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Essentials of CPT and HCPCS Coding

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Essentials of CPT and HCPCS Coding

Included with

Gain insight into a topic and learn the fundamentals.
Intermediate level

Recommended experience

6 hours to complete
Flexible schedule
Learn at your own pace

Gain insight into a topic and learn the fundamentals.
Intermediate level

Recommended experience

6 hours to complete
Flexible schedule
Learn at your own pace

What you'll learn

  • Differentiate and apply CPT Categories I–III, HCPCS Level II codes, and appropriate modifiers in outpatient coding scenarios.

  • Explain and apply global surgical package rules and anatomical documentation review to assign accurate CPT codes within the 10000–60000 series.

  • Assign CPT codes for anesthesia, radiology, pathology/laboratory, and medicine services using official guidelines and documentation analysis.

  • Explain compliance principles, HIPAA requirements, and professional ethical standards to support accurate and defensible coding practices.

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Recently updated!

June 2026

Assessments

12 assignments¹

AI Graded see disclaimer
Taught in English

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This course is part of the Certified Professional Coder (CPC) Exam Preparation Specialization
When you enroll in this course, you'll also be enrolled in this Specialization.
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  • Gain a foundational understanding of a subject or tool
  • Develop job-relevant skills with hands-on projects
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There are 4 modules in this course

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.

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.

What's included

5 videos5 readings3 assignments1 plugin

5 videosTotal 21 minutes
  • Course Introduction3 minutes
  • Navigating CPT® Category I, II, and III4 minutes
  • HCPCS II, CPT, and Modifiers5 minutes
  • E/M and Emergency Department Code Sets4 minutes
  • Application of E/M and Emergency Department Code Sets4 minutes
5 readingsTotal 18 minutes
  • Course Overview3 minutes
  • How to Make the Most of This Course3 minutes
  • CPT® Global Surgical Package and Section Openers Guidelines5 minutes
  • ACEP Guidelines and Current E/M Updates5 minutes
  • Module Summary: Procedure and Supply Coding Fundamentals2 minutes
3 assignmentsTotal 33 minutes
  • Graded Quiz: Procedure and Supply Coding Fundamentals21 minutes
  • Practice Quiz: Procedure Coding Fundamentals for Drugs and Supplies6 minutes
  • Practice Quiz: E/M and Emergency Department CPT® Coding6 minutes
1 pluginTotal 20 minutes
  • Lab: ICD, CPT®, HCPCS Codes from E/M and ED Reports20 minutes

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.

What's included

4 videos3 readings3 assignments2 plugins

4 videosTotal 19 minutes
  • Surgery Code CPT® Series 10000-300005 minutes
  • Application of Surgery Code CPT® Series 10000-300005 minutes
  • Surgery Code CPT® Series 40000-600005 minutes
  • Application of Surgery Code CPT® Series 40000-600005 minutes
3 readingsTotal 10 minutes
  • Anatomy-Based CPT® Coding (10000-30000) and Pre- vs. Postoperative Diagnosis Coding4 minutes
  • Anatomy-Based CPT® Coding (40000-60000) and Surgical Diagnosis Impact4 minutes
  • Module Summary: Surgery CPT® Series 10000-60000 Coding2 minutes
3 assignmentsTotal 33 minutes
  • Graded Quiz: Surgery CPT® Series 10000-60000 Coding21 minutes
  • Practice Quiz: Surgery CPT® Series 10000-30000 Coding6 minutes
  • Practice Quiz: Surgery CPT® Series 40000-60000 Coding6 minutes
2 pluginsTotal 20 minutes
  • Activity: Choosing the Right CPT® Code (Series 10000-30000)10 minutes
  • Activity: Choosing the Right CPT® Code (Series 40000- 60000)10 minutes

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.

