Successful medical coding requires that a patient’s diagnosis justifies the service or procedure the provider performed. This justification is referred to as medical necessity. Establishing medical necessity is the first step in third-party reimbursement. Under value-based payment models, coding to the highest level of specificity takes on even greater significance. Specificity in ICD-10-CM coding also plays a role in risk adjustment.

AAPC’s Advanced ICD-10-CM Code Set Training is designed to advance your ICD-10-CM coding skills. Students will gain an understanding of clinical concepts of commonly treated conditions and learn how to assign correct codes based on the diagnosis coding guidelines for outpatient reporting.

Included in This Course

• Understand the structure of ICD-10-CM code set
• Navigate ICD-10 with Alphabetic Index, Index to Diseases and Injuries, Table of Neoplasms, Table of Drugs and Chemicals, Index of External Causes of Injury, Tabular List
• Learn clinical concepts for comprehensive coding of conditions
• Gain insight on chronic and acute conditions
• Understand the ICD-10-CM Official Guidelines for Coding and Reporting and chapter-specific guidelines
• Distinguish outpatient from inpatient ICD-10-CM coding
• Understand and apply ICD-10-CM coding conventions
• Reinforce training with practical coding exercises
• Advanced ICD-10-CM final assessment
• Approval of 8 CEUs upon successful completion (one-time use only)
• Access available for one (1) year from purchase date
• Download course syllabus (PDF)

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Additional Information

• Includes certificate of completion
• 8 CEUs upon completion within the allotted one-year time frame and a score of 70% or higher on the final assessment test
• Download Advanced ICD-10-CM Code Set Training syllabus (PDF)

Course Objectives

This online course aims to teach the proper application of chapter-specific coding guidelines for the following conditions and associated diagnoses:

1. Circulatory System Conditions

2. Respiratory System Conditions

3. Gastrointestinal System Conditions

4. Musculoskeletal System and Connective Tissue Conditions

5. Advanced Coding for Urinary System Conditions

6. Integumentary System Conditions

7. Endocrine, Nutritional, and Metabolic System Conditions

8. Diseases of the Ear and Mastoid Process

9. Disease of the Eye and Adnexa

10. Pregnancy Conditions

11. Neoplasm Conditions

12. Mental, Behavioral, and Neurodevelopmental Disorders

Final Assessment

• Final assessment consisting of 35 multiple-choice questions
• Coding cases from real-world, redacted records
• Must be completed within 75 minutes
• 70% passing score required
• Two exam attempts included with course