HITM1226

This course introduces the basic principles, guidelines, and conventions of Current Procedural Terminology (CPT) coding, including Evaluation/Management (E/M) and Healthcare Common Procedure Coding System (HCPCS). Coursework is organized by body system as students apply their knowledge of Anatomy and Medical Terminology to assign appropriate CPT codes. Application of evaluation/management coding is reinforced through the use of case studies. Knowledge of CPT coding is critical as the student progresses into advanced coding classes.

Student Learning Outcome:

• Describe the history of the CPT classification system, including current use in the delivery of healthcare.
• Abstract clinical information from medical documentation using Medical Terminology, Anatomy, and Physiology for appropriate classification.
• Apply procedural coding knowledge to support reimbursement methodologies and payment systems.
• Evaluate and correct code assignments for accurate reimbursement from payer sources.
• Determine the appropriate evaluation and management (E/M) visit codes by classifying the clinical information according to the E/M guidelines.
• Determine the appropriate E/M, CPT/HCPCS codes and/or modifier based on coding rules and guidelines.
• Evaluate code assignment and sequencing using official coding guidelines and National Correct Coding Initiative (NCCI) edits.
• Comply with AHIMA standards of ethical coding.