- published: 03 May 2010
- views: 9328
4:08
An Overview of ICD9 Coding from UMA (Part 2 of 4)
Medical Coding Background is the second ICD-9 coding video in a four-part series from Ulti...
published: 03 May 2010
An Overview of ICD9 Coding from UMA (Part 2 of 4)
Medical Coding Background is the second ICD-9 coding video in a four-part series from Ultimate Medical Academy (UMA).
UMA's medical billing and coding video tutorials provide a historical background and other pertinent information to help you become more familiar with the diagnosis ICD-9-CM code book.
The medical coding background covered in this video reveals that the practice dates back more than 150 years. Originally, medical coding was primarily used to define the cause of death. Years later, it was expanded to include non-fatal disease information. Today, medical coding applies a numeric or alphanumeric code description for each and every disease, illness, injury and procedure. Non-fatal disease information and causes of death are converted to diagnosis codes, while services provided for patients are converted to procedure codes. All of these codes are contained in the ICD-9 code book and are used for submitting insurance claims.
There are two important questions every coder must ask about each case:
1) What was done for the patient, or what services were provided?
2) Why was the service provided?
The "what" is coded by using the CPT-4, also known as Current Procedural Terminology Fourth Edition, and the "why" is coded with the ICD-9-CM, or International Classification of Diseases Ninth Revision--Clinical Modification. The ICD-9-CM provides the diagnosis and supplies the medical reason for the service provided. It consists of three volumes:
• Volume 1 -- a tabular list in numerical order
• Volume 2 -- an alphabetical list
• Volume 3 -- hospital inpatient information only
ICD-9 coding is used to submit insurance claims, ensure appropriate payment is requested, keep track of the diagnosis providers are treating and provide statistical information regarding types of illnesses and reasons for death. The World Health Organization (WHO) is responsible for the ICD codes and international statistical information. In the United States, the National Center for Health Statistics (NCHS), which is a part of the Center for Disease Control (CDC), is responsible for maintaining Volumes 1 and 2 of the ICD-9 code book. The NCHS annually reviews and updates the codes, descriptions and guidelines used for diagnosis coding. The latest revision is published and placed into service on October 1 each year. It is important to always use the most up-to-date ICD-9 code book.
Qualities of a good coder include someone who enjoys reading and is comfortable doing any additional research necessary to ensure the appropriate code correlates with the information provided in each situation. A coder may want to make notes and include tabs in his or her books. Keep in mind, if you are taking the coding certification exam, sticky notes and loose leaf pages are not allowed.
UMA's four-part medical billing and coding tutorial series includes the following videos:
• An Overview of ICD-9 Coding (Part 1 of 4) -- http://www.youtube.com/watch?v=1vqdFANk60M&feature;=related
• An Overview of ICD-9 Coding (Part 2 of 4) -- http://www.youtube.com/watch?v=dk1YLAO8Z-c&list;=PLCCEEA8E329FC8893&index;=2&feature;=plpp_video
• An Overview of ICD-9 Coding (Part 3 of 4) -- http://www.youtube.com/watch?v=hUWOi4wbgtQ&list;=PLCCEEA8E329FC8893&index;=3&feature;=plpp_video
• An Overview of ICD-9 Coding (Part 4 of 4) -- http://www.youtube.com/watch?v=C31X2IhCzyE&list;=PLCCEEA8E329FC8893&index;=4&feature;=plpp_video
OTHER UMA MEDICAL BILLING AND CODING VIDEOS
Looking for additional medical billing and coding training information? If your healthcare education goals include pursuing medical billing and coding credentials, you may also want to review this Ultimate Medical Academy video and program information:
Medical Billing and Coding Video Tutorials - http://www.youtube.com/playlist?list=PLCCEEA8E329FC8893&feature;=plcp
UMA's Medical Billing and Coding Programs
• Medical Billing and Coding Training - http://www.ultimatemedical.edu/programs/medical-billing-and-coding
• Medical Billing and Coding Degree - http://www.ultimatemedical.edu/programs/medical-billing-and-coding-degree
• Medical Billing and Coding Diploma - http://www.ultimatemedical.edu/programs/medical-billing-and-coding-diploma
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- published: 03 May 2010
- views: 9328
4:13
An Overview of ICD9 Coding from UMA (Part 3 of 4)
"Organization of the ICD Book" is the third ICD-9 coding video in a four-part series from ...
published: 03 May 2010
An Overview of ICD9 Coding from UMA (Part 3 of 4)
"Organization of the ICD Book" is the third ICD-9 coding video in a four-part series from Ultimate Medical Academy (UMA). You'll explore the ICD-9 code book structure and how to set it up for use. This segment explains the different sections of the ICD-9 code book, along with clear examples for including tabs in your book for ease of use.
