objective 5.3 Interpret elements of a special report Objective 5.4 Outline the separate procedure designation Objective 5.5 Outline the contents of a surgical package Objective 5.6 Determine the contents of the General subsection Competency 6 Code Integumentary services and procedures Objective 6.1 Describe the format of the integumentry section and procedures Objective 6.2 Identify the elements of coding Skin, Subcutaneous, and Accessory Structures services Objective 6.3 Examine the main services in Nails, Pilonidal Cyst and Introduction Objective 6.4 Identify the major factors in Repair Objective 6.5 State the important coding considerations in destruction and breast procedures Competencies 7 Code musculoskeletal services and procedures. Objective 7.1 Describe types of traction Objective 7.2 Identify services/procedures included in the General subheading Objective 7.3 Identify cast application and strapping procedures Objective 7.4 Define elements of arthroscopic procedures Competency 8 Differentiate between services reported with codes from the Respiratory subsection and those reported with codes from other subsections Objective 8.1 Explain the effects of extent and approach when reporting endoscopy respiratory procedures Objective 8.2 Identify highlights of nasal procedure coding Objective 8.3 Examine the codes to report services to the accessory sinuses Objective 8.4 Categorize the codes in the Larynx subheading Objective 8.5 Explain the structure of the trachea/bronchi codes Objective 8.6 Distinguish the difference among the codes assigned to report lungs and pleura services, and procedures Objective 8.7 Demonstrate the ability to code respiratory services and procedures Competency 9 Assign cardiovascular services reported with codes from the Surgery, Medicine, and Radiology sections Objective 9.1 Execute cardiovascular coding terminology. Objective 9.2 Recognize the major differences in the subheadings of the Cardiovascular subsection Objective 9.3 Define rules of coding cardiovascular services when using codes from the Medicine section Objective 9.4 Identify the major rules of coding cardiovascular services using the Radiology section codes. Objective 9.5 Demonstrate ability to code Cardiovascular services Competency 10 Assign codes to Hemic and Lymphatic System services Objective 10.1 Examine the Hemic and Lymphatic Systems subsection format Objective 10.2 Describe the Hemic and Lymphatic Systems subheadings Objective 10.3 Examine the format of the Mediastinum and Diaphragm subsection codes. Objective 10.4 Define the Mediastinum and Diaphragm information Objective 10.5 Demonstrate the ability to code Mediastinum and diaphragm services Competency 11 Code procedures of the abdomen, peritoneum, and omentum Objective 11.1 Describe the format of the Digestive System subsection Objective 11.2 Report procedures of the lips Objective 11.3 Report procedures of the vestibule of the mouth Objective 11.4 Report procedures of the tongue and floor of the mouth Objective 11.5 Report procedures of the dentoalveolar structures Objective 11.6 Report procedures of the palate and uvula Objective 11.7 Report procedures of the salivary gland and ducts Objective 11.8 Report procedures of the pharynx, adenoids, and tonsils Objective 11.9 Report procedures of the esophagus, stomach, and intestines (except rectum) Objective 11.10 Report procedures of the Meckel?s diverticulum and mesentery Objective 11.11 Report procedures of the appendix, rectum, anus, liver, biliary tract and pancreas Competency 12 Describe the format and codes of the Urinary System subsection Objective 12.1 Examine the subheadings and categories of the Urinary System subsection Objective 12.2 Report services with Urinary System codes Objective 12.3 Define the format and codes of the Male Genital System subsection Objective 12.4 Examine reporting use of an operating microscope Objective 15.6 Report the use of an operating microscope Competency 16 Code Radiology services and procedures Objective 16.1 Interpret Radiology terminology Objective 16.2 Analyze the elements of component coding in reporting Radiology services Objective 16.3 Identify elements of the global procedure Objective 16.4 State the appropriate coding of contrast material Objective 16.5 Explain the format of the Radiology section Competency 17 Code Pathology and Laboratory services Objective 17.1 Explain the format of the Pathology and Laboratory section Objective 17.2 Describe the information in the Pathology and Laboratory Guidelines Objective 17.3 Interpret Pathology and Laboratory terminology Objective 17.4 Differentiate among the Organ or Disease Oriented Panels codes Objective 17.5 Identify Drug Testing codes Objective 17.6 Identify Therapeutic Drug Assays codes Objective 17.7 Classify Evocative/Suppression Testing codes Objective 17.8 Explain Consultations (Clinical Pathology) codes Objective 17.9 Interpret Urinalysis and Chemistry codes Objective 17.10 Evaluate Hematology and Coagulation codes Objective 17.11 Describe Immunology codes Objective 17.12 Discriminate among Transfusion Medicine codes Objective 17.13 Interpret Microbiology codes Objective 17.14 Evaluate Anatomic Pathology codes Objective 17.15 Explain Cytopathology and Cytogenic Studies codes Objective 17.16 Explain surgical Pathology codes Objective 17.17 Define Other Procedures codes Competency 18 Code Medical Services using Medicine Section Codes Objective 18.1 Analyze the format of the Medicine section Objective 18.2 Report Psychiatric services Objective 18.3 Identify biofeedback services Objective 18.4 List components of dialysis reporting Objective 18.5 Report gastrointestinal services Objective 18.6 Explain ophthalmology and otorhinolaryngologic reporting Objective 18.7 Report cardiovascular services Objective 18.8 Identify services reported with pulmonary codes Objective 18.9 List the important elements of coding allergy and clinical immunology services Objective 18.10 Report endocrine services Objective 18.11 Define neurology and neuromuscular services Objective 18.12 Describe central nervous system assessment and intervention Objective 18.13 Analyze chemotherapy services Objective 18.14 Report special services and dermatological procedures Objective 18.15 Code physical medicine and rehabilitation services Objective 18.16 Report active wound management Objective 18.17 Define osteopathic and chiropractic services Objective 18.18 Describe non-face-to-face services Objective 18.19 Code special services, procedures and reports. Competency 19 Compare inpatient and outpatient coding Objective 19.1 Define principal diagnosis and procedure Objective 19.2 Outline the Official Guidelines for Coding and Reporting (OGCR) Objective 19.3 Examine the Guidelines for Selection of a Principal Diagnosis Objective 19.4 Determine when a condition should be reported as an additional diagnosis Objective 19.5 Explain the purpose of the present on admission indicators Objective 19.6 Examine the ICD-10-PCS system |
| Document | Document Name | File Type |
|---|---|---|
| Review Document | MEA131 Bloom's Taxonomy Worksheet - 2013-11-22 21:52:53 Etc/GMT | application/msword |