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.

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.

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.

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.

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 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.

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 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.

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 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.

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.

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.