Medical Coding Course Outline
MODULE 1: The ICD - 9 Book
(2-3 days)
Introduction
Necessary Materials
History of Diagnostic Coding
The ICD-9 Purpose
Who's Responsible?
The Superbill
The ICD-9 Book
Volume I: Diseases Tabular List
Volume II: Diseases Alphabetic Index
Volume III: Procedures Tabular LIst and Alphabetic Index
Organization of the Procedures
Necessity to Standardize Procedural Terminology
The HCFA-1500 Form
MODULE 2: The ICD - 9 Diagnosis Coding
(2-3 days)
Getting Started
ICD-10 Coding
ICD-9 Coding
The Primary Diagnosis
What is a Primary Diagnosis
ICD-9 Index Conventions and Terms
Abbreviations
Punctuation
Terms and Conditions
Cross References
The ICD-9 Codes
Three Digit Codes
Fouth Digit Sub-Classification
Fifth Digit Sub-Classification
The Coding Process
Basic Rules of the Coding Process
Diagnostic Statements
Understanding Main Terms
Basic Steps for Using Volume II
Answer Key - Basic Steps for Using Voume II
Other Basic Rules for Using Volume II
Other Basic Rules for Using Volume I
Coding Tips
Coding Fractures
Fourth and Fifth Digit Coding
Fourth Digit
Fifth Digit
Step-By-Step Example of 5th Digit Coding
MODULE 3: V-CODES, E-CODES and Neoplasm
(2-3 days)
The Official Coding Guidelines
General Rules
Etiology and Manifestation of Disease
Coding Other Specific Condidions
Morphology Codes (M8000/0 to M9970/1)
The Neoplasm Table
What is an E-Code? (E800-E999)
Using the E-Code Index
E-Code Categories
Billing with E-Codes
What is a V-Code (V01-V82)
Reviewing the V-Code Categories
Hypertensive Disease Table
The Neoplasms
Lesions
E-codes
E-Codes - The Table of Drugs and Chemicals
V-Codes
Coding an V-Code Procedure
Locating V-Code's Procedures
V-Codes as a Primary Diagnosis?
V-Codes Indicator Table
The Hypertension Table
Late Effects Codes
Coding Burns
Rule of Nines
MODULE 4: CPT Coding Introduction
(2-3 days)
Current Procedural Terminology Coding
Necessary Materials
History of Procedural Coding
What are CPT Codes?
HCPCS Coding System
The CPT Coding Guide
The CPT Coding Book
Reviewing Your CPT Guide
The CPT Guide Format
The CPT Symbols and Conventions
STOP! Before moving on to the next symbol, some important information
Back to the Symbols
Explanation of the Secondary Statements
'Symbol' for Surgery Procedures
More 'Symbols' for Surgery
The CPT Conventions
Divisions of the CPT Sections
Lets Take a Closer Look
What are Guidelines?
Stand Alone and Indented Codes
What is a Modifier?
CPT Coding Guide Appendicies
Reviewing the CPT Book
The CPT Sections
CPT Symbols
CPT Conventions
MODULE 5: Coding Structures
(2-3 days)
Coding Structures of The CPT Manual
The CPT Code
The CPT 'Special Circumstances'
The CPT Index
Practice Using the Index
Index Code Ranges
Index Conventions
Main Terms/Qualifying Descriptions
Recognizing a Main Term
CPT Guide - Indented Terms - Index
CPT Guide - Indented Terms - Main Section
The CPT Coding System
Special Circumstances - Unlisted Procedures
CPT Notes and Guidelines
Reviewing the CPT Book
CPT Symbols Review
The CPT Index Review
Index Code Ranges
Index Conventions
CPT Main Section Review
Main Terms/Qualifying Descriptions
MODULE 6: Coding a Surgery
(2-3 days)
Coding a Surgery
The Surgery Section
Defining the 17 Surgery Sections
Defining the Subsection Sections
Global Surgical Packages
Starred Procedures (or Asterisk Procedures)
Seperate Procedure Information
Seperate Procedure Information
Follow-up Care
Add-on Codes (+)
Surgical Terms and Coding a Surgery
The Surgery Section Guidelines
The Surgery Section Subsections
Defining Surgical Groups
Defining Follow-up Care
Defining Add-on Codes
Coding Surgeries-Operative Reports
Example 1: Hospital Operative Report
Example 2: Hospital Outpatient Operative Reports
Coding - Patients Chart Notes
MODULE 7: Coding, Evaluation & Management Services
(2-3 days)
What are Evaluation and Management Codes?
The CPT Evaluation and Management Section
The Evalutaion and Management Format
The E&M Commonly Used Terms
Code Assignement Factors
The Levels of E&M Services
E&M Services Key Components
Contributing Factors
The E&M Section Format
Basic Steps for Selection E&M Codes
MODULE 8: Modifiers, HCPCS, and Medicine Codes
(2-3 days)
Modifiers, HCPCS, and Medicine Codes
Ways to Report Modifiers
Modifier Appendix
Modifier and the Section Guidelines
Coding with Modifiers
Surgical Modifiers
Special Note: Modifier -51
Modifier Descriptions and Groups
Why are Modifiers Useful?
Modifiers -26 (Professional Components)
What are HCPCS Codes?
HCPCS Code Format
Useful Information
HCPCS Level I Codes - CPT Codes
HCPCS Level II Codes - National Codes
HCPCS Level III Codes - Local Codes
HCPCS Level II - 23 Divisions
Rules of Coding with HCPCS Codes
Modifiers
Psychiatry and Biofeedback
Ophthalmology
Dialysis (ESRD)
Cadiovascular
Allergy Immunology
What is a Modifier?
Modifier Appendix
Coding with Modifiers
Coding with HCPCS
Medicine Codes
MODULE 9: Coding Radiology and Pathology
(2-3 days)
Introduction
Radiology Coding 70000 Through 79999
Radiology Terms
Radiology Planes
Radiology Subsections
Radiology Guidelines
Exactly What is Supervision and Interpretation?
Let's Look at One Together
Important Note
Diagnostic Radiology
Diagnostic Ultrasound
Radiation Oncology
Nuclear Medicine
What is Pathology?
Pathology Subsections
Collection of Specimen
Organ or Disease Oriented Panels
Drug Testing & Therepeutic Drug Assays
Clinical Patholgoy Consultants
Urinalysis and Chemistry
Hematology and Coagulatoin
Surgical Pathology
Surgical Pathology Levels
Radiology
Radiology Terms
Radiology Planes
Radiology Components
Supervision, Interpretation and Contrast Materials
Pathology
Collection of Specimen
Drug Testing & Therapeutic Drug Assays
Surgical Pathology
MODULE 10: Coding Anesthesia Services
(2-3 days)
Introduction
Anesthesia Services
Reporting Basic Anesthesia Services
Anesthesia IA Section Format
The Relative Value Guide (RVG)
Practice 'A' - Anesthesia Time
Qualifying Circumstances - codes and values
Summing it All Up!
Appendix I - Miscellaneous Resources
APPENDIX II - Extra CPT Exercises
APPENDIX III - Extra ICD - 9 Exercises
APPENDIX IV - Glossary of Terms