CPT Coding for Beginners


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  • 15
    Lessons
  • 28
    Exams &
    Assignments
  • 20
    Hours
    average time
  • 2.0
    CEUs
  • 2,485
    Students
    have taken this course
 
 
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Course Description

This self-study medical coding course will emphasize the rules and guidelines on the CPT coding manual.

The course benefits those who work or want to work in the medical field whether it be as a medical biller, medical coder, medical collector, or medical office administrator. 

The class format is designed to help the beginner coder learn and understand the concept of coding using the CPT-4 coding manual.

The course is designed to help the experienced coder gain additional knowledge and  practice on their speed in preparation for the coding certification exam. 

Coding scenarios are provided to help the student continue his/her knowledge in the field of medical coding.

In the world of medical services, there are thousands of procedures performed on patients for diagnostic or surgical reasons. Medical services or procedures include physical examinations, laboratory studies, x-ray studies, surgical procedures, intravenous and intramuscular injections of drugs, and so on. 

In the beginning, the billing process involved sending a bill to the patient or to an insurance carrier. The physician (also referred to as provider) charged a service, such as an office visit, at a dollar amount. The dollar amount was handwritten on a superbill (charge ticket) and typed on the patient's statement. The biller would proceed to type the charges on an insurance claim form. 

This method worked for a time, until third-party payers became involved in the payment process. The process grew too fast, and it became too difficult to keep up with how and what to pay for a procedure or service.

A system was created to describe the procedures by code numbers. Each code describes a procedure and the billing using these codes, which became the source for the current system used today, Current Procedural Terminology (CPT).

The CPT Code

CPT is a set of codes that identifies a description of a procedure or service. CPT began in 1966 and was published by the American Medical Association (AMA). The five-digit code is a way of communicating to an insurance company, a patient, or a physician, what service or procedure was provided to a patient.


It does not have any value if it is not linked to an ICD-10 (diagnosis) code. This process is known as "medical necessity." The code also has to match the place of service. (Read the first page of the CPT manual regarding "Place of Service."

It is extremely important to have current coding manuals in the medical office. Annual updates are made, and not having a current version of the coding manuals can cause the practice reduction in pay if the wrong CPT code is billed for the service, if the place of service does not match the five-digit CPT code, or if the service is not medically necessary.

The CPT Index

The index in the CPT coding manual is located in the beginning or the end of the coding manual, depending on the edition that is purchased.

When searching for a CPT code, always begin in the index. The search can begin with the name of the procedure (such as endoscopy, sigmoidoscopy or colonoscopy), the organ (liver, heart), system or body site (such as the colon), the name of the condition (Colles fracture), a synonym, and eponym, or an abbreviation (such as ECG or EKG). The Index is located in the back part of the CPT coding manual.

A specific code, or range of codes, in the CPT index guides the coder to locate the procedure or surgery that was done. For instance, if the index indicates the five-digit CPT code and a comma, the coder would review each code provided. If a hyphen is indicated between two codes, the coder would review each code, beginning with the first code, up to the last code.

Do not code directly from the index. The codes are to be assigned from the main body of the CPT manual. Remember the rule: index first, confirm second. After locating the code in the index, double-check the code and the description in the main body of the CPT manual.

Description of CPT Codes

Stand-alone codes are referred to as "parent" or "root" codes. Indented codes are found in the CPT coding manual following the parent code. Special attention must be paid when reading the description of the CPT code. The codes are divided into distinct types of services. As we move on through the lessons, you will learn about parent codes and indented codes.

CPT Guidelines

Each section of the CPT manual contains guidelines for the specific chapter. Read and become familiar with the guidelines prior to coding. Important information is listed in the guidelines and becoming familiar with the guidelines will help you make sense out of coding.

During the course of this class, the student coder will be required to study and research medical terminology and procedures. The class will offer a quick overview of medical terminology as it pertains to the coding scenarios that will be provided throughout the course. However, it is highly recommended that you take both Medical Terminology and Anatomy and Physiology from UniversalClass.com before starting this course.

