Module 3: Diagnostic & Procedural Coding
Expand your coding skills with ICD-10-CM specificity, CPT procedure codes, modifiers, and how diagnoses link to procedures on a claim.
What You'll Learn
- ICD-10-CM code structure — characters, extensions, and specificity
- CPT code categories and how they describe healthcare services
- How modifiers affect claim processing and reimbursement
- How to link a diagnosis code to a procedure code for medical necessity
Real-World Scenario
A provider saw a patient for a sprained left ankle (initial encounter) and ordered an X-ray. You need to assign the correct ICD code with proper laterality and encounter extension, then link it to the correct CPT radiology code before the claim goes out.
Lessons
Complete each lesson in order. Watch the video, review the notes, and finish the challenge.
Diagnostic Coding (ICD Part 2) & CPT Introduction
Continue developing ICD-10-CM skills and begin learning Current Procedural Terminology (CPT) coding for outpatient procedures.
Current Procedural Coding (CPT) Part 2
Deepen your CPT knowledge with modifiers, bundling rules, and how CPT codes link to ICD codes on a claim.
EHR Go Lab: Outpatient Coding Workflow & Payment Posting
Practice entering outpatient diagnosis and procedure codes in EHR Go, then post a payment and apply an adjustment.