Official CPC Certification Study Guide
Preface. Introduction. 1. THE BUSINESS OF MEDICINE. Coding as a Profession. The Hierarchy of Providers. The Different Types of Payers. Understanding RBRVS. Medical Necessity. The Need for Privacy and Security. Fraud and Abuse. The Need for Compliance Rules and Audits. The OIG Work Plan. What the AAPC will do for you. Chapter Review Questions. 2. TERMINOLOGY AND ANATOMY REVIEW. Introduction. Medical Terminology. Integumentary System. Musculoskeletal System. Cardiovascular System. Lymphatic System. Respiratory System. Digestive System. Urinary System. Reproductive Systems. Nervous System. Endocrine System. Hematologic (Hemic) System. Immune System. Chapter Review Questions. 3. ICD-9-CM CODING. 4. INTRODUCTION TO CPT, SURGERY GUIDELINES, HCPCS, and MODIFIERS. Introduction to CPT(R). National Correct Coding Initiative (CCI). Resource-Based Relative Value Scale (RBRVS). Sequencing CPT(R) Codes. CPT(R) Assistant. CPT(R) Category II Codes and a Brief Overview of The Physician Quality Reporting Initiative. CPT(R) Category III Codes. CPT (R) Appendices. Surgery Guidelines. HCPCS Level II Codes. Modifiers. Glossary. Chapter Review Questions. 5. INTEGUMENTARY SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Coding. Modifiers. Glossary. Chapter Review Questions. 6. MUSCOLOSKELETAL SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Coding. Modifiers. Glossary. Chapter Review Questions. 7. RESPIRATORY, HEMIC, LYMPHATIC, MEDIASTINUM, DIAPHRAGM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 8. CARDIOVASCULAR SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 9. DIGESTIVE SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 10. URINARY SYSTEM AND MALE GENITAL SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 11. REPRODUCTIVE SYSTEMS, FEMALE GENITAL SYSTEM, and MATERNITY. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 12. ENOCRINE SYSTEM AND NERVOUS SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 13. EYE AND OCULAR ADNEXA, AUDITORY SYSTEMS. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 14. ANESTHESIA. Introduction. Types of Anesthesia. Anesthesia Providers. Anesthesia Coding Terminology. Postoperative Pain Management. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Modifiers. Anesthesia-Related Teaching Rules. Glossary. Chapter Review Questions. 15. RADIOLOGY. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 16. PATHOLOGY/LABORATORY. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 17. EVALUATION AND MANAGEMENT. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 18. MEDICINIE. Introduction. Anti-Infective Immunizations. Vaccines and Toxoids. Psychiatry. Biofeedback. Dialysis and End Stage Renal Disease Services. Noninvasive Vascular Diagnostic Studies. Allergy and Immunology. Medical Genetics and Genetic Counseling Services. Central Nervous System Assessments/Tests. Hydration, Therapeutic, Prophylactic, Diagnostic Injections/Infusions and Chemotherapy, Highly Complex Drugs or Highly Complex Biologic Agent Administration. Physical Medicine and Rehabilitation. Education and Training for Patient Self-Management. Non-Face-to-Face Nonphysician Services. Special Services, Procedures, and Reports. Other Services and Procedures. Home Health Procedures and Services. Home Infusion Procedures. Medication Therapy Services. Glossary. Chapter Review Questions. Testing Techniques. Test Your Knowledge (35 Questions).