Course Code: REL-RCC-AMA-001B
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2029
Learning Objectives:
Describe the use and basic structure and format of the CPT code set.
Define the three categories of CPT codes (Category I, Category II, and Category III).
List the major sections of CPT.
Recognize the symbols and conventions in the CPT code set.
Identify the information in the CPT appendices.
Outline:
Section 1: Introduction
About This Course
Overview
Learning Objectives
Section 2: Overview of CPT
What Is CPT?
Overview
The CPT Code Set
Categories of Codes
Overview of the CPT Process
CPT Coding and Reimbursement
Understanding Coverage Policies
Correct Coding Edits
Review
Key Takeaways
Section 3: CPT Format and Structure
Overview
Sections and Subsections
Terminology
Understanding Code Format
Format of the Terminology
Add-on Codes
Review
Unlisted Procedures
Code Modifiers
Guidelines and Time
Guidelines
Time
Review
Key Takeaways
Section 4: CPT Symbols
The Symbols
New Code
Revised Code
New or Revised Text
Add-on Code
Modifier -51 Exempt Code
Product Pending FDA Approval
Out-of-Numerical Sequence Code
Indicates a Telemedicine Code
Duplicate PLA Test
Audio-Only Telemedicine Services
Review
Key Takeaways
Section 5: CPT Index
The CPT Index
Alphabetical Reference Index
Using the CPT Index
Steps for Using the CPT Index
Review
Key Takeaways
Section 6: CPT Appendices
Appendices
Appendix A:
Modifiers
Appendix B:
Summary of Additions, Deletions, and Revisions
Appendix C:
Clinical Examples
Appendix D:
Summary of CPT Add-On Codes
Appendix E:
Summary of CPT Codes Exempt from Modifier 51
Appendix F:
Summary of CPT Codes Exempt from Modifier 63
Appendix J:
Electrodiagnostic Medicine Listing of Sensory, Motor, and Mixed Nerves
Appendix K:
Product Pending FDA Approval
Appendix L:
Vascular Families
Appendix M:
Renumbered CPT Codes—Citations Crosswalk
Appendix N:
Summary of Resequenced CPT Codes
Appendix O:
Multianalyte Assays with Algorithmic Analyses
Appendix P:
CPT Codes That May Be Used for Synchronous Telemedicine Services
Appendix R:
Digital Medicine–Services Taxonomy
Appendix S:
Artificial Intelligence Taxonomy for Medical Services and Procedures
Appendix T:
CPT Codes That May Be Used For Synchronous Real-Time Interactive Audio-Only Telemedicine Services
Other Appendices
Review
Key Takeaways
Section 7: Conclusion
Course Summary
Course Information
Course Contributor
Resources
References
Writer: Sarah A. Serling, CCS, CPC, COC, CRC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer
Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified professional coder (CPC), a certified outpatient hospital coder (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah extensive experience in both professional and facility ICD-10-CM/PCS, CPT, and HCPCS coding, education, auditing, and revenue cycle management. She has clinical experience as an Emergency Medical Technician (EMT) and Medical Assistant (MA) and has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored several coding textbooks, and other instructional resources.
Reviewer: Ronntriesse Cope-Prevatt, CPC, CRC
Ronntriesse Cope-Prevatt, CPC, CRC
Ronnie is a certified coder with over ten years of experience in profee coding, billing, and auditing. She also has a strong background in HCCs, patient administration, working claims edits, and denials management. Ronnie's coding expertise is in the areas of Orthopedics, Neurology, Pain Management, Interventional Cardiology, Gynecology, Urology, General Surgery, Gastroenterology, and Primary Care.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Ambulatory Care.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.