The ICD-9 code book consists of three volumes:
• Volume 1 -- a tabular list in numerical order
• Volume 2 -- an alphabetical list
• Volume 3 -- hospital inpatient information only
Each volume is organized with the following sections, which should be labeled with durable color tabs to make it easier to find relevant information when implementing ICD-9-CM coding:
• Table of Contents
• Introduction
• Conventions − describes the symbols, instructional notes and abbreviations
• General Coding Guidelines − contains general information for using the ICD-9 codes
• Coding Guidelines for Each ICD Chapter − details regarding special considerations for selecting codes from that section of the ICD book
• Alphabetical Index Volume 2 (located in the front of Volume 1)
• Tabular List (contains a numerical list of codes in Volume 1)
These segments of the "Alphabetical Index Volume 2" should be marked, as well:
• Hypertension Table
• Neoplasm Table
• Table of Drugs and Chemicals
• External Causes of Injury Index (special codes for accidents, injuries and poisoning
• Each letter of the alphabet
Label the "Tabular List," which consists of 17 chapters and two extra sections for V and E codes, as follows:
• Chapter 1 − Infections and Parasitic Diseases: Codes 001-139
• Chapter 2 − Neoplasms: Codes 140-239
• Continue with the next 15 chapters in the same way
• The V and E code sections:
- V Codes − Supplementary Classification of Factors Influencing Health Status and Contact with Health Service: Codes V01-V89
- E Codes − Supplementary Classification of External Causes of Injury and Poisoning: Codes E000-E999.1
Once you have added all of your tabs to your ICD-9 code book, it's ready for use.
RELATED MEDICAL BILLING AND CODING VIDEOS
The medical billing and coding tutorials you are currently viewing from UMA are part of a four-part ICD-9 coding series, which contains the following videos:
• An Overview of ICD-9 Coding (Video 1 of 4) -- http://www.youtube.com/watch?v=1vqdFANk60M&feature;=related
• An Overview of ICD-9 Coding (Video 2 of 4) -- http://www.youtube.com/watch?v=dk1YLAO8Z-c&list;=PLCCEEA8E329FC8893&index;=2&feature;=plpp_video
• An Overview of ICD-9 Coding (Video 3 of 4) -- http://www.youtube.com/watch?v=hUWOi4wbgtQ&list;=PLCCEEA8E329FC8893&index;=3&feature;=plpp_video
• An Overview of ICD-9 Coding (Video 4 of 4) -- http://www.youtube.com/watch?v=C31X2IhCzyE&list;=PLCCEEA8E329FC8893&index;=4&feature;=plpp_video
ADDITIONAL UMA MEDICAL BILLING AND CODING VIDEOS
If your healthcare education aspirations include pursuing medical billing and coding credentials, take a look at this Ultimate Medical Academy video and program information:
http://www.youtube.com/playlist?list=PLCCEEA8E329FC8893&feature;=plcp
UMA'S MEDICAL BILLING AND CODING PROGRAMS
• Medical Billing and Coding Training -- http://www.ultimatemedical.edu/programs/medical-billing-and-coding
• Medical Billing and Coding Degree -- http://www.ultimatemedical.edu/programs/medical-billing-and-coding-degree
• Medical Billing and Coding Diploma -- http://www.ultimatemedical.edu/programs/medical-billing-and-coding-diploma
GET THE LATEST NEWS AND UPDATES FROM ULTIMATE MEDICAL ACADEMY
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For information on student graduation rates, retention and placement rates, and student financial obligations, visit http://www.ultimatemedical.edu/consumerinfo
- published: 03 May 2010
- views: 8428
6:36
An Overview of ICD9 Coding from UMA (Part 4 of 4)
This ICD-9 coding tutorial, titled "Use of the ICD Book," is the fourth medical coding vid...
published: 03 May 2010
An Overview of ICD9 Coding from UMA (Part 4 of 4)
This ICD-9 coding tutorial, titled "Use of the ICD Book," is the fourth medical coding video in a four-part series from Ultimate Medical Academy (UMA). Learn the basic steps on how to use the ICD-9-CM code book with instructions and a hands-on coding example.
