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Sample or Medical coding Examples Charts for Coders

Sample Medical coding Charts for Coders
Since, we are here to learn about medical coding, we have to go through the charts as well. The medical coding charts are little difficult to understand in the beginning but once you become in reading the report then their won’t be any problem. Some of the medical...
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Sample Nephroureteral Catheter Placement Report for Medical coders

Sample Nephroureteral Catheter Placement Report for Medical coders
Report 1 BILATERAL NEPHROSTOGRAMS PLACEMENT OF NEPHROURETERAL CATHETERS MODERATE CONSCIOUS SEDATION, FLUOROSCOPY CAN ULTRASOUND GUIDANCE AND UTILIZATION OF A STERILE SURGICAL TRAY.: INDICATION: Bilateral nephrolithiasis TECHNIQUE: Ultrasound and fluoroscopy guidance, fluoroscopy time is 14.7 minutes COMPARISON: None. FINDINGS: Having obtained informed consent prepping and draping the flanks in...
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Amazing tips to Perfectly code a Medical report

Amazing tips to Perfectly code a Medical report
In radiology coding, we usually come across CT,CTA, MRI, X-ray reports etc. charts which are very common in this facility.  Radiology coding is not difficult if you know how to read and code a medical report. Yes, we don’t have to take any training or clear any CPC certification...
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Medical coding Sample Operative Report

Medical coding Sample Operative Report
PREOPERATIVE DIAGNOSIS: Atypical skin lesions. POSTOPERATIVE DIAGNOSIS: Atypical skin lesions ANESTHESIA: Local 1% lidocaine, 0.5% Marcaine and bicarbonate. FINDINGS: 1. It is a 1 cm right upper arm lesion, a). A 3 cm x 1 cm excision. 2. 1.2 cm left supraclavicular lesion a). A 4 cm x...
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Sample Operative Report for Medical coders

Sample Operative Report for Medical coders
PREOPERATIVE DIAGNOSIS: Torn right medial and lateral menisci. POSTOPERATIVE DIAGNOSES: Torn right medial and lateral menisci, degenerative arthritis of medial femoral condyle, and chondromalacia patella. PROCEDURES PERFORMED: DISPOSITION: The patient tolerated the procedure very well.
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Sample Interventional Vascular Coding Practice charts

Sample Interventional Vascular Coding Practice charts
Practice Chart 1 Visceral arteriography: Indication: Lower GI bleeding TECHNIQUE: Informed consent was obtained. The right common femoral artery was catheterized using a modified Seldinger technique and a micropuncture set. A 5 French sheath was inserted. Through this a 4 French Motarjamie catheter was used to select the inferior mesenteric artery....
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Sample IVR or Interventional radiology coding charts

Sample IVR or Interventional radiology coding charts
Report – 1 US BREAST BIOPSY RIGHT  HISTORY: Suspicious 11 mm solid palpable lesion 5:00 6 cm from the nipple.  PROCEDURE: Risks and procedure were discussed with the patient in Spanish and written informed consent was obtained. The right breast was prepped and draped in the usual manner.  Buffered...
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Sample Surgery Medical report for Medical coders

Sample Interventional Vascular Coding Practice charts
PREOPERATIVE DIAGNOSES: Rule out rotator cuff tear of the right shoulder. POSTOPERATIVE DIAGNOSES: 1. Partial thickness tear of supraspinatus, right shoulder. Type II superior labral tear, right shoulder. Degenerative joint disease with chondral injury and multiple loose bodies intraarticularly, right shoulder. OPERATIVE PROCEDURES: ANESTHESIA: General endotracheal. ESTIMATED BLOOD...
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