Overview

Build job-ready skills for outpatient medical coding and advance your preparation for the Certified Professional Coder (CPC)® certification. Essentials of CPT and HCPCS Coding is an intermediate-level course that focuses on developing the practical knowledge and analytical skills needed to accurately assign CPT® and HCPCS Level II codes based on clinical documentation in outpatient settings. You will strengthen your understanding of CPT® code categories, modifiers, and HCPCS Level II coding for supplies and services, while learning to interpret medical records and apply coding guidelines effectively. The course emphasizes Evaluation and Management (E/M) coding, emergency department scenarios, and the application of global surgical package rules. As you progress, you will practice coding across major CPT® sections, including surgery (10000–60000 series), anesthesia, radiology, pathology/laboratory, and medicine services. You will also explore compliance requirements, ethical standards, and regulatory frameworks such as HIPAA to ensure accurate and defensible coding practices. Through case-based activities, interactive exercises, and hands-on coding practice, this course builds your confidence in documentation-driven coding decisions and prepares you for advanced coding coursework and CPC® exam success.

Syllabus

Procedure and Supply Coding Fundamentals

This module focuses on CPT® and HCPCS Level II coding for outpatient procedures, supplies, and Evaluation and Management (E/M) services. You will learn to navigate CPT® categories, apply global surgical package rules, and use appropriate modifiers. The module also covers integrated procedure-and-supply coding, including drugs and durable medical equipment (DME). You will apply E/M and Emergency Department (ED) level selection using medical decision making (MDM) and time-based guidelines, with emphasis on American College of Emergency Physicians (ACEP) guidance and current updates to support accurate and compliant coding.

Surgery CPT® Series 10000-60000 Coding

This module develops applied proficiency in CPT® surgical coding across major body systems. You’ll practice coding outpatient surgical procedures within the 10000–60000 series, focusing on anatomical specificity, documentation analysis, modifier application, and the relationship between procedural and diagnosis coding. The module focuses on differentiating preoperative and postoperative diagnoses, understanding their impact on ICD-10-CM reporting, and selecting accurate CPT® codes based on detailed clinical documentation. Through case-based activities and integrated surgical scenarios, learners strengthen their ability to code complex procedures confidently and accurately.

CPT® Coding and Compliance and Regulatory Standards

This module focuses on CPT coding for anesthesia, radiology, pathology/laboratory, and medicine services in outpatient settings, while emphasizing compliance and ethical standards in medical coding. You’ll apply official CPT guidelines, documentation review techniques, and modifier rules to accurately assign codes across these major sections. In addition, the module covers professional ethics, HIPAA requirements, fraud prevention, and regulatory oversight to understand how coding accuracy, documentation integrity, and compliance work together. Through case-based activities and applied exercises, you’ll strengthen both technical coding skills and ethical decision-making essential for CPC exam success and real-world practice.

Final Project, Final Quiz, and Course Wrap-Up

In this module, learners integrate CPT®, ICD-10-CM, and HCPCS Level II knowledge through a comprehensive outpatient coding portfolio. The module reinforces regulatory standards, sequencing accuracy, and documentation analysis while assessing overall readiness for advanced CPC® preparation.