The codes contained in the ICD-9 code book have between three and five digits. The three-digit codes are called category codes. Two additional digits may be added for specificity to provide more detail about a disease.
FOLLOW THESE STEPS FOR ACCURATE ICD-9 CODING:
Step 1 -- Look up the disease by using the alphabetical index in Volume 2 of your ICD-9-CM code book. If you're unfamiliar with the term, check your medical dictionary. Make sure to find the main term for the disease and then find the corresponding disorder in the indented information below the main term. If the term is followed by "see condition," then look up the name of the corresponding condition in the index.
Step 2 -- Turn to the guidelines for that code category, which is the first three digits of the code suggested in the alphabetical index, to select the appropriate code(s) in the correct order.
Step 3 -- Find the suggested code in the Tabular List in Volume 1 by locating the three-digit category code. Read the notes under the category code and look out for mandatory fourth and/or fifth digits that may be needed to correctly code. Locate the code in the tabular list and review the code description to make sure it matches the written description. Check for notes regarding any excluded conditions. Then, if necessary, include fourth or fifth digits. Ensure the code is correct for the age and sex of the patient. Enter the final code selection. If the description in the tabular listing doesn't match or is excluded, return to the alphabetical index and continue researching other possible selections.
Please note that there are times when a provider cannot provide a definitive diagnosis. The provider may indicate he or she is attempting to rule out a certain condition, or that the condition is probable, suspect, possible, suspicious of or indicative of a specific diagnosis. However, it is never appropriate to use this diagnosis for payment purposes. These situations warrant ICD-9 coding of each specific sign and/or symptom. Signs and symptoms are coded by using the same three steps.
Practice what you've learned by using your ICD-9-CM code book to complete the example provided in the video. The steps listed here should apply to your current ICD-9-CM code book and future editions; however, it is up to students to stay current with any updates. Make sure you're comfortable with your ICD-9-CM code book, as it will be your constant companion in this course and throughout your medical billing and coding career.
SIMILAR MEDICAL BILLING AND CODING VIDEOS
The UMA medical billing and coding tutorial you are currently watching is part of the four-part ICD-9 coding series, which includes the following videos:
• An Overview of ICD-9 Coding (Video 1 of 4) -- http://www.youtube.com/watch?v=1vqdFANk60M&feature;=related
• An Overview of ICD-9 Coding (Video 2 of 4) -- http://www.youtube.com/watch?v=dk1YLAO8Z-c&list;=PLCCEEA8E329FC8893&index;=2&feature;=plpp_video
• An Overview of ICD-9 Coding (Video 3 of 4) -- http://www.youtube.com/watch?v=hUWOi4wbgtQ&list;=PLCCEEA8E329FC8893&index;=3&feature;=plpp_video
• An Overview of ICD-9 Coding (Video 4 of 4) -- http://www.youtube.com/watch?v=C31X2IhCzyE&list;=PLCCEEA8E329FC8893&index;=4&feature;=plpp_video
ADDITIONAL UMA MEDICAL BILLING AND CODING VIDEOS
Looking for hands-on medical billing and coding training? If you're interested in pursuing your medical billing and coding career aspirations, you may also want to review this Ultimate Medical Academy video and program information:
http://www.youtube.com/playlist?list=PLCCEEA8E329FC8893&feature;=plcp
UMA'S MEDICAL BILLING AND CODING PROGRAMS
• Medical Billing and Coding Training -- http://www.ultimatemedical.edu/programs/medical-billing-and-coding
• Medical Billing and Coding Degree -- http://www.ultimatemedical.edu/programs/medical-billing-and-coding-degree
• Medical Billing and Coding Diploma -- http://www.ultimatemedical.edu/programs/medical-billing-and-coding-diploma
HOW TO GET NEWS AND UPDATES FROM ULTIMATE MEDICAL ACADEMY
What's happening with UMA? From the current healthcare training lineup to the latest news releases to the newest Ultimate Medical Academy success stories, you can easily stay informed with these helpful links:
"Like" us on Facebook -- http://www.facebook.com/umaonline
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For information on student graduation rates, retention and placement rates, and student financial obligations, visit http://www.ultimatemedical.edu/consumerinfo
- published: 03 May 2010
- views: 8643
10:55
ICD9 CM Burn Coding
ICD9 CM Burn Coding
http://www.codingcertification.org/freetips-yt
Click here to get more ...
