
Explore current procedural terminology (CPT) coding to describe and report medical procedures for billing and reimbursement. Discover the history, role, and benefits of CPT coding for providers and insurers.
The history of CPT coding shows the AMA created it in 1965 to standardize physician reimbursement, expanding from surgery to broader services, and updated by HIPAA in 1996.
Explain how CPT codes determine patient payments and how coders verify codes in EHRs before submitting claims. Illustrate how insurers use CPT data for billing and Medicare and Medicaid budgeting.
Understand the structure and classification of CPT codes across category one, two, and three, including modifiers, with examples like 9921, 3008F, and 0123TA.
Learn CPT code format and organization, including five-digit category one sections by body system, evaluation and management, anesthesia, surgery, radiology, pathology and laboratory, and category two and three codes.
Learn how CPT symbols communicate essential coding rules for accurate billing. Identify new codes, revisions, add-ons, and exemptions, including vaccines awaiting FDA approval and moderate sedation included with the service.
Understand CPT code modifiers and how they improve reimbursement specificity; identify level one AMA two-digit and level two HCPCS modifiers, including modifier 25 and 59 for multiple or bilateral procedures.
Learn what evaluation and management (e/m) codes are and how they drive CPT coding for physician visits, including medical decision making and total time, with implications for compliance and reimbursement.
Explore the structure of typical evaluation and management codes in the five-character CPT system, focusing on time-based versus medical decision making, with 99235 inpatient or observation example and 2021–2024 updates.
Define qualified health care professional (QP) and clinical staff member, and differentiate new versus established patients using professional service rules and same speciality and subspeciality guidelines.
Learn how levels of service use M codes and medical decision making to determine the correct code, with total time and MDM elements shaping coding, including ed time exceptions.
Master surgical coding concepts by distinguishing major and minor procedures, applying CPT codes and modifiers, and understanding the global surgical package for accurate billing and reimbursement.
Explore CPT surgical code categories and review sections from 10004 to 69990, covering common procedures like appendectomy, cataract surgery, and cholecystectomy across body systems.
Learn how global surgical packages consolidate preoperative, intraoperative, and post-operative care into a single payment, with 0, 10, or 90 day global periods for simple, minor, and major procedures.
Learn radiology and laboratory coding with CPD and CPT codes for imaging and diagnostic procedures, mastering proper code selection, modifiers, and documentation of medical necessity to ensure compliant reimbursement.
Identify common radiology CPT codes, including 77 067 for screening mammography, 77 063 for tomosynthesis, and 71046/71045 chest X-ray codes, reflecting roles in cancer screening, bone health, and respiratory assessment.
Explore laboratory CPT coding across organ or diseased panels, urinalysis, molecular pathology, chemistry, immunology, microbiology, and surgical pathology to accurately report diagnostic tests and support clinical decisions.
Learn to apply radiology and lab CPT codes with precise test descriptions, correct code selection, and appropriate modifiers. Emphasize medical necessity, comprehensive reports, and compliance to ensure accurate billing.
Master anesthesia coding with CPT codes and modifiers across local, regional, and general anesthesia, plus obstetrics, nerve blocks, and high-risk monitoring, and learn perioperative care and documentation.
Identify the correct anesthesia CPT code by procedure type and anatomical region, considering patient position and setting for accurate billing and compliance.
Learn how anesthesia modifiers add service details like A, SHxx, QCs, q-z, SHS, P-1 to P-6, G8, and G9, and when they signal personal service, direction, or monitored anesthesia care.
Explore medical coding compliance and ethics, including HIPAA, the False Claims Act, the anti-kickback statute, and CMS guidelines, and learn tools to ensure accurate billing and avoid penalties.
Uphold integrity, honesty, and accuracy in medical coding, avoid upcoding and undercoating, protect confidentiality, report suspected fraud, maintain objectivity, and pursue ongoing education.
