Nov 10, 2024  
2024-2025 Online Catalog 
    
2024-2025 Online Catalog
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HIM 260 - CPT Coding


Provides health information management students with the basic knowledge they need to recognize and assign CPT codes to real-world cases. Students will also gain an understanding of why CPT codes are an important aspect of billing for healthcare services and reimbursement for services provided.

Prerequisites & Notes
Anatomy & Physiology, HA 205, HIM 210, HIM 211, HIM 212

Assignment Overview
  • Assignments: Varied throughout the term
  • Final Assessment: Final Paper


Course Learning Objectives
Upon completion of this course, students should be able to demonstrate competencies at the appropriate skill and knowledge level:

  • Apply CPT coding conventions and national CPT guidelines to correctly assign procedures and services codes to operative reports, clinic notes, and other medical record documentation, achieving at least 90% accuracy rate.
  • Correctly sequence CPT codes according to federal, AMA, and other applicable coding and billing guidelines.
  • Compare the differences between billing for physician professional services and facility services when assigning CPT codes.
  • Utilize important medical and CPT coding references.
  • Describe the concept of medical necessity and the importance of the link between ICD-9-CM and CPT in coding patient records.
  • Describe an understanding of HCPCS Level II basics.
  • Recognize Ambulatory Payment Classifications (APCs) and the differences between coding for physicians (professional fee coding) and hospital outpatients (facility coding).


Credits: 3



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