published: 19 Dec 2012
ICD9 CM Burn Coding
ICD9 CM Burn Coding
http://www.codingcertification.org/freetips-yt
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Okay, Burn coding. This one's for me. A student asked us to review ICD coding for burns. So if you have your coding manuals, I'm going to be turning to the tabular section of ICD 9 starting with code 940.
So at any rate, here's the Burn category in ICD-9 and you'll see, just like all of ICD, you get your includes and excludes list. So it excludes friction burns, sunburns... and they forgot one. If you want to write it in... sideburns. Hahaha. I need a live... a bigger live group for that. But in any rate, I do that sometimes because students like hang on to your every word and they write everything down and they go, "Wait a minute."
Alright so the first thing we need to identify with burns is we've got these 3 digit categories. So 940 Burn confined to (23.18). And by the way, the range for the burn category, it's telling us, it goes from 940 to 949 so let's just get a lay of the land. What's the difference between the categories, the 3 digits? 941 is burns of face, head and neck, and 942... I'm going to turn the page.
Boyd: Just watch your audio because you're just dropping just a little bit.
Laureen: Oh yeah because I'm having to twist over to where my camera is. Okay, I'm going to move my little microphone buddy here. Too many papers. Alright, can you hear me now?
Alicia: We can hear you good.
Laureen: Alright so 942, burn of the trunk. So the difference between the 3... the categories is location, general location. Now this is the point where I'll ask my students, "Okay what do we need to figure out next? And they'll say, "Oh is it the chest, the back or the genitalia?" I'm like, "No, that's 5th digit." We can't jump from 3rd digit to 5th digit box. Okay, we need to go down below the box to the 4 digits. So this is good instruction, not just for burn coding but for general ICD coding. Don't think that things go in order.
So what's the difference between the 4 digits? And what I love about this is that they're all the same for each of the categories. A 0.0 means unspecified degree. .1 is first degree. 0.2 is second degree. .3 is third degree. .4 is deep 3rd degree and .5 is deep 3rd with a loss of body part. So that's always the same. The 4th digit for ICD 9 is the depth of the burn, if you will.
So we know location, depth and now we need to know more specifically, the location. So for this burn of the back, if I said it was a 3rd degree burn of the back, we're going to say, okay 942 of the trunk and then the 3rd degree, it's going to be .3 and then we come up to the 5th digit box. It's going to be 4. So 942.34 is going to be the code for that. That's pretty easy when you just have one burn. Quite often, unfortunately, there's multiple burns to contend with.
So what do you do when you have more than one burn... like, if I had a burn of the trunk and a burn of the arm, I'm going to be in 2 different categories. I'm going to have 2 codes. But what do you when you have 2 burns in the same category? What if I have a burn of the back and a burn of the breast? They're in the same category, right? So if the back was a 3rd degree and the breast was a 2nd degree, what the guidelines tell us is that you code the most severe burn first. So it's going to be 942.3 but the 5th digit will be the 5th digit of 9 other and multiple sites of the trunk. You can tell I've been here before.
Okay so what a common newbie mistake is they'll say, "Oh, coding guidelines say I code the worse burn." So they code 942.3 and they use 4 for back when they miss the point that they should have used 9 to indicate it's multiple burns in that category, the worse one being a 3rd degree. Okay so whenever you're coding multiple burns in the same category, you're only going to have one code per category. And if there's more than one, you're going to use the multiple 5th digit code. In this case, it 9.
MORE...
