I. General Information
1. Course Title:
Advanced Medical Coding
2. Course Prefix & Number:
HINS 2140
3. Course Credits and Contact Hours:
Credits: 4
Lecture Hours: 4
4. Course Description:
This course is a continuation of the introductory course and will reinforce the understanding and concepts of the coding rules for International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding systems, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding (HCPCS) Level II. The course will continue the explanation of coding concepts and use case scenarios to further challenge the student's understanding and application of the coding systems.
5. Placement Tests Required:
| Accuplacer (specify test): |
No placement tests required |
Score: |
|
6. Prerequisite Courses:
HINS 2140 - Advanced Medical Coding
All Course(s) from the following...
| Course Code | Course Title | Credits |
| BIOL 1404 | Human Biology | 3 cr. |
| HINS 1150 | Intro to Diagnosis & Procedure Coding | 3 cr. |
| HINS 1360 | Medical Terminology | 3 cr. |
9. Co-requisite Courses:
HINS 2140 - Advanced Medical Coding
There are no corequisites for this course.
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-10-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, Articulation agreement signed Summer 2020 (in combination with HINS 2172 to HIM 3211)
III. Course Purpose
1. Program-Applicable Courses – This course is required for the following program(s):
Healthcare Administrative Specialist, AAS Degree
3. Other - If this course does NOT meet criteria for #1 or #2 above, it may be used for the purpose(s) selected below:
Technical Elective
IV. Learning Outcomes
1. College-Wide Outcomes
| College-Wide Outcomes/Competencies |
Students will be able to: |
| Demonstrate reading and listening skills |
Identify diagnosis codes from either written index form or computer. |
| Analyze and follow a sequence of operations |
Choose codes by using an index and then verify accurate codes through the code book tabular list. |
| Apply abstract ideas to concrete situations |
Describe the use of coding conventions and coding guidelines when applying medical codes to medical scenarios/cases. |
2. Course Specific Outcomes - Students will be able to achieve the following measurable goals upon completion of
the course:
- Analyze and utilize Evaluation and Management (E/M) audit form;
- Demonstrate ability to utilize the Alphabetic Index, Tabular List and Official Guidelines for Coding and Reporting;
- Abstract information from the medical documentation and apply correct codes;
- Demonstrate the ability to report diagnoses codes with ICD-10-CM codes;
- Understand the purpose and application of modifiers;
- Demonstrate the ability to code various medical services using ICD-10-CM, 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;
- Report medical services using Medicine section codes;
- Assign and audit services and diagnosis codes for the various specialty services; and
- Examine the structure, function, terminology, pathophysiology, and abbreviations for the various systems.
V. Topical Outline
Listed below are major areas of content typically covered in this course.
1. Lecture Sessions
- ICD-10-CM, CPT and HCPCS Level II National Codes
- Review ICD-10-CM guideline rules and uses
- Locate the major sections found in the CPT manual
- Demonstrate the ability to assign HCPCS codes
- List the major features of HCPCS Level II national codes
- Modifiers
- Assign and append modifiers
- 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
- Differentiate 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
- 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
- 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
- Integumentary System
- Describe the format of the integumentary system in the CPT manual
- Demonstrate the ability to code integumentary services and procedures
- Musculoskeletal System
- Identify services/procedures included in the general subheading
- Demonstrate the ability to code musculoskeletal services and procedures
- 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
- 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
- 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
- Digestive System
- Understand the format and codes of the digestive system subsection
- Demonstrate the ability to code the digestive system services
- 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
- 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
- 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
- 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
- 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
- Radiology
- Radiology and component coding
- Contrast and facility specifics
- Computerized Axial Tomography (CAT or CT) scans and reconstruction
- Ultrasound
- Radiation oncology
- Nuclear medicine
- Pathology and Laboratory
- Hematology
- Immunology
- Office testing
- Transfusion medicine
- Anatomic pathology and consultation
- Cytopathology
- Surgical Pathology