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Sample Medical Coding Report 1 Pre-op Diagnosis: 1. Nasal septal fracture Post-op Diagnosis: same as above Procedure: 1. Closed reduction nasal septal fracture with internal and external fixation Anesthesia Type: GETA Surgeon: Anesthesiologist: Assistant 1: Estimated blood loss (mL): 50 Complications: None apparent Indication and consent: patient is a 35-year-old gentleman who suffered an nasal … Read more
Medical coding field is the best career option for all professionals. If you are very much interested in medical science, anatomy and physiology, you will surely enjoy being a medical coder. Yes, it takes time to completely gain knowledge about CPT codes, ICD codes, HCPCS codes etc. but these codes will surely enhance your medical … Read more
X modifiers were introduced in 2015 for giving more specific information for overlaping procedures.. These modifiers are going to be used in places where we were using 59 modifier. But, we will be continuing using 59 modifier. We will learn one of the new modifier XS (X-Structural) which will be used now for some overlapping … Read more
Medical coding Sample Chart 1 PREOPERATIVE DIAGNOSIS: Recurrent streptococcal adenotonsillitis POSTOPERATIVE DIAGNOSIS: Same ANESTHESIA: General by endotracheal tube. COMPLICATIONS: None. OPERATION/PROCEDURE: Traditional tonsillectomy and adenoidectomy. FINDINGS:Tonsils: 3+, significant scar to superior constrictor muscle Adenoids: 1+ INDICATION: Recurrent streptococcal adenotonsillitis DESCRIPTION OF PROCEDURE: After informed consent was obtained in the preoperative holding area, the patient was … Read more
Hopefully, everyone is using the new E/M codes without issue. CMS added two HCPCS codes to represent “additional” time for E/M services. These are important qualifiers, as medical necessity audits are likely to follow. The latest instructions from CMS on proper use of the G codes: “When the practitioner selects a visit level using time, the … Read more
The pandemic has shown the power of integrated data capture and collaboration across terminologies and code sets allowing for sharing of information and innovation. ICD-11 leverages the strengths of different systems to create a modernized classification system. ICD-11 will be a major step forward in improving the quality of data and the flexibility of the … Read more
In ICD 9, we have straight codes for injuries or external cause of injuries. However, ICD 10 has different set of codes for injuries. Here the injuries are divided into initial, subsequent and sequela encounter with the physician. Hence, the codes are very specific for the treatment of the injuries. Now in injuries we do not … Read more
Sample Medical coding chart 1 Pre-op Diagnosis: vitreous hemorrhage left eye Post-op Diagnosis: vitreous hemorrhage left eye, multiple horseshoe tears left eye Procedure: PPV/EL/FAx + gas left eye Implants: none Anesthesia Type: GETA Estimated blood loss (mL): 0.1 Findings: see below Specimens: none Complications: none Indication and consent: The patient presented to the Retina Center … Read more
The AMA released a series of codes that would be eligible for reporting a COVID-19 vaccine under development by Novavax Inc. While the Novavax vaccine has yet to gain clearance from the U.S. Food and Drug Administration, the Gaithersburg, Md.-based biotechnology company has accelerated its testing and development and plans to ship hundreds of millions of products to the … Read more
Basics about ICD 10 codes As we know in ICD 10, we have all the alphanumeric ICD codes. ICD 10 is very specific codes because of which the numbers of ICD codes have also increased. The biggest difference between icd 9 and icd 10 is the use of alphabets in icd 10, which were not … Read more