ICD 10 & 11 Medical Coding and Billing

Explore the history and structure of ICD codes from ICD nine to ICD eleven, including crosswalks, morbidity versus mortality, and their role in costs and insurance billing.

Master outpatient ICD-10/11 coding by applying general and chapter guidelines, coding only what is known, prioritizing the first listed diagnosis, and using Z codes and bilateral codes.

Explore how infectious and parasitic diseases are coded in ICD-10 and ICD-11, including chapter structure, exclusions, HIV sequencing, and sepsis coding guidelines.

Explore neoplasms, including malignant and benign growths, in situ status, primary and secondary sites, and ICD-10/11 coding guidelines, sequencing, and treatment associations such as chemotherapy, anemia, and radiation.

Explore diseases of the blood and blood forming organs, including nutritional, iron, B12, and folate deficiencies, hereditary anemias, and spleen disorders, with ICD-10 and ICD-11 coding nuances.

Explore endocrine, nutritional, and metabolic disease coding with ICD-10 and ICD-11 guidelines, covering diabetes types, thyroid disorders, obesity, neoplasms, and related coding nuances.

Examine how ICD-10 and ICD-11 classify mental and behavioral health diagnoses—from intellectual disability by IQ to dementia, psychosis, mood disorders, and psychoactive substance abuse—emphasizing code-first guidelines and unspecified codes.

Explore how ICD-10 and ICD-11 code pregnancy, with trimester definitions and gestational week codes, and track delivery outcomes, complications, and conditions such as gestational diabetes and high-risk pregnancy.

Define the perinatal period as birth through day 28, and learn to code newborn records separately from maternal records using ICD-10 and ICD-11, with examples like Down syndrome.

Explore the use of signs and symptoms and abnormal clinical and laboratory findings to code when the diagnosis is unknown, comparing ICD-10 and ICD-11 with hands-on lookup practice.

Learn to code injuries, poisoning, and external causes using ICD-10 and ICD-11 guidelines, including fracture details, displacement, laterality, initial versus follow-up encounters, and burn calculations.

Examine diseases of the skin and subcutaneous tissue, including infections, dermatitis, hair disorders, and ulcers, and master ICD-10/11 coding and pressure ulcer staging.

Explore external causes of morbidity in ICD coding, using secondary codes to document how injuries occur, where they happen, and whether they are unintentional or intentional.

Explore factors influencing health status and health service encounters, including observation episodes, cancer follow-up exams, immunizations, reproduction and contraceptive management, BMI, and personal and family history in ICD 10–11 coding.

Explore diseases of the circulatory system and how to code them with ICD-10 and ICD-11, focusing on hypertension, coronary heart disease, heart failure stages, and cerebrovascular events.

Learn to code eye diseases by left, right, and bilateral, distinguish dry versus wet macular degeneration, glaucoma, and cataracts, with diabetes, using ICD-10 and ICD-11.

Explore respiratory coding for COPD and asthma, including acute exacerbations, sequencing with other conditions, and coding influenza and pneumonia using ICD-10 and ICD-11 guidelines.

Explore common digestive disorders from Barrett's esophagus and esophagitis to hiatal hernia, Crohn's disease, and appendicitis, and learn how ICD-10 and ICD-11 categorize and code them.

Learn evaluation and management coding basics, comparing CPT procedure coding with ICD coding, using free tools and an audit form to accurately document patient visits.

Learn to determine evaluation and management codes through history, examination, and medical decision making, covering problem focused to comprehensive levels, data review, and documentation guidelines.

Learn how history, examination, medical decision making, and time drive evaluation and management coding for new and established patients, with CPT codes and documentation.

Explore how evaluation and management coding links history, exam, and medical decision making to time-based billing, audits, and medical necessity, with telehealth and CPT, ICD-10 and ICD-11 coding examples.

Explore anesthesia coding basics: determine CPT codes from surgical procedures using base, time, and modifying units, apply physical status modifiers, and use crosswalks and documentation from preop to postop records.

Learn how modifiers enhance surgical coding by adding detail for insurance payments. See examples like 58, 79, 25, 50, and 80, plus Medicare G and GZ guidelines.

Learn to distinguish diagnostic versus therapeutic procedures, apply the surgical package including preoperative and postoperative care, and decide when to use unlisted procedures and modifiers in CPT coding.

Master fracture CPT coding, distinguishing open vs closed treatment and related steps (manipulation, traction, debridement, bone grafting; 27500/27502), plus essential cardiac and vascular codes (catheterization, angiography, pacemakers, leads).

Learn endovascular aneurysm repair coding, covering exposure, devices and grafts, arterial involvement, radiology supervision and interpretation, and how CPT codes and documentation drive reimbursement.

Explore radiology billing basics, including who owns equipment, global versus professional components, and the 26 and 52 modifiers. Understand the need for orders, views, contrast, and mammography considerations.

Learn pathology basics from drug screening and lab tests to surgical pathology coding. Distinguish qualitative versus quantitative results and tissue analysis levels for biopsies and resections.

Explore OB/GYN coding fundamentals, including cervical biopsies, endocervical curettage, loop electrosurgical excision, vaginal repair, endometrial sampling, IUD codes, and obstetric global billing for prenatal, delivery, and postpartum care.

Explore physical medicine coding, including vaccination and administration codes, psychotherapy, dialysis, infusion, EKG and Holter monitoring, and physical/occupational therapy, with emphasis on time-based units, documentation, and payer rules.

Explore Medicare's annual wellness visit as a non-physical, documentation-heavy care coordination assessment covering demographics, fall risk, cognition, home safety, and advance directives.

Explore the HCPCS coding system, including level one CPT and level two HCPCS, with examples like J codes for drugs and K codes for durable medical equipment.

Dive into coding part 1, applying ICD-10 and ICD-11 guidelines to real-world cases, using manuals and online tools to select accurate multi-code diagnoses.

Dive into practical CPT and ICD coding through inpatient, ED, and office scenarios, analyzing history, exam, and MDM to assign accurate codes for diverse cases.

Dive into ICD-10 and ICD-11 coding and CPT coding through scenario-based practice, applying diagnosis and procedure codes, including Medicare G codes and modifiers.

Learn how national correct coding edits (ncci/cci), medically unlikely edits (mue), and graduate medical education (gme) guide billing, with modifiers like 59, x, gc, and cms quarterly updates.

Identify cat codes in the CPC framework, compare cat two codes for data collection and quality incentives, and explain cat three codes for new technology and payment rules under MIPS.

Learn how hipaa privacy, security, and compliance govern reimbursement by connecting billing codes, claims, and protected health information, with emphasis on access controls and breach penalties.

Learn how HIPAA, the OIG, Stark law and anti-kickback provisions govern fraud and documentation. Explore Medicare/Medicaid and commercial payer types, and the full billing workflow from verification to denial management.

Learn denial management in health care billing, including denial codes, appeals, assignment of benefits, and preventing underpayment through accurate coding and timely follow-up.

Demonstrates HIPAA-compliant, transparent cost breakdowns for self-pay and insured patients, detailing deductibles, coinsurance, and upfront payment options to improve reimbursement and patient understanding.

Learn the next steps after completing the medical coding and billing course, including certification, accreditation options, CPC exam format, and broad employment opportunities with strong ethics and accurate documentation.