Medical Coding Guide - Page 50 of 91

Coding guide for BRCA1 & BRCA2 CPT codes

December 1, 2022December 1, 2022 Jitendra M.Sc CPC

Basics about BRCA1 and BRCA2 CPT codes BRCA1 is a gene within a class of genes that are known as tumor suppressors. Mutations of the BRCA1 gene have been linked to hereditary breast and ovarian cancers. Specimen is blood. This test is performed to determine what, if any, mutations have affected the BRCA1 gene. The codes are selected depending on the type of mutation for which the test is performed. BRCA1 & BRCA2 genes can help in repairing the damaged DNA (deoxyribonucleic acid). Most of the cancers happened due to…

CPT codes 87636 & 87637(tests for COVID-19 & flu) Coding rules

December 1, 2022December 1, 2022 Jitendra M.Sc CPC

Introduction of Multi-virus test COVID CPT code 87636 and 87637 The American Medical Association (AMA) introduced the two codes for COVID-19 Test as below: “Two of the newly approved codes report nucleic acid assays that allow a single test to simultaneously detect the novel coronavirus and a combination of common viral infectious agents, including influenza A/B and respiratory syncytial virus,” said AMA President. “Concurrent detection promises to conserve important testing resources, allowing for ongoing surveillance of influenza while testing for the novel coronavirus.” Read also: 2023 new CPT coding changes…

Advance Coding guide for Selection of Primary Diagnosis

November 30, 2022November 30, 2022 Jitendra M.Sc CPC

Diagnosis play a very important role in medical coding. The diagnosis codes should always fulfill the medical necessity for the procedure performed. Failed medical necessity can lead to denials. Also, the selection of principal diagnosis is very important topic in ICD coding. There are few specific coding guidelines for choosing the primary diagnosis. There are specific ICD 10 codes which must be used as primary diagnosis only. Hence, it is very important to know about the criteria for choosing the principal or first listed diagnosis. Before we move ahead let…

Top 5 Essential Certified Professional Coder (CPC) exam tips for coders

November 30, 2022December 20, 2022 Jitendra M.Sc CPC

CPC (Certified Professional Coder) is an exam of 5 hours 40 minutes. This certified coder exam is conducted by AAPC (American Academy of Professional Coders). AHIMA also conduct some medical coding certification exams. CPC certification exam decides your future career in Medical coding. However, you have two attempts to clear CPC exam, but I would suggest clearing the exam in First attempt in 2022. The preparation for CPC exam is already being discussed in my previous post. We are here to learn about how to prepare and clear CPC exam…

Awesome guide about ICD-10-PCS Root operation Excision

November 30, 2022November 30, 2022 Jitendra M.Sc CPC

Introduction for ICD-10-PCS root operation Excision word is very familiar with all of us. Medical coders should be aware about what are the codes leads to excision. However, we are not here to learn the CPT codes of Excision, we are here to learn about the root operation Excision. Now, if you are aware of ICD-10 codes, you will also be aware about the ICD-10-PCS (Procedure Coding System). ICD-10-PCS the new coding system that will be used in place of Volume 3 codes of ICD-9. ICD-10 is very uniquely different…

Sargramostim dose, uses, action and side effects

November 30, 2022December 19, 2023 Jitendra M.Sc CPC

Description of Sargramostim (Leukine) Sargramostim is a recombinant human granulocyte-macrophage colony-stimulating factor (GM-CSF). It works by promoting proliferation and differentiation of hematopoietic progenitor cells. Sargramostim is used as primary prophylaxis following induction therapy in older patients with acute myelogenous leukemia; for peripheral blood stem cell (PBSC) mobilization for collection by leukapheresis; following an autologous bone marrow transplantation (BMT) in patients with non-Hodgkin’s lymphoma, acute lymphoblastic leukemia, and Hodgkin’s disease; following an allogeneic BMT from an HLA-matched related donor; and following engraftment failure or delay after an autologous or allogeneic BMT.…

Medical Coding Sample/Example Surgery Charts Part 6

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

Medical coding Sample Chart 1 PREOPERATIVE DIAGNOSIS: Left shoulder instability with labral tear. POSTOPERATIVE DIAGNOSIS: Left shoulder instability with labral tear. PROCEDURE: Left shoulder arthroscopic stabilization. SURGEON: INDICATIONS FOR SURGERY: The patient is a 28-year-old who has had multiple dislocations of the left shoulder.He has been able to self reduce for the most part.However, he has had dislocations greater than 10 times without relief from conservative care including extensive physical therapy.Risks, benefits, and alternatives were fully discussed with him.He verbalized understanding of the diagnosis, the plan, the options.His physical examination…

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,…

Amazing Coding Guide for Sequela encounter ICD 10 Codes

November 27, 2022November 28, 2022 Jitendra M.Sc CPC

In ICD 10, the injury codes are still creating lot of problems for medical coders. They are still not able to use and differentiate between the intial, subsequent and sequela ICD 10 codes. The use of 7th character for initial and subsequent encounter can be understood after coding some injury charts, but the use of Sequela ICD 10 codes are still a big confusion for coders. As per the definition of ICD-10-CM, the seventh character ‘S‘ is used for complications or conditions that arise as a direct result of an…

Vertebroplasty CPT code 22510-22512 Coding tips

November 27, 2022November 28, 2022 Jitendra M.Sc CPC

Coding tips for Vertebroplasty CPT codes

Basics about Vertebroplasty CPT code 22510-22512 Percutaneous vertebroplasty is performed to stabilize a compression fracture caused by osteoporosis of the spine. It may also be used to treat aggressive hemangiomas of the vertebral body and for palliative treatment of pathological fractures caused by benign or malignant neoplasms of the spine. It is a procedure that replaces the vertebral body marrow with cement. CPT code 22510-22512 is used to report Vertebroplasty. A bone needle is placed into the vertebral body from a transpedicular or lateral approach. A biopsy may be obtained (bundled).…