HIM 273 CPT and HCPCS Coding

CPT Coding is a course that focuses on the principles and practices of medical office coding using the Current Procedural Terminology (CPT) coding system. The course covers topics such as coding guidelines, conventions, and principles, as well as the structure and organization of the CPT coding system.

Credits

5

Prerequisite

HP 100 and HIM 154

Course Learning Outcomes

Upon successful completion of this course, the student will be able to:
1. Apply knowledge of E/M services guidelines to locate the correct code for the level of service provided during the encounter or visit
2. Append modifiers appropriately for both physician use and modifiers for hospital outpatient use
3. Apply CPT codes to identify codable diagnostic and procedure statements resulting from a physician service 4. Demonstrate how to assign HCPCS codes while observing the coding hierarchy
5. Identify ways to obtain regulatory agency and payer-specific guidelines for compliance
6. Describe the process flow of claims generation and processing from patient visit to final payment
7. Recognize potential coding quality issues as reported on payer remittance reports (for example, explanation of benefits)