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- published: 19 Dec 2012
- views: 132
0:40
An Overview of ICD9 Coding from UMA (Part 1 of 4)
This ICD-9-CM coding tutorial is provided by Ultimate Medical Academy (UMA). UMA's medical...
published: 03 May 2010
An Overview of ICD9 Coding from UMA (Part 1 of 4)
This ICD-9-CM coding tutorial is provided by Ultimate Medical Academy (UMA). UMA's medical billing and coding training video tutorial includes an overview of billing and coding procedures to help you become more familiar with the diagnosis ICD-9-CM code book.
The first of four medical billing and coding tutorials, this video introduces the contents of the series. These medical billing and coding video tutorials will not only provide you with the background of diagnosis ICD-9 coding, but they also feature instruction on how to use the ICD-9 code book. As a medical biller and coder, you will find the ICD-9 code book is an essential instrument you'll use every day as a reference tool.
While viewing these medical billing and coding video tutorials, you can pause and rewind as needed to make sure you have a full understanding of the material before forging ahead. Ultimate Medical Academy students also have the capability of downloading relevant documentation that corresponds with these videos from the Learning Management System. Printing this helpful document can make it easier for you to take notes as you move through these ICD-9 coding tutorials.
The four-part medical billing and coding tutorial series contains the following videos:
• An Overview of ICD-9 Coding (Part 1 of 4) -- http://www.youtube.com/watch?v=1vqdFANk60M&feature;=related
• An Overview of ICD-9 Coding (Part 2 of 4) -- http://www.youtube.com/watch?v=dk1YLAO8Z-c&list;=PLCCEEA8E329FC8893&index;=2&feature;=plpp_video
• An Overview of ICD-9 Coding (Part 3 of 4) -- http://www.youtube.com/watch?v=hUWOi4wbgtQ&list;=PLCCEEA8E329FC8893&index;=3&feature;=plpp_video
• An Overview of ICD-9 Coding (Part 4 of 4) -- http://www.youtube.com/watch?v=C31X2IhCzyE&list;=PLCCEEA8E329FC8893&index;=4&feature;=plpp_video
RELATED UMA MEDICAL BILLING AND CODING VIDEOS
Are you aspiring to become a medical billing and coding professional? If you're interested pursuing your healthcare career goals, you may also want to take a look at these Ultimate Medical Academy videos:
• Medical Billing and Coding Video Tutorials -- http://www.youtube.com/playlist?list=PLCCEEA8E329FC8893&feature;=plcp
• Medical Billing and Coding Training -- http://www.ultimatemedical.edu/programs/medical-billing-and-coding
• Medical Billing and Coding Degree -- http://www.ultimatemedical.edu/programs/medical-billing-and-coding-degree
• Medical Billing and Coding Diploma -- http://www.ultimatemedical.edu/programs/medical-billing-and-coding-diploma
STAY TUNED TO ULTIMATE MEDICAL ACADEMY'S LATEST NEWS AND UPDATES
What's happening with UMA? Find out about the current healthcare training lineup, view the latest news releases or check out the newest Ultimate Medical Academy success stories. You can easily stay informed with these helpful links:
"Like" us on Facebook -- http://www.facebook.com/umaonline
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Find out more about our healthcare education and career resources -- http://www.ultimatemedical.edu/education
Check out the UMA newsroom for press releases, news and events -- http://www.ultimatemedical.edu/newsroom
For information on student graduation rates, retention and placement rates, and student financial obligations, visit http://www.ultimatemedical.edu/consumerinfo
- published: 03 May 2010
- views: 10793
10:53
Hypertension ICD 9 Codes
hypertension icd 9 codes
Click here to get more cpc exam tips, coding certification train...
published: 21 Jan 2013
Hypertension ICD 9 Codes
hypertension icd 9 codes
Click here to get more cpc exam tips, coding certification training, and ceu credits.
http://www.codingcertification.org/freetips-yt
hypertension and chronic kidney disease. That's Alicia's. I guess I'll bring that answer sheet up.
Alicia: Yeah. And you know what? You guys, I just took a class on this so it's very exciting. I just feel like my little spongy brain has absorbed all kinds of information and it was a lot of fun. I've struggled with this too.
