HINM 155 - CPT Coding

(TP/SS only) CE

An introduction to the principles and conventions of CPT/HCPCS clinical classification system used in outpatient and physician office settings. Related topics such as ethical coding standards, federal rules and regulations, and fraud and abuse definitions/issues are included. Students should have a basic knowledge of human anatomy and physiology in order to succeed in this coding course. PREREQUISITE(S): HINM 120 , and either HINM 115 or BIOL 130 and BIOL 131 , or consent of program coordinator. COREQUISITE(S): HINM 165 . Two hours each week. Formerly HI 213.

2 semester hours

Course Outcomes:
Upon course completion, a student will be able to:

Describe and understand the format and characteristics of the CPT/HCPCS code books
Demonstrate the ability to locate terms in the CPT Index.
Identify the CMS required modifiers for hospital-based outpatient and physician office services.
Assess and confirm the Evaluation and Management (E/M) codes are based on encounter documentation using the E/M guidelines.
Apply knowledge of CPT conventions, format, symbols, and notes to identify the correct CPT code.
Summarize, read and interpret encounter/visit documentation and operative reports to identify all diagnoses, tests, procedures, and treatment modalities that affect the outpatient encounter.
Apply, interpret, and implement the information contained in the CPT Section Guidelines.
Define and state the purposes of a specialty coding reports
Apply unlisted procedures/services codes appropriately.
Demonstrate proficiency in CPT coding of procedures/services.
Identify and assign codes that conform to approved coding principles/guidelines.
Follow and adhere to ethical coding standards.

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