Course Code: REL-RCC-AMA-023
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2029
Learning Objectives:
Navigate the Current Procedural Terminology (CPT®) codebook to locate codes for common cardiac valve procedures.
Recognize which services are included in cardiac valve procedures.
Apply the CPT coding guidelines to assign codes for common cardiac valve procedures using the CPT code set.
Identify the correct modifier when modifier assignment is appropriate.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
Overview of the Heart Valves
Cardiac Valve Procedures
Documentation Elements
Review
Key Takeaways
Section 3: Guidelines
CPT Coding Guidelines: Procedures
CPT Coding Guidelines: Repair
Coding Guidelines
Anatomical Modifiers
Evaluation and Management (E/M) Modifiers
Global Surgery Modifiers
Professional and Technical Components
Procedure Modifiers
Aortic Valve Guidelines
Open Aortic Valve Procedures
Mitral Valve Guidelines
Tricuspid Valve Procedures
Pulmonary Valve Procedures
Review
Key Takeaways
Section 4: Coding Cardiac Valve Repair Procedures
Cardiac Valve Repair Coding Scenarios
Coding Scenario 1
Coding Scenario 2
Coding Scenario 3
Coding Scenario 4
Coding Scenario 5
Section 5: Coding Application: Cardiac Valve Procedures
Case Study 1
Answer
Case Study 2
Answer
Case Study 3
Answer
Case Study 4
Answer
Case Study 5
Rationale
Section 6: Conclusion
Course Summary
Course Information
Course Contributors
Resources
References
Subject Matter Expert: 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.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Ambulatory Care, Hospitals: Acute, Hospitals: Critical Access (CAHs).
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
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.