Campus Location:
Wilmington
Effective Date: 201751
Course Number and Title:
HIM 120 Coding I
Prerequisite(s):
BIO 108, HIM 100, SSC 100
Course Credits and Hours:
3 credits
2 lecture hours/week
2 lab hours/week
Course Description:
This is the first course in a three-course sequence. Principles and
guidelines are introduced for using the International Classification of
Diseases, Tenth Revision, Clinical Modification (ICD-10-CM),
International Classification of Diseases, Tenth Revision, Procedure
Coding System (ICD-10-PCS) and Current Procedural
Terminology/Healthcare Common Procedure Coding System
(CPT/HCPCS) to code diagnoses and procedures in outpatient and
inpatient setting. Emphasis is placed on assigning the correct code to
a diagnostic or procedural statement and sequencing diagnoses and
procedures.
Required Text(s):
Obtain current information at https://www.dtcc.edu/studentresources/bookstores, or visit the bookstore. (Check your course
schedule for the course number and section.)
Additional Materials:
Allied Health/Science Department Program Student Policy Manual
Health Information Management Program Policy Manual
Instructor Handouts
Method of Instruction:
Face-to-Face, Hybrid, Web-Enhanced
Disclaimer:
AHIMA Virtual Lab will be used for this course
Core Course Performance Objectives (CCPOs):
1. Explain and demonstrate proper use of the rules, conventions, instructions, and guidelines for
common healthcare classification systems: International Classification of Diseases, Tenth
Revision, Clinical Modification (ICD-10-CM); International Classification of Diseases,
Tenth Revision, Procedure Coding System (ICD-10-PCS); Current Procedural Terminology
2.
3.
4.
5.
(CPT); and the Healthcare Common Procedure Coding System (HCPCS). (CCC 1; COD
PGC 2, 3; HIM PGC 1, 6)
Assign ICD-10-CM diagnosis codes for all chapters for inpatient and outpatient settings
using patient health records information. (CCC 1; COD PGC 2, 3; HIM PGC 1, 6)
Assign ICD-10-PCS procedure codes from all sections for inpatient and outpatient settings
using patient health records information. (CCC 1; COD PGC 2, 3; HIM PGC 1, 6)
Assign CPT procedure codes for all types of services for inpatient and outpatient settings
using patient health records information. (CCC 1; COD PGC 2, 3; HIM PGC 1, 6)
Assign HCPCS service codes for all types of services for inpatient and outpatient settings
using patient health records information. (CCC 1; COD PGC 2, 3; HIM PGC 1, 6)
See Core Curriculum Competencies and Program Graduate Competencies at the end of the
syllabus. CCPOs are linked to every competency they develop.
Measurable Performance Objectives (MPOs):
Upon completion of this course, the student will:
1. Explain and demonstrate proper use of the rules, conventions, instructions, and guidelines for
common healthcare classification systems: International Classification of Diseases, Tenth
Revision, Clinical Modification (ICD-10-CM); International Classification of Diseases,
Tenth Revision, Procedure Coding System (ICD-10-PCS); Current Procedural Terminology
(CPT); and the Healthcare Common Procedure Coding System (HCPCS).
Describe the format and code structure of the ICD-10-CM, ICD-10-PCS, CPT, and
HCPCS systems.
Compare and contrast the ICD-10-PCS, CPT, and HCPCS systems.
Explain the relationship between the CPT and HCPCS systems.
Explain the use of modifiers in the CPT and HCPCS systems.
Explain how the common code sets are used in various healthcare settings.
a. Acute inpatient
b. Hospital outpatient
c. Physician office
Discuss the guidelines for selection of codes within the common code sets.
Distinguish among rules, conventions, instructions, and guidelines as they pertain to the
common code sets.
Explain how to determine principal and secondary diagnoses.
Explain how to determine principal and secondary procedures.
2. Assign ICD-10-CM diagnosis codes for all chapters for inpatient and outpatient settings
using patient health records information.
