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Procedure Coding

Course NumberOAT 244
Credits3
Lab Hours0
Lecture Hours45
Course DescriptionPrerequisite: HSC 105 and BIO 101W (or BIO 101 equivalent: BIO 140, or BIO 152 and 153, or BIO 171 and 172, or BIO 240 and 241). Presents procedure as it relates to physicians' health insurance claims processing; includes decision making necessary for accurate procedure code choices, abstracting procedure from health care documentation, and using CPT and HCPCS procedure coding systems. Course may be taken concurrently with OAT 243 Diagnostic Coding. (45-0)


Outcomes and Objectives

Identify procedural terminology.
Objectives:
  1. Abstract necessary information from patient care documentation.
  2. Explain the critical differences between diagnosis and procedure.
  3. Explain the critical relationship between diagnosis and procedure.
  4. Effectively use references to understand the procedure in question.

Determine an accurate procedure code for a given procedure using the Current Procedural Terminology system.
Objectives:
  1. Choose the appropriate CPT chapter based on body organ and system.
  2. Identify the most appropriate procedure code to the highest level of specificity.
  3. Effectively use the CPT index.

Determine an accurate procedure code for a given procedure using the HCPCS local/supplemental coding system.
Objectives:
  1. Choose the appropriate section of the HCPCS manual.
  2. Identify the most appropriate procedure code to the highest level of specificity.
  3. Effectively use the HCPCS index.

Determine an accurate procedure code for specialized coding situations such as evaluation/management services and pregnancy-related services.
Objectives:
  1. Abstract necessary information from patient care documentation.
  2. Make appropriate coding choices based on patient documentation.
  3. Effectively use the CPT and/or HCPCS indices.




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