Inpatient - Medical Coding Guide

Coding guide about different APPROACH used for Inpatient Coding

November 28, 2022November 28, 2022 Jitendra M.Sc CPC

There are many surgical and non-surgical procedures performed using different approach. If you know about the approach of a procedure, it can help in finding the correct CPT or ICD-10 PCS codes. This way it will be a great help for both outpatient and inpatient coders. Being an outpatient coder, I generally come across the non-surgery procedures like MRI, CT, ultrasound etc. But, for coding some diagnostic and interventional radiology procedures we come across the percutaneous (minimal invasive surgery) procedures as well like angioplasty, stent placement, nephrostogram, cholangiogram etc. So,…

KCENTRA ICD 10 PCS Coding Guide for coders

November 22, 2022November 22, 2022 Jitendra M.Sc CPC

Basics of Kcentra ICD 10 PCS Kcentra is a prescription medicine used to treat the symptoms of Vitamin K Antagonist Reversal. Kcentra may be used alone or with other medications. Kcentra belongs to a class of drugs called Blood Components; Hemostatics. It is not known if Kcentra is safe and effective in children. Its Generic name is Prothrombin Complex Concentrate (Human). Their are specific KCENTRA ICD 10 PCS codes in medical coding which we learn below. KCENTRA is derived from human plasma. The risk of transmission of infectious agents, including…

Awesome tips for Coding an ED report

March 5, 2022March 21, 2022 Jitendra M.Sc CPC

As a medical coder, I always wanted to learn all the coding facilities. The best thing I like about medical coding is that, you can learn everything here. The amount of knowledge you gain while coding a medical report is unbelievable. Initially people have difficulty in coding a medical report, but when they know everything about ICD and CPT coding guidelines, they become expert in coding. I always say that having CPC certification from AAPC and having experience in multiple speciality coding, will always boost your career growth. I see…

Practice Inpatient Coding Question & Answers with Rationale

January 17, 2022June 9, 2022 Jitendra M.Sc CPC

Question 1. Which is another term for “comfort care”? Elder care Respite care Palliative care Home healthcare Rationale: “Comfort care” is also called “palliative care”. The goal of palliative care is not to cure or actively treat the condition. It is to control pain or to alleviate other distressing symptoms to make a terminally ill patient comfortable and able to live as normally as possible. Read also: What are POA indicators in Inpatient coding Question 2. A patient undergoing chemotherapy for pharyngeal carcinoma is admitted with dehydration due to…

CDC Releases New Diagnosis Codes for 2022

January 17, 2022January 17, 2022 Jitendra M.Sc CPC

CMS also released Medicare Severity Diagnosis-Related Group (MS-DRG) V39.1 The Centers for Disease Control and Prevention (CDC) released its April 1, 2022 diagnosis files on Dec. 23, 2021. The updated files include a Tabular Addendum, Index Addendum, Official Coding and Reporting Guidelines update, ICD-10-CM Order File, and List of Codes and Descriptions. The Tabular Addendum and Index Addendum include minor updates to the classification, in addition to the new diagnosis codes. The April 1 new diagnosis codes include: Z28.310 – Unvaccinated for COVID-19; Z28.311 – Partially vaccinated for COVID-19; and…

Inpatient Coding Features and Characteristics

January 3, 2022February 1, 2023 Jitendra M.Sc CPC

What is Inpatient? Inpatient refers to a patient who is formally admitted to a hospital upon the orders of the physician who then admits the patient for an extended stay. The inpatient coding system is used to report a patient’s diagnosis and services based on his extended stay. In Inpatient coding, same ICD 9/ICD10-CM codes are used for diagnosis coding. While ICD 10 PCS codes are used for reporting procedures. The Inpatient Prospective Payment System (IPPS) is the reimbursement methodology used by Medicare to provide reimbursement for hospital inpatient services.…

What are Comorbid and Complications in Inpatient Coding

December 24, 2021April 20, 2022 Jitendra M.Sc CPC

We have learned a lot about outpatient coding, diagosis coding guidelines and CPT codes. But, today we will try to learn about inpatient coding guidelines. Here also, we have a lot of terms like POA indicators, Comorbid condition and complications which need to be learnt before coding inpatient charts. I have shared lot of information on Knee surgery, hip arthroplasty, suture removal, wound debridement, spinal epidural injection, AV fistula, angioplasty and stent placement etc. where we are using CPT codes. But, in inpatient coding we have different codes for all…

IPPS Final Rule Changes for 2021

December 31, 2020April 5, 2022 Jitendra M.Sc CPC

The Inpatient Prospective Payment System (IPPS) Final Rule for Fiscal Year 2021 (FY 2021) went into effect for acute care hospital discharges on October 1, 2020. The final rule was published on the Centers for Medicare and Medicaid Services (CMS) website on September 2, 2020 and was published in the Federal Register on September 18, 2020. The 2021 final rule publication was released about a month later than is typical due to CMS’ significant devotion of resources to the COVID-19 response. Therefore, the requirement for a 60-day timeframe between a final rule…

Brilliant tips for Root Operation INSERTION in IP coding

August 3, 2018January 2, 2019 Jitendra M.Sc CPC

Basics for Root operation Insertion in ICD 10 PCS coding ICD 10 PCS codes have been introduced along with ICD 10 codes in 2016. We all know now the main difference between ICD 9 and ICD 10 diagnosis codes. For medical coders ICD 10 and ICD 10 PCS codes are new in medical coding. From 2016, ICD 10 codes are used for diagnosis coding and ICD 10 PCS codes used for coding procedure codes in inpatient coding. Hope, now medical coders will understand what are ICD 10 PCS codes and…

Step by Step Guide to Become a Certified Coding Specialist (CCS) coder

May 3, 2018November 21, 2019 Jitendra M.Sc CPC

Step by Step Guide to Become a Certified Coding Specialist coder

Medical coding professionals needs to carry credentials or certification for a growth in their career. I have already written a lot about CPC (Certified Professional Coder) exam conducted by AAPC. You would have now got all the important tips for preparing and clearing CPC exam. But, today we will talk of CCS (Certified Coding Specialist) exam conducted by AHIMA. Any immature medical coder can appear for CPC exam, but for Certified Coding Specialist exam you need to be well expert in Inpatient and Outpatient coding. AHIMA also offers a CCS…