Course Code: REL-RCC-AMA-049
Hours: 1.5
Type: Online Course
Content Expiration Date: 12/31/2029
Learning Objectives:
Discuss the different types of breast procedures in the Integumentary System Surgery subsection of the Current Procedural Terminology (CPT®) code set.
Recognize key terms and definitions related to coding breast procedures in CPT.
Apply the CPT coding guidelines to assign codes for common breast procedures.
Identify the correct modifier when modifier assignment is appropriate.
Outline:
Section 1: Breast Procedures
About This Course
Overview
Understanding Breast Procedures
Overview
Breast Anatomy
Clinical Indications
Types of Breast Procedures
Documentation Elements
Review
Key Takeaways
Section 2: Format, Guidelines, and Modifiers
Format
CPT Breast Procedures Code Format
Guidelines
CPT Breast Procedures Guidelines
Breast Surgery Guidelines
Other Coding Guidelines
Modifiers
Common Modifiers
Review
Key Takeaways
Section 3: Coding Breast Procedures
Scenarios
Coding Scenario 1
Coding Scenario 2
Coding Scenario 3
Coding Scenario 4
Coding Scenario 5
Coding Application
Case Study 1
Case Study 2
Case Study 3
Case Study 4
Case Study 5
Section 6: Conclusion
Course Summary
Course Information
Course Contributors
Resources
References
Instructor: 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.
Subject Matter Expert: Andrei Besleaga, BS, RHIT
Andrei is a healthcare coding analyst in the CPT Education and Information Services Department at the American Medical Association, a staff writer for CPT Assistant, and a contributing author of the Principles of CPT Coding textbook. He has been a Registered Health Information Technician since 2009 and an active AHIMA member. He has gathered experience and developed skills by working in health insurance, at third-party payers, and in top-ranked national health care organizations. He completed an AAS in Health Information Technology from DeVry University in 2008 and a BS in Biology from Georgia Gwinnett College in 2015. In his spare time Andrei enjoys traveling, reading, playing the piano and the pipe organ.
Subject Matter Expert: Arletrice A. Watkins, MHA, RHIA
Arletrice is a senior healthcare coding analyst in the CPT Education and Information Services Department and staff writer for CPT Assistant. She supports and assists with other department projects on an as-needed basis, and she is also a contributing author of the Principles of CPT Coding. She has been with the AMA for over 14 years. She has been an educator since 2002 in health information technology (HIT) and is currently a health care administration adjunct instructor at an online university. She earned a BS in Health Information Administration from the University of Illinois at Chicago, IL, and a Masters of Healthcare Administration from the University of Phoenix, AZ. She is also certified as a registered health information administrator from the American Health Information Management Association (AHIMA), as well as an AHIMA-approved ICD-10 CM/ PCS trainer.
Reviewer: Cindy C. Smith, CPC, CPMA
Cindy is a Resolute Coding Manager at a large integrated managed care consortium and also trains new coders in the nuances of coding. In addition to those duties, she serves as a subject matter expert on coding issues for the company's Compliance Department. She has extensive knowledge in Specialty Coding as well as Surgical Coding nuances. She spent over 10 years’ experience as a Physician Auditor Educator assisting Providers in understanding the documentation required for the services provided as well as the diagnosis codes. Additionally, she spent over 5 years as an HCC Auditor in the early years of the HCC inception. Cindy served as an AAPC Local Chapter President for two years in Jacksonville, Florida.
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.