Professional Medical Coding Curriculum
Professional Coder Certification
Offered by: Alaska MedCode, LLC
Martha Wade, RHIT, CCS-P, CPC-I, CPC, CPMA
AAPC Certified Instructor
The Medical Coding Training curriculum is a program of study, aimed at providing the most up-to-date information relating to CPT procedural and ICD-9-CM diagnostic coding and prepares the student to sit for the Certified Professional Coder (CPC) exam.
· Course curriculum is presented over an 18 week period.
· Lectures are reinforced by hands-on practice exercises.
· CPC certification exam serves as the course final examination.
o The examination is a 5 hour & 40 minute, open ICD-9-CM/CPT/HCPCS Level II book, multiple choice exam written for physician practice coders.
o The CPC exam tests knowledge of medical terminology, human anatomy, CPT, ICD-9-CM and HCPCS Level II coding. Coders are required to code the professional services rendered in each scenario.
Tuition, Schedule and Pre-Requisite Information
Payment Plan is available – Please contact for further information
CPT Expert and ICD-9 Easy Coder books are NOT allowed
**ICD-9-CM, CPT, and HCPCS Level II books can be ordered from Optum 1.800.464.3649 or www.optumcoding.com or special 3 book package (Physician Bundle 1) from AAPC, 1.800.626.CODE or www.aapc.com
Curriculum Outline – Medical Coding Training
Introduction to the CPT
Understanding CPT and HCPCS codes in relation to reporting physician and/or other provider procedures and services are discussed. This chapter also introduces the basics of formatting, terminology, modifiers, and the two levels of HCPCS codes used in Medicare and most private payer claims.
Evaluation and Management Section
Evaluation and Management (E/M) codes are described with the fundamentals in preparation and application to medical claims. Each section explains a topic pertinent to E/M coding such as the definitions of key components, reporting consultations, emergency department visits, critical care, preventive medicine, and home health services. For the basics of E/M coding, the students advance to actual reporting of these codes based on provider information. A step-by-step approach to E/M auditing is presenting with the various types of audits common to medical practices.
Anesthesia Section and Modifiers
A discussion of the ASA relative values, anesthesia guidelines, modifiers, code organization and crosswalk, as well as a review of the different types of anesthesia available for patients and the methods in which they are administered, are covered in this chapter.
Introduction to Surgery Section and Integumentary System
Surgical codes are arranged in sections according to body systems (eg, integumentary, digestive), which are divided according to the type of procedure performed. The AMA’s coding modifiers and coding guidelines are defined. Descriptions of each section of surgery code are in-depth and begin with the integumentary system. Definitions and anatomical descriptions give an overview of these code ranges which are updated annually to reflect any changes in health care.
One of the largest sets of codes in the CPT is the musculoskeletal system. The application, relevant definitions, anatomical descriptions, and an overview of the various procedures are demonstrated.
Students are introduced to respiratory diseases with subsequent treatment and the functions of the system’s organs. The respiratory system codes with the application and proper documentation are defined.
Cardiothoracic surgery of the heart, coronary arteries, and great vessels are discussed in this chapter, in addition to pacemaker and cardioverter-defibrillator placement, surgery, therapeutic and diagnostic vascular procedures.
Female Genital System and Maternity Care and Delivery
This section of CPT codes details the female genital system and includes instruction on the use of codes to report delivery and maternity care services.
General Surgery I – Male Genital System; Urinary System; Digestive System
The urinary system range of the CPT manual includes codes specific to males and females and explores the general concepts and anatomy of the urinary system as well as the anatomy and consequent services and procedures specific to each gender. This chapter also covers the digestive process, diagnostic tests and procedures, and endoscopies pertaining to the digestive system.
General Surgery II – Hemic and Lymphatic Systems; Endocrine System; Nervous System; Eye and Ocular Adnexa; Auditory System
This chapter covers procedures and coding pertaining to the eye and auditory system. The final code in the chapter reports the use of an operating microscope. This chapter also covers coding procedures and techniques of the skull, meninges and the brain, spine and spinal cord, extracranial nerves, peripheral nerves, and the autonomic nervous system.
A discussion of radiological procedures and coding guidelines including body positions and relationship terms, radiological supervision and interpretation codes, technique and equipment issues, diagnostic radiology, MRIs, ultrasounds, and radiation oncology are covered in this chapter.
This chapter covers procedure and coding issues pertaining to pathology and laboratory. Topics include organ and disease oriented panels, drug testing, therapeutic drug assays, consultations, hematology and coagulation, blood counts, hemograms and differentials, bone marrow procedures, blood clot studies, transfusion medicine, microbiology, anatomic pathology, and CLIA requirements.
This chapter discusses immunizations and administration for vaccines/toxoids, therapeutic and diagnostic infusions, psychiatry, dialysis, gastroenterology, ophthalmology codes, cardiovascular codes, physical medicine, and other special services that are found in the Medicine section of the CPT text.
Overview of ICD-9-CM
Using the ICD-9-CM
Diagnostic coding through medical necessity, coding guidelines, and how-to steps are presented along with coding conventions, coding tips, and understanding ICD-9-CM Volumes 1 and 2. The ICD-10 format is introduced; however actual coding scenarios are not included in the CPC examination.
Third-Party Reimbursement Issues
This chapter discusses reimbursement, HIPPA and compliance issues such as Medicare, Managed Health Care and Fraud & Abuse.
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Alaska MedCode, LLC
PO Box 233165
Phone 907.243.2905 / FAX 907.243.2906
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