Stay compliant with evolving regulations and coding guidelines by leveraging AHIMA certification programs, continuing education, AAPC resources, CMS guidelines, and coding software with CPT, ICD-10, and HCPCS alerts.
This lecture will teach you the process of downloading the course completion CPDQE certificate
Become a proficient CPT surgery coder with our exclusive Surgical CPT Coding Specialist Certification Training.
Knowing CPT surgery coding will open up a world of opportunities for you in the healthcare industry. Medical coders earn an average of $58,055 annually (AAPC Salary Survey), which makes it an attractive career path.
What's Special with This Course?
In our Surgical CPT Coding Specialist course, we will equip the learners with all sorts of knowledge relevant to practising CPT surgery coding, an extremely important tool for medical billing. You must be proficient in all aspects of medical billing in order to enter a career in CPT surgery coding.
Thus, to strengthen your basic understanding, we will introduce you to CPT coding and its origins in our course. Along with that, we will go over the structures of CPT coding under medical billing and medical coding. We will go over several important topics within this structure, like CPT symbols and code modifiers, which are essential to understanding surgery coding.
What Will You Learn?
You’ll develop a solid foundation of the CPT coding format by becoming well-versed in CPT symbols and code modifiers.
You’ll recognize how evaluation and management (E/M) codes function in medical billing and how to organize them.
You’ll become familiar with the basics of surgical procedures and surgical code categories to master surgery coding.
You’ll assess radiology procedures and coding guidelines for different radiological procedures for proper medical billing.
You’ll understand how to properly code and charge for laboratory services, maintain compliance with medical standards of medical bill.
You’ll find out how CPT codes are used for anesthesia and how modifiers affect the coding of anesthesia.
You’ll identify ethical considerations and compliance in medical coding.
You’ll find out what resources and tools are available to help coders stay compliant.
You’ll receive tutor support & communicate with the tutor through the inbox and obtain a certificate of completion.
Medical Billing: CPT Surgery Coding Course Structure in Detail
As you progress through the course, you will learn how important E/M codes are for recording patient interactions and for determining how much healthcare professionals should be paid. Additionally, you will discover how to distinguish between major and minor surgery, which helps accurate coding and categorization. We'll discuss the global surgical package as well; understanding packaged services guarantees accurate billing and compliance with insurance policies, preventing claims rejections.
Furthermore, you’ll understand radiology procedures like CT scans and MRIs to ensure accurate code selection for diagnostic and interventional radiology. To help coders correctly bill for diagnostic and evaluative tests, we will discuss laboratory coding as well.
Lastly, explore the documentation and invoicing of anaesthesia services, as well as how modifiers can be applied to special situations to ensure accurate coding. We will discuss all of these things and encourage integrity and moral decision-making in medical billing procedures.
This course includes the following Sections:
Introduction to CPT Coding: This section of Medical Billing: CPT Surgery Coding course, explains what is CPT coding and what its function in the healthcare sector.
Structure of CPT Codes: This section will prepare learners to apply CPT coding and modifiers in practical situations by understanding the structure and classification of CPT codes.
Evaluation and Management (E/M) Coding: This section focuses on identifying the components of a typical E/M code in addition to learning about the use of E/M codes to finalize medical bills.
Surgical Coding: Surgical Coding requires basic knowledge of surgery. This section focuses on major and minor surgery, surgical code types, and global surgical packages.
Radiology and Laboratory Coding : The purpose of this section is to teach learners how to properly code and charge for radiology and laboratory services, maintain compliance with medical billing standards, and optimize healthcare reimbursements.
Anesthesia Coding : This section of CPT surgery coding provides a thorough explanation of anesthesia coding, anesthesia CPT codes, and how to use modifiers properly.
Compliance and Ethical Considerations : The importance of medical coding compliance and its impact on correct medical billing and payment are the main points of emphasis in this section.
Let's set off on the path to mastering CPT surgery coding.
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