I. General Information

1. Course Title:
Medical Coding II

2. Course Prefix & Number:
HINS 2140

3. Course Credits and Contact Hours:

Credits: 4

Lecture Hours: 4

4. Course Description:

5. Placement Tests Required:

6. Prerequisite Courses:

9. Co-requisite Courses:

II. Transfer and Articulation

1. Course Equivalency - similar course from other regional institutions:

Alexandria Technical College, MEDS 1643 Intermediate Diagnosis Coding, 3 credits
Anoka Technical College, ADSC 1231 ICD-9-CM Coding, 3 credits
Anoka Technical College, ADSC 1252 Professional Practice for Coding Specialist, 3 credits

2. Transfer - regional institutions with which this course has a written articulation agreement:

College of St. Scholastica, June 2014 (CSS course equivalent HIM 3211 Classification of Health Data)

III. Course Purpose

Program-Applicable Courses – This course is required for the following program(s):

Healthcare Administrative Specialist, AAS Degree

Other - If this course is not required in a program or is not part of the MN Transfer Curriculum, it may be used for the purpose(s) listed below:
Technical Elective

IV. Learning Outcomes

1. College-Wide Outcomes

2. Course Specific Outcomes - Students will be able to achieve the following measurable goals upon completion of the course:

• Demonstrate professionalism;
• Interpret HIPAA rules;
• Demonstrate ability to utilize the Alphabetic Index and Tabular List;
• Intepret the information contained in the section Guidelines and notes;
• Abstract information from the medical documentation and apply correct codes;
• Demonstrate the ability to report diagnoses codes iwth I-10 codes;
• Understand the purpose and application of modifiers;
• Analyze code information;
• Demonstrate the ability to code various medical services using ICD-10, CPT and HCPCS codes;
• Interpret the elements of a special report and explain the information;
• Differentiate between services reported with codes from the different medical coding subsections and those reported with codes from other subsections;
• Identify when a condition should be reported as an additional diagnosis; and
• Report medical services using Medicine section codes.

V. Topical Outline

Listed below are major areas of content typically covered in this course.

1. Lecture Sessions

1. ICD-10-CM, CPT and Level II National Codes (HCPCS)
• Review ICD-10-CM guideline rules and uses
• Locate the major sections found in the CPT manual
• Review Category II and III CPT codes
• Demonstrate the ability to assign HCPCS codes
• List the major features of Level II national codes
2. Modifiers
• Assign and append modifiers
3.  Evaluation and Management (E/M) Services
• Identify and explain the three factors of E/M code assignment
• Differentiate between a new and an established patient
• Differeentiate between an inpatient and an outpatient
• Explain the levels of E/M services
• Review the key components
• Analyze the key component of history
• Analyze the key component in medical decision making
• List contributory factors
• Analyze code information
• Analyze the types of E/M codes
• Demonstrate the ability to code E/M services
• Identify CMS documentation guidelines
4. Anesthesia
• Explain the format of the anesthesia section and subsections
• Demonstrate the ability to code anesthesia services
• Identify use of other modifiers with anesthesia codes
5. Surgery
• Locate notes and guidelines in the surgery section
• State the uses of the unlisted procedure codes
• Analyze the contents of a surgical package
• Demonstrate the ability to code surgery services
6. Integumentary System
• Describe the format of the integumentary system in the CPT manual
• Demonstrate the ability to code integumentary services and procedures
7. Musculoskeletal System 
• Identify services/procedures included in the general subheading
• Demonstrate the ability to code musculoskeletal services and procedures
8. Respiratory System
• Differentiate between services reported with codes from the respiratory system subsection and those reported with codes from other subsections
• Distinguish the difference between the codes assigned to report lungs and pleura services, and procedures
• Demonstrate the ability to code respiratory services and procedures
9. Cardiovascular System
• Understand cardiovascular services across three sections—surgery, medicine, and radiology
• Review cardiovascular coding terminology
• Recognize the major differences in the subheadings of the cardiovascular subsection
• Define rules of coding cardiovascular services when codes from the medicine section are used
• Identify the major rules of coding cardiovascular services using the radiology section codes
• Demonstrate the ability to report cardiovascular services
10. Hemic, Lymphatic, Mediastinum, and Diaphragm
• Review the Hemic and Lymphatic Systems subsection format
• Understand the Hemic and Lymphatic Systems subheadings
• Demonstrate the ability to code Hemic and Lymphatic Systems services
• Review the format of the mediastinum and diaphragm subsection codes
• Understand the mediastinum and diaphragm information
• Demonstrate the ability to code mediastinum and diaphragm services
11. Digestive System
• Understand the format and codes of the digestive system subsection
• Demonstrate the ability to code the digestive system services
12. Urinary and Male Genital Systems
• Understand the format and codes of the urinary system subsection
• Review the subheadings and categories of the urinary system subsection
• Report services with urinary system codes
• Understand the format and codes of the male genital system subsection
• Review the subheadings and categories of the male genital system subsection
• Report services with male genital system codes
13. Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery
• Describe reproductive services
• Report reproductive services
• Report intersex surgery services
• Understand the format of the female genital system subsection
• Identify elements of component coding with female genital system codes
• Define the critical terms in maternity and delivery services
• Define services in the global maternity and delivery package
• Understand the format of maternity care and delivery subsection service
• Demonstrate the ability to code female genital and maternity care
14. Endocrine and Nervous System
• Review the endocrine system subsection format
• Understand the endocrine system subheadings
• Demonstrate the ability to code endocrine system services
• Review the nervous system subsection format
• Understand the nervous system subheadings
• Demonstrate the ability to code nervous system services
15. Eye, Ocular Adnexa, Auditory, and Operating Microscope 
• Demonstrate the ability to code eye and ocular adnexa services
• Review the auditory system subsection format
• Understand the auditory system subheadings
• Demonstrate the ability to code auditory system services
• Review reporting use of an operating microscope
• Demonstrate the ability to report the use of an operating microscope
16. Medicine
• Analyze the format of the medicine section
• Report psychiatric services
• Identify biofeedback services
• List components of dialysis reporting
• Demonstrate ability to report gastrointestinal services
• Understand ophthalmology and otorhinolaryngologic reporting
• Report cardiovascular services
• Identify services reported with pulmonary codes
• List the important elements of coding allergy and clinical immunology services
• Report endocrine services
• Define neurology and neuromuscular services
• Demonstrate an understanding of central nerves assessment and intervention
• Analyze chemotherapy services
• Report special services and dermatologic procedures
• Code physical medicine and rehabilitation services
• Report active wound management
• Define osteopathic and chiropractic services
• Understand non-face-to-face services
• Code special services, procedures, and reports
• Report medical services using medicine section codes