What's included

6 videos4 readings4 assignments2 plugins

6 videosTotal 28 minutes
  • Anesthesia and Radiology CPT® Coding Overview5 minutes
  • Applying Anesthesia and Radiology Codes5 minutes
  • Pathology/Laboratory and Medicine CPT® Coding Overview5 minutes
  • Applying Pathology/Laboratory and Medicine Codes4 minutes
  • Compliance and Ethical Standards in Medical Coding4 minutes
  • HIPAA, Confidentiality, and Audit Readiness5 minutes
4 readingsTotal 14 minutes
  • Documentation Review and Modifier Application in Anesthesia and Radiology4 minutes
  • Documentation Review and Modifier Use in Pathology and Medicine4 minutes
  • AHIMA® and AAPC® Code of Ethics4 minutes
  • Module Summary: CPT® Coding and Compliance and Regulatory Standards2 minutes
4 assignmentsTotal 39 minutes
  • Graded Quiz: CPT® Coding and Compliance and Regulatory Standards21 minutes
  • Practice Quiz: Anesthesia and Radiology Coding6 minutes
  • Practice Quiz: Pathology/Laboratory and Medicine Coding6 minutes
  • Practice Quiz: Compliance, Ethics, and Regulatory Standards6 minutes
2 pluginsTotal 30 minutes
  • Activity: Case Practice for Anesthesia and Radiology Coding15 minutes
  • Activity: Case Practice for Pathology and Medicine Coding Query15 minutes

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.

What's included

1 video3 readings2 assignments

1 videoTotal 4 minutes
  • Course Summary4 minutes
3 readingsTotal 6 minutes
  • Course Glossary: Essentials of CPT® and HCPCS Coding3 minutes
  • Congratulations and Next Steps2 minutes
  • Thanks from the Course Team1 minute
2 assignmentsTotal 75 minutes
  • Project: Integrated Outpatient Coding Casebook45 minutes
  • Final Exam: Essentials of CPT® and HCPCS Coding30 minutes

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Frequently asked questions

Yes. Access to current-year CPT®, ICD-10-CM, and HCPCS Level II code books is strongly recommended. This course includes open-book coding exercises, documentation-based activities, and CPC®-style practice scenarios that require learners to practice efficient code lookup and navigation strategies using official coding manuals.

Yes, it is strongly recommended. This course builds on the foundational concepts introduced in Course 1, including medical terminology, anatomy fundamentals, and introductory coding concepts. Learners should already be familiar with CPT®, ICD-10-CM, and HCPCS Level II basics before starting this course.

Yes, the course teaches you how to navigate CPT® categories, apply HCPCS Level II codes, and use modifiers accurately in real-world outpatient scenarios.

Yes, you will work on case-based activities, labs, and a final project that simulate real clinical documentation and coding situations to build hands-on skills.

The course covers procedure and supply coding, E/M and emergency department coding, surgical coding (10000–60000 series), anesthesia, radiology, pathology/laboratory, and medicine coding.

Yes, the course aligns with CPC® exam requirements and focuses on coding accuracy, guideline application, and compliance, which are essential for exam preparation and real-world coding roles.

To access the course materials, assignments and to earn a Certificate, you will need to purchase the Certificate experience when you enroll in a course. You can try a Free Trial instead, or apply for Financial Aid. The course may offer 'Full Course, No Certificate' instead. This option lets you see all course materials, submit required assessments, and get a final grade. This also means that you will not be able to purchase a Certificate experience.

When you enroll in the course, you get access to all of the courses in the Specialization, and you earn a certificate when you complete the work. Your electronic Certificate will be added to your Accomplishments page - from there, you can print your Certificate or add it to your LinkedIn profile.

Yes. In select learning programs, you can apply for financial aid or a scholarship if you can’t afford the enrollment fee. If fin aid or scholarship is available for your learning program selection, you’ll find a link to apply on the description page.

Financial aid available,

¹ Some assignments in this course are AI-graded. For these assignments, your data will be used in accordance with Coursera's Privacy Notice.