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Medical Coding Syllabus

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0% found this document useful (0 votes)
699 views5 pages

Medical Coding Syllabus

Uploaded by

mdk06906
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Medical Coding Syllabus

Module 1: Healthcare Overview

✓ Introduction to Health Care


▪ Understanding Healthcare Industry Compliance, HIPPA Act, Personal
Health Information (PHI) Security
▪ Audit and Insurance Types
▪ Responsibilities of Medical coders and role in RCM Cycle

QUIZ

Module 2: Medical Terminology

✓ Language of Medicine
▪ Introduction to Medical Terminology
▪ Root words, Suffixes, Prefixes and Combining Vowels
▪ Abbreviations

QUIZ

Module 3: Human Anatomy & Physiology

✓ Human Anatomy & Physiology


▪ Basic Organization of Human Body
▪ Body Cavities
▪ Adbominopelvic Regions & Quadrants
▪ Human Body Systems Interrelationship
▪ Respiratory System
▪ Digestive System
▪ Nervous System
▪ Urinary System
▪ Musculoskeletal System
▪ Endocrine System
▪ Cardiovascular System
▪ Blood and Blood-Forming Organs
▪ Lymphatic System
▪ Reproductive Systems

QUIZ

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Medical Coding Syllabus
Module 4: ICD-10-CM Diagnosis Coding

✓ Basics of Diagnostic Coding


▪ Symbols and Conventions
▪ Anatomical Illustrations
▪ Overview of Alphabetical Index and Tabular Index
✓ Certain infectious and parasitic diseases
✓ Neoplasms (Cancer)
✓ Diseases of the blood and blood-forming organs
✓ Endocrine, nutritional and metabolic diseases
✓ Mental and behavioural disorders
✓ Diseases of the nervous system
✓ Diseases of the eye and adnexa
✓ Diseases of the ear and mastoid process
✓ Diseases of the circulatory system
✓ Diseases of the respiratory system
✓ Diseases of the digestive system
✓ Diseases of the skin and subcutaneous tissue
✓ Diseases of the musculoskeletal system and connective tissue
✓ Diseases of the genitourinary system
✓ Pregnancy, childbirth and the puerperium
✓ Certain conditions originating in the perinatal period
✓ Congenital malformations, deformations, and chromosomal abnormalities
✓ Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere
classified
✓ Injury, poisoning and certain other consequences of external causes
✓ External causes of morbidity and mortality
✓ Factors influencing health status and contact with health services
✓ Codes for special purposes (e.g. research)
✓ Codes for Long-term use of Drugs
✓ Symbols for 7th Character codes

QUIZ

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Medical Coding Syllabus
Module 5: CPT Coding

✓ Evaluation and Management: 99201 – 99499


✓ Anesthesia: 00100 – 01999; 99100 – 99140
✓ Surgery: 10021 – 69990
▪ General Surgical Procedures
▪ Surgical Procedures on the Integumentary System
▪ Surgical Procedures on the Musculoskeletal System
▪ Surgical Procedures on the Respiratory System
▪ Surgical Procedures on the Cardiovascular System
▪ Surgical Procedures on the Hemic and Lymphatic Systems
▪ Surgical Procedures on the Mediastinum and Diaphragm
▪ Surgical Procedures on the Digestive System
▪ Surgical Procedures on the Urinary System
▪ Surgical Procedures on the Male Genital System
▪ Surgical Procedures on the Female Genital System
▪ Surgical Procedures for Maternity Care and Delivery
▪ Surgical Procedures on the Endocrine System
▪ Surgical Procedures on the Nervous System
▪ Surgical Procedures on the Eye and Ocular Adnexa

✓ Radiology: 70010 – 79999


✓ Pathology and Laboratory: 80047 – 89398
✓ Medicine: 90281 – 99199; 99500 – 99607

QUIZ

Module 6: HCPCS Coding

Module 7: Medical Coding practice – ICD-10-CM, CPT & HCPCS

Practice Sets with Key


Mock Examinations

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Medical Coding Syllabus
CPC Examination Pattern

Topic Number Series Marks Weightage


10,000 Series CPT® 6 6%
20,000 Series CPT® 6 6%
30,000 Series CPT® 6 6%
Surgical Procedures
40,000 Series CPT® 6 6%
50,000 Series CPT® 6 6%
60,000 Series CPT® 6 6%
Evaluation and Management 99202 - 99499 6 6%
Anesthesia 00100 - 01860 4 4%
Radiology 70000 - 79999 6 6%
Laboratory / Pathology 80047 -89398 6 6%
Medicine 90281 - 99607 6 6%
Medical Terminology 4 4%
Anatomy 4 4%
ICD-10-CM/Diagnosis 5 5%
HCPCS Level II 3 3%
Coding Guidelines 7 7%
Compliance and Regulatory 3 3%
(Note: New Section) Cases 10 10%
Total Marks 100 100%

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Medical Coding Syllabus
Instructions for Students:

• Students should maintain 98% attendance

• They should secure 80% and above in all internal exams and a minimum of 70% of
marks in CPC certification exam by AAPC

• Must appear for all selection interviews scheduled by SOLUTIONS3X for placements.

• Any kind of indiscipline, stalking or otherwise harassing of a fellow student or a faculty


member will not be tolerated here and will result in his/her immediate termination.

• Any kind of malpractices during the tests are strictly prohibited and a disciplinary
action will be taken if you are found doing such activities

• Students must not upload, post, email, transmit or otherwise make available any
Content that infringes any patent, trademark, trade secret, copyright or any other
proprietary rights ("Rights") of any party

• Cell phones are not allowed inside the training room

• SOLUTIONS3X Pvt. Ltd. reserves the right to take necessary legal actions if any
attempt to breach copyright or patent is found

• Students must read all the general rules, refund rules & regulations of
SOLUTIONS3X Pvt Ltd as mentioned on Website, Brochure & Admission Terms.

• Admission into the training program implies that you have read all our terms and
conditions and that you agree with it.

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