Assign codes for the following conditions and diseases:
a. Infectious and parasitic diseases
b. Neoplasms
c. Endocrine, nutritional and metabolic diseases, and immunity disorders
d. Diseases of the blood and blood-forming organs
e. Mental, behavioral, and neurodevelopmental disorders
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
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 digestive system
Diseases of the genitourinary system
Diseases of the skin and subcutaneous tissue
Diseases of the musculoskeletal system and connective tissue
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
Assign codes for the following reasons for encountering the healthcare system:
a. Injury, poisoning, and certain other consequences of external causes
b. External causes of morbidity
c. Factors influencing health status and contact with health services
3. Assign ICD-10-PCS procedure codes from all sections for inpatient and outpatient settings
using patient health records information.
Assign codes for the medical and surgical section.
Assign codes for the medical and surgical-related section.
a. Obstetrics
b. Placement
c. Administration
d. Extracorporeal assistance and performance
e. Extracorporeal therapies
f. Osteopathic
g. Other procedures
h. Chiropractic
Assign codes for the ancillary sections.
a. Imaging
b. Nuclear medicine
c. Radiation therapy
d. Physical rehabilitation and diagnostic audiology
e. Mental health
f. Substance abuse treatment
4. Assign CPT procedure codes for all types of services for inpatient and outpatient settings
using patient health records information.
Assign codes for the following:
a. Evaluation and management services
b. Anesthesia services
c. Surgery services
d. Radiology, nuclear medicine, and diagnostic ultrasound
e. Pathology and laboratory services
f. Medicine services
Assign Category II codes.
Assign Category III codes.
Given an assigned CPT code, identify any appropriate modifiers from the appendices.
5. Assign HCPCS service codes for all types of services for inpatient and outpatient settings
using patient health records information.
Assign permanent national codes.
Assign dental codes.
Assign miscellaneous codes.
Assign temporary national codes.
Evaluation Criteria/Policies:
Students must demonstrate proficiency on all CCPOs at a minimal 75 percent level to
successfully complete the course. The grade will be determined using the DTCC grading
system:
92
83
75
0
–
–
–
–
100
91
82
74
=
=
=
=
A
B
C
F
Students should refer to the Student Handbook (https://www.dtcc.edu/academics/studenthandbook) for information on the Academic Standing Policy, the Academic Integrity Policy,
Student Rights and Responsibilities, and other policies relevant to their academic progress.
Core Curriculum Competencies (CCCs are the competencies every graduate will develop):
1.
2.
3.
4.
5.
Communicate clearly and effectively both orally and in writing.
Demonstrate effective problem solving and reasoning skills.
Work effectively in groups of people from diverse backgrounds.
Demonstrate ethical and professional understanding and conduct.
Apply appropriate information literacy skills to locate, evaluate, and use information
effectively.
6. Use computer technology appropriate to the field.
7. Use scientific and mathematical reasoning appropriate to the technology.
COD Program Graduate Competencies (PGCs are the competencies every graduate will
develop specific to his/her major):
1. Read and interpret medical record documentation in order to identify data for medical coding.
2. Apply knowledge of medical sciences, medical terminology, current coding guidelines, and
reimbursement guidelines to assign accurate codes to patient diagnoses and procedures in
health record documentation.
3. Adhere to standards of ethical coding and apply professional ethical guidelines to coding
principles when assigning medical codes and/or processing claims.
4. Apply regulatory agency guidelines to coding principles when assigning medical codes and/or
processing claims.
5. Recognize coding quality issues and participate in quality assessments in the coding and
collection of quality health data.
6. Demonstrate appropriate professional interactions and work skills in the workplace setting.
HIM Program Graduate Competencies (PGCs are the competencies every graduate will
develop specific to his/her major):
1. Synthesize knowledge of medical sciences, clinical classification systems, vocabularies, and
terminologies to effectively use, apply, and interpret health data.
2. Analyze data to identify trends through the use of health information technologies.
3. Apply legal, regulatory, privacy, and security standards to employ policies and procedures for
health information collection, access, and disclosure.
4. Synthesize knowledge of health data and payment methodologies to evaluate the efficiency
and effectiveness of revenue cycle processes.
5. Interpret regulatory, coding, legal, and clinical documentation standards to develop,
implement, and evaluate compliance.
6. Consistently demonstrate leadership through the appropriate interpretation and evaluation of
professional behaviors and ethical standards.