Outpatient Coding

CPT Assistant Assignment

 

5 Points

 

Course Outcomes

1. Demonstrate a thorough understanding of CPT coding and the importance of its use.
2. Select correct CPT coding principles in accordance with Uniform Hospital Discharge Data Set (UHDDS), National Correct Coding Initiative (NCCI), and American Medical Association (AMA) guidelines to outpatient patient health records.
3. Apply correct medical, surgical, radiology, pathology, laboratory, anesthesia, and Evaluation and Management (E/M) codes according to Centers for Medicare and Medicaid Services (CMS) for outpatient patient health records.

 

Learning Outcomes

When you have successfully completed this unit, you will be able to:

1. Explain the use of classification systems, clinical vocabularies, and nomenclatures. (2)
2. Utilize technologies for health information management. (3)
3. Summarize regulatory requirements and reimbursement methodologies. (2)

 

 

Information

• CPT Assistant is the publication that identifies official coding guidelines, clarifies changes, answers questions on coding processes. When official code changes, additions/deletions are made, it appears in this publication. It also provides official positions/answers on questions relating to coding problems
• All hospitals receive a copy of CPT Assistant, or it is incorporated into the encoder software. It is a quarterly publication

 

Instructions

1. Submit your assignment via Canvas

1. Do not post the actual assignment or instructions.
2. Submit only the three CPT Assistant topics in the supplied template.

2. Your submission should be formatted as noted below – points deducted for incorrect submissions.

1. Put any direct quotes in quotation marks.
2. You do not have to identify the reference since the reference is only CPT Assistant

3. Do notcopy and paste any CPT Assistant or write verbatim, but summarize your findings, i.e. make believe you are explaining this to someone who does not know anything about coding. No credit for plagiarized work.

 

4. Locate three separate CPT Assistant topics/Subjectsof your choice.

1. These can be anything that interest you: procedures, coding processes, guidelines and rules, frequently asked questions (by a specific topic), etc.

 

5. Your submission must follow the required format to receive full credit.
   1. Format each (all three) CPT Assistanttopics/subject in the same manner.

 

6. Clearly numberyour paragraphs, 1-4, for each case – points deducted for those not in paragraph

form and/or numbered.

 

FORMAT

 

Name                                                                           CPT Assistant Assignment

 

CPT Code and Title

 

CPT Assistant Reference: Provide the Month, Year, Page Number, Category if applicable

 

FINDINGS (create a separate paragraph for each below) – you must number and address each question for full credit:

 

1. Summarize the information given such as any questions/answers provided (do not copy/paste into your answer sheet).

 

2. If there is an example, provide at least one. If not, write “N/A”.

 

3. Identify any associated CPT codes connected to this code cited in the content. If none, write “N/A

 

4. Is there any additional information you would like to provide? If none, write “None”.

INSTRUCTIONS ON ACCESSING CPT ASSISTANT SUBJECTS/DOCUMENTATION

 

1. I have also posted a Panopto Recording on how to access the 3M encoder for CPT Assistant

 

2. Read and follow the instructions below on accessing the AHIMA Virtual Lab 3M Encoder.

 

3. Sign into the AHIMA Virtual Lab – 3M Encoder:

 

HINT: The Virtual lab tends to work best with Internet Explorer vs. other browsers. Also, be sure your Internet Explorer (IE) page is compatible by having the “jagged page” blue on the web site page by clicking on this. See below

 

 

3. Click on the tab that states
   1. Scroll down and click on AMA CPT Assistant

 

 

4. There are multiple ways to locate a subject within CPT Assistant:
   1. You could scroll down to the list as noted until you come to a desired topic
   2. You could click on one of the “alphabetical letters” noted under CPT Assistant on the top of the screen
   3. You could click on the binoculars located on the topic of the page to perform a “search”.

 

5. We will perform a search utilizing the

 

1. Click no the binoculars on the top of the screen.
2. In the search box, type scar revision.
3. Click on the search
4. A list of possible choices should appear.
5. Scroll all the way to the bottom of the possible choices, and choose:

[1993/03] Scar Revision

1. Click on the Go To
2. This is what should appear:

 

 

 

6. There may be more than one CPT Assistants listed for your topic.

 

7. Continue to explore numerous ways to locate information using the 3M encoder.