So hypertension, abbreviated htn if you guys didn't know that you know, what is hypertensive disease? And it's so broad that you know, you can't really define it per se. But the main thing about hypertension is you want to know is it essential or primary hypertension? Okay... and it's going to mean, is there no underlying condition that is causing the blood pressure to increase? Okay so what percentage do you think is essential or primary hypertension? In fact, 95% is essential and unless blood pressure readings are very high, efforts to control blood pressure are usually based on things that... you can just change in your lifestyle. You know, you can lose weight. You can exercise. You can you know, reduce your salt. You know, reduce your stress. Only 10% have a secondary hypertension which would be under category 405.
So probably the first code... I always laugh because the first code that most new coders learn is 401.9 because you see it a lot especially if you're coding for Medicare patients. Everybody seems to have hypertension. So let's see, the physician must document if the patient's hypertension is benign or malignant in order to get your 4th digit. Okay so if it doesn't say whether it's benign or malignant then you have to use 401.9 which, by the way, translates in icd 10 as I10 which I think is kind of fun. So now you already know an icd 10 code.
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- published: 21 Jan 2013
- views: 194
4:12
ICD 9 CM Coding
ICD 9 CM Coding
Another ICD question but this one's related to sequencing. The student as...
published: 07 Feb 2013
ICD 9 CM Coding
ICD 9 CM Coding
Another ICD question but this one's related to sequencing. The student asked, "Is there a rule of thumb to which code should be billed first if the ICD 9 does not state otherwise? For example, 250.40 and 585.3. I understand that but maybe a good example might be dehydration due to flu. What is the rule to bill first? My thinking is you would have the flu before dehydration. But then my overthinking kicks in and thinks that you wouldn't maybe have an office visit if you weren't dehydrated. Thank you for your help on this."
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I love that question because you're really in their mind and you could picture them on the exam or answering a board exam question and going back and forth talking to themselves. So let's see what I found out here.
I don't know why this makes me resize it each time but that's okay. Alright so again, this was another Find A Code look up. I just basically did a search and I typed in dehydration and it brought me to 276.51 and this plain English description helped me. It described what dehydration is but down here, what I have highlighted... let me make this just a bit smaller. It said, "Note: Since dehydration is usually the result of another underlying condition like the flu, either of which may require medical management in itself. Determining code sequencing can be difficult." So my little note was you're not alone. Obviously, other people have found it difficult.
And then it goes on to say, "It may be listed first when the physician documents that the dehydration is mainly responsible for the visit and treatment is directed at correcting it." So my general rule of thumb for outpatient coding is think about the reason they came in the door. What's their chief complaint? And if that turns into you know, a diagnosis.. maybe their chief complaint was sore throat and it ends up being they have strep throat, you would code that strep throat. In addition too maybe they also have the flu or whatever.
So I don't think you could go wrong with having either first, the flu or the dehydration for outpatient and physician-based coding. But you know, we'd have to see the documentation to really make a determination which it seemed that the physician focused in on. If most of the documentation seemed to be about the dehydration and the medical decision making was about dehydration, how to get the patient rehydrated... maybe they were so bad, he or she may need to go to the hospital. So that's what you really should use to help you make that decision.
Some other references are the official ICD coding guidelines. Another is also this great article online I found in doing some research on advanced review the official outpatient ICD 9 CM coding and reporting guidelines. This will be in the transcript for the Replay Club members. But it is on advanceweb.com. You could probably Google for it. And it talks here about first listed diagnoses. I really thought this was really good info here and it actually related to some of the stuff that Alicia was talking about on some of her slides. But that was a pretty good article. It's related to CCS Prep but it applies to anyone learning ICD coding.
http://youtu.be/AnwKiYz42Hw
- published: 07 Feb 2013
- views: 178
5:16
2013 Ob-Gyn Coding Updates with ICD-9 Changes
http://www.supercoder.com/ - Register yourself for 60 Minutes Pre recorded event by Expert...
published: 17 Jan 2013
2013 Ob-Gyn Coding Updates with ICD-9 Changes
http://www.supercoder.com/ - Register yourself for 60 Minutes Pre recorded event by Expert Melanie Witt on OB-Gyn Coding 2013 updates with ICD-9 codes and CPT codes changes.