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  • 6 Months to Complete
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Universal Class is an IACET Accredited Provider
 
 

Course Lessons

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Introduction to the CPT Coding System

Information about medical care is exchanged with the use of a numerical system, called a CPT code, which translates into the description of a medical service, procedure, or service. 200 Total Points
  • Take Poll: How would you rate this lesson?
  • Take Poll: Test your Knowledge
  • Take Poll: Test your Knowledge
  • Take Poll: Test your Knowledge
  • Take Poll: Test your Knowledge
  • Take Poll: Test your Knowledge
  • Take Poll: My understanding of this assignment
  • Take Poll: CPT coding Manual
  • Complete: Assignment_Intro to CPT Coding Systems
  • Complete: Exam/Intro to CPT Coding

Modifiers, Sections, and Symbols of CPT

This lesson will cover modifiers, sections, and symbols found in the CPT manual. 200 Total Points
  • Take Poll: How would you rate this lesson?
  • Complete: Assignment_Modifiers, Sections & Symbols of CPT
  • Complete: Exam/Modifiers-Sections and Symbols of CPT

Evaluation and Management CPT Section

This section of the CPT manual contains coding guidelines for medical office visits, consultations, nursing home, home visits, etc. 200 Total Points
  • Review Article: Evaluation and Management Quiz
  • Take Poll: How would you rate this lesson?
  • Take Poll: Grading Poll Question
  • Complete: Assignment _Evaluation & Management Section
  • Complete: Exam/Evaluation & Management

Anesthesia CPT Section

Anesthesia procedure codes are reported using CPT codes beginning with "0". In addition, other codes are used for reporting anesthesia services provided under unusual circumstances. This lesson also covers the anesthesia modifiers. 200 Total Points
  • Review 2 Articles: Anesthesiologists Center; Codes and Units
  • Take Poll: How would you rate this lesson?
  • Complete: Assignment_Anesthesia Section
  • Complete: Exam/Anesthesia Section

Surgery and the Surgical Package

Information on the Surgery Section and the Surgical Package are provided in this lesson to help the student apply the information when coding from the Surgery Section of the CPT coding manual. 200 Total Points
  • Review 3 Articles: Surgical Package FAQ; Surgical Packages Quiz; Surgery Coding Guidelines
  • Take Poll: How would you rate this lesson?
  • Complete Assignment: Unbundling
  • Complete Exam: Basic Elements of the Surgical Package

General & Integumentary CPT Section

The General & Integumentary System consists of subheadings to include skin, nails, repair, destruction, and breast. Subcategories include incision & drainage, excision, paring, and biopsy. 200 Total Points
  • Review Article: Documentation Challenges for Skin and Dermatology Coding
  • Take Poll: How would you rate this lesson?
  • Complete: Assignment_Integumentary System
  • Complete: Exam/Integumentary System

Musculoskeletal System CPT Section

Understand and apply coding guidelines found throughout the Musculoskeletal System in the CPT coding manual. Familiarize yourself with how the codes are arranged. 200 Total Points
  • Take Poll: How would you rate this lesson?
  • Complete: Assignment_Musculoskeletal System
  • Complete: Exam/Musculoskeletal System

Respiratory CPT Section

This lesson will cover the Respiratory section and guidelines. Some of the procedures covered in the lesson will include nasal endoscopy and bronchoscopy coding. 200 Total Points
  • Review Article: Respiratory System Flash Cards
  • Take Poll: How would you rate this lesson?
  • Complete: Assignment_Respiratory System
  • Complete: Exam/Respiratory System

Cardiovascular CPT Section

The cardiovascular subsection contains procedures involving the heart, pericardium, arteries, and veins. Codes for cardio procedures found in the Medicine Section will also be discussed in this lesson. 100 Total Points
  • Take Poll: How would you rate this lesson?
  • Complete Exam: Cardiovascular Section

Digestive System CPT Section

This lesson will focus on common procedures of the Digestive System, such as tonsillectomy and adenoidectomy, endoscopies and hernia repair. The guidelines will also be reviewed. 200 Total Points
  • Review 2 Articles: Code Quiz; CPT Codes Quiz
  • Take Poll: How woul you rate this lesson?
  • Complete: Assignment_Digestive System
  • Complete: Exam/Digestive Section

Urinary CPT Section

This lesson will cover coding and guidelines for the Urinary Section of the CPT manual. Coding tips are provided for coding procedures from this section. 100 Total Points
  • Review 2 Articles: Urinary System Codes Quiz; Appropriate Coding of Ultrasound in Urology
  • Take Poll: How would you rate this lesson?
  • Complete: Exam/Urinary System

Male and Female Genital CPT Section

Specific codes are assigned when reporting procedures on the anatomy of the male and female. Coding tips will be provided to assist the coder 200 Total Points
  • Take Poll: How would you rate this lesson?
  • Complete: Assignment_Male and Female Genital Systems
  • Complete: Exam/Male & Female Genital Section

Maternity CPT Section

Maternity Care and Delivery coding and guidelines are discussed in this lesson. Understanding the Obstetric Package is important when coding from this section. 200 Total Points
  • Review Article: HMSA Provider Resource Center
  • Take Poll: How would you rate this lesson?
  • Complete: Assignment_Maternity Section
  • Complete: Exam/Maternity Section

Nervous System CPT Section

The Nervous System section contains subsections that describe diagnostic and therapeutic procedures from the nervous system. CPT coding involving the brain and spinal cord will be discussed in this lesson. 200 Total Points
  • Review Article: CPT Nervous System Surgery Codes Quiz
  • Take Poll: How would you rate this lesson?
  • Complete: Assignment_Nervous System
  • Complete: Exam/Nervous System Section

Radiology and Pathology CPT Sections

This lesson will cover the Radiology and Pathology Sections of the CPT Manual. Steps to proper assignment of the CPT code for these sections are added as a guide to the novice coder. 200 Total Points
  • Take Poll: How would you rate this lesson?
  • Take Survey: Program Evaluation Follow-up Survey (End of Course)
  • Complete: Assignment_Radiology and Pathology Sections
  • Complete: Exam/Radiology and Pathology Sections
2800
Total Course Points
 

Learning Outcomes

By successfully completing this course, students will be able to:
  • Define and describe the CPT Coding System.
  • Define and recognize Modifiers, Sections, and Symbols of CPT.
  • Describe and demonstrate coding Evaluation and Management CPT.
  • Describe and demonstrate coding Anesthesia CPT.
  • Describe and demonstrate coding Surgery and the Surgical CPT.
  • Describe and demonstrate coding Integumentary CPT.
  • Describe and demonstrate coding Musculoskeletal System CPT.
  • Describe and demonstrate coding Respiratory CPT.
  • Describe and demonstrate coding Cardiovascular CPT.
  • Describe and demonstrate coding Digestive System CPT.
  • Describe and demonstrate coding Urinary CPT.
  • Describe and demonstrate coding Male and Female Genital CPT.
  • Describe and demonstrate coding Maternity CPT.
  • Describe and demonstrate coding Nervous System CPT.
  • Describe and demonstrate coding Radiology and Pathology CPT.
  • Describe and demonstrate coding Medicine CPT, and
  • Demonstrate mastery of lesson content at levels of 70% or higher.
 

Additional Course Information

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Course Title: CPT Coding for Beginners
Course Number: 7550018
Languages: English - United States, Canada and other English speaking countries
Category:
Course Type: Professional (Novice Level) (Self-Paced, Online Class)
CEU Value: 2.0 IACET CEUs (Continuing Education Units)
CE Accreditation: Universal Class, Inc. has been accredited as an Authorized Provider by the International Association for Continuing Education and Training (IACET).
Grading Policy: Earn a final grade of 70% or higher to receive an online/downloadable CEU Certification documenting CEUs earned.
Assessment Method: Lesson assignments and review exams
Instructor: Diana Wilson, CPC, CPC-I, CPMA
Syllabus: View Syllabus
Duration: Continuous: Enroll anytime!
Course Fee: $129.00 (no CEU Certification) || with Online CEU Certification: $154.00

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