General Information

• Name: Current Procedural Terminology
• Discipline: Health Information Technology (HIT)
• Units (Credits): 3
• Schedule History: See when this course was offered over the last three years.
• Transfer Information: Courses with numbers 100 to 299: This course is designed to apply toward a WNC degree and/or transfer to other schools within the Nevada System of Higher Education, depending on the degree chosen and other courses completed. It may transfer to colleges and universities outside Nevada. For information about how this course can transfer and apply to your program of study, please contact a counselor.
• Academic Division: Nursing and Allied Health

Prerequisites and Recommended Courses

• Prerequisites: HIT 118 and permission of the Nursing and Allied Health division.

Course Outline

I: Catalog Course Description

Includes ambulatory reimbursement methodologies. Teaches mechanics of outpatient coding using CPT-4.

Note: Non-transferable for an NSHE baccalaureate degree. Non-applicable towards an AA or AS Degree.

II: Course Objectives

Upon completion of course, students are expected to know the following:

• Identify the purpose of the CPT manual
• Identify placement of CPT codes on CMS-1500 insurance form
• Recognize the symbols used in the CPT manual
• List the major sections found in the CPT manual
• Interpret information in section Guidelines and notes
• Apply modifiers
• Determine when to assign unlisted and Category III codes
• State the purpose and contents of a special report
• Locate terms in the CPT index
• Identify content of CPT appendices
• Identify and explain the three factors of E/M code assignment
• Analyze the differences among new, established, inpatient and outpatient
• Explain the levels of E/M service
• Analyze the key component and contributing factors
• Identify critical elements of Documentation Guidelines
• Define uses of anesthesia
• Apply anesthesia formula
• Understand separate procedure designation
• Analyze the contents of a surgical package
• Understand what is meant by a surgical tray
• Distinguish between professional and facility services
• Identify the major factors in wound repair
• Calculate area and degree of burns
• State the important coding considerations in destruction
• Differentiate among fracture treatments
• Understand elements of endoscopic procedures
• Analyze cast application, strapping procedures and traction
• Differentiate among codes based on the surgical approach
• State the coding rules of arteries and veins
• Define the critical terms in maternity and delivery services
• Analyze services in the global maternity and delivery package
• Assign E/M codes to services and procedures
• Assign Anesthesia codes to services and procedures
• Assign Surgery codes to services and procedures
• Assign Radiology codes to services and procedures
• Assign Pathology and Laboratory codes to services and procedures
• Assign Medicine codes to services and procedures
• Demonstrate an understanding of radiology terminology
• Analyze the elements of component coding in reporting radiology services
• State the appropriate coding of contrast material
• Understand the use of venipuncture with pathology and laboratory services
• Define a facility indicator
• Understand the coding of immunizations
• List the major features of Level II National Codes

III: Course Linkage

Linkage of course to educational program mission and at least one educational program outcome.

Linkage of Course to Educational Program Mission Outcomes.

MISSION - This course is to provide employment-related knowledge and skills necessary to succeed in a chosen field of study.

STUDENT LEARNING OUTCOMES - Students who complete programs in occupational areas are expected to demonstrate that they:

Know
• The subject matter appropriate to the emphasis of the degree.

Are Able To
• Acquire skills and perform tasks necessary for employment or career enhancement.
• Present themselves effectively to a potential employer.
• Demonstrate effective communication skills appropriate resources to remain current in the chosen occupational field.

Have Developed
• An appreciation of the importance of social, ethical, legal and diversity issues.