- published: 17 Jan 2013
- views: 46
5:54
Pregnancy Codes- Medical Coding
Pregnancy Codes
http://www.codingcertification.org/freetips-yt
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published: 03 Dec 2012
Pregnancy Codes- Medical Coding
Pregnancy Codes
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All right! Medical coding for pregnancy. I really like this because this is one of the most common questions that I get when I'm teaching. Pregnancy can be really intimidating because there's so many codes that are involved. One of our PBC students had stated, "How many codes do I need when I code a pregnancy and delivery?
When you're dealing with pregnancy coding, the first thing you need to determine, "the mother's chart or the baby's chart?". Now, with pregnancy coding, you would be thinking, "Okay well, pregnancy isn't the baby." But as long as the mother is pregnant and has not delivered, everything that happens to the fetus or the mother is put on the mother's chart. Then once the baby is delivered, you have a newborn chart and things get separated. That can confuse people sometimes, as well, so make sure you're in the proper chart.
Some of the key terms that you want to look for when you go to code pregnancy: gestation, cesarean delivery, vaginal delivery and if it was a viable or a living infant. You'll see both those terms.
Okay, this is one from the textbook that we use, the Carol Buck books that we like so well, the Step by Step. Mrs. Smith is a 32-week gestation... and I highlighted all the terms that you're going to pull out of this... and is admitted with a severe bleeding and abdominal cramping. An emergency ultrasound is done and fetal monitors are applied. She's diagnosed with total placenta previa with indications of fetal distress. An emergency cesarean section is done with delivery of a viable, male infant.
So I broke down the codes that you would use for this. This is actually in the ICD-9 section of our book but I went ahead and pulled out a CPT code. And when you're doing CPT codes for delivery, it's a cesarean delivery only. You'll also find codes for CPT where your patient tried to deliver vaginally and was not able to and so then they reverted to a cesarean delivery or they went in as cesarean initially. Those are things you want to pay attention to.
So your ICD-9 codes, we'll just start at the very beginning. So we have a pregnant patient and it's complicated because there's a problem. Whenever you see any type of a problem then that's a red flag. And the term you're going to look up is complication or complicated. What did she have that was complicated? She had a problem with her placenta. What was it? It was placenta previa. So that code, 641.11 is the code that we're going to use first. That's why she was brought in because she had a complication with the pregnancy. The bleeding, all of that, or the signs and symptoms of the placenta previa, so you don't code those.
Now what did this result in? We have distress of the fetus so you look up distress. Of what? The fetus and it's affecting the management of the pregnancy. How is it affecting the management of the pregnancy is that we're going to have to deliver. Placenta previa is a danger to both the baby and the mama. You'll bleed out and you'll bleed out very quickly so that could result in death of both the mother and the baby. It's something that they have to take care of quickly. So it affected the management of the pregnancy. That's what's going to be coded next. You notice as we're going along, we're painting a picture and we're just... we're giving a description of each step of what's going on with the mama.
So next, what happened? We had the pregnancy. It was complicated and it's early onset of delivery. We noticed our mama was 32 weeks. Forty weeks is full gestation. So anything befor 40 weeks is going to be early onset delivery which tells the insurance company, "Okay, we have a possible preemie here and so heads up on other complications that can come with that."
Now our last thing that happens is we have a viable male infant. It doesn't matter if it's male or female. That's not a coding thing that you need to worry about. But knowing how many is delivered and stuff is important. This is the V code. All pregnancies with deliveries end up with a V code. Don't leave those off so when you're taking your CPC exam, you may see all of these codes on there. You think, "Okay, I've got it but they left the V code off." And so that's a heads up. Don't leave the V code off. What do you have? The outcome is the term you look up. Outcome of delivery, single and then liveborn because you have stillborn babies and that's a separate code. So everything turned out fine. We have the outcome. We had one baby that was born and the baby was born live. That's where you get the viable.
And that's how you do a pregnancy code when you have complications. You just go from the beginning to the end, step by step, kind of in order as they happen and make sure that you get everything that's listed.
- published: 03 Dec 2012
- views: 236
2:55
3M HIS - Problem Lists and ICD-10
3M clients discuss the value of attaching codes to "problem lists" in the move toward mean...
published: 20 Nov 2012
3M HIