Sample Coded Surgery Charts for Medical coders Part 15

Sample Chart 1 Reason For Exam cancer;Other Report PROCEDURE: PICC PLACEMENT USING ULTRASOUND AND FLUOROSCOPIC-GUIDANCE: CLINICAL INFORMATION: Malignant neoplasm of tonsil. FINDINGS: This central venous catheter was inserted with all elements of maximal sterile barrier technique, cap and mass and sterile gown and sterile gloves and sterile full body drape and hand hygiene and 2% … Read more

New COVID-19 Vaccine Code 0034A Coding Guidelines

The CPT Editorial Panel has approved a new vaccine administration code (0034A) for the administration of the Janssen COVID-19 vaccine booster for patients who had previously received the Janssen single-dose primary vaccine. Immunization Administration for Vaccines/Toxoids 0031A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, … Read more

CDC Releases New Diagnosis Codes for 2022

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 … Read more

ICD 10 Coding tips for Prenatal Visits and Supervision of High Risk Pregnancy

ICD 10 Coding tips for Prenatal Visits and Supervision of High Risk Pregnancy

In diagnosis coding, we have specific coding guidelines for each chapter. In ICD 10 codes, we have very specific codes and this specificity can be calculated from diagnosis codes for pregnancy chapter. In pregnancy complication codes, we have now specific ICD 10 codes for each trimester and weeks of gestation (Z3A category). Be careful with … Read more

2022 E/M Shared/Split Services Rules

Definition of Split/shared services E/M services performed jointly by a physician and non-physician practitioner in a facility setting (outpatient department, inpatient, emergency department, skilled nursing facility) Prior to 2021, shared services were a Medicare concept For Medicare, payment differential for services billed by physicians and NPPs. In 2021, the AMA added the concept of shared … Read more

Inpatient Coding Features and Characteristics

Inpatient Coding Features and Characteristics

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 … Read more

Killer Tricks for Preparation of CPC Certification exam

Killer Tricks for Preparing for CPC Certification exam

Basics about CPC Certification To learn basic medical coding the professional should have well verse knowledge about anatomy and physiology of human body. Having perfect knowledge of human anatomy and physiology will help you in taking first step towards CPC certification. The CPT and ICD codebooks are the main players of CPC Certification exam. These … Read more

2022 New COVID-19 ICD-10-CM and PCS Codes

The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) have both stated that in April 2022, we will have three new ICD-10-CM codes and seven new procedure codes for COVID-19 therapeutics and vaccines in the codebooks for medical coders. Because of the COVID-19 Pandemic their has been … Read more

What are Comorbid and Complications in Inpatient Coding

What are Comorbid and Complications in Inpatient Coding

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 … Read more

Practice Medical Coding Question & Answers for Medical coders

1. What Z code is used to represent an encounter for a routine child health examination with abnormal findings? A. Z00.00 B. Z01.818 C. Z00.121 D. Z01.419 2. If the provider’s assessment indicates an overweight patient has been binge eating with vomiting, which code is most appropriate? A. F50.2 B. F50.81 C. F50.02 D. F50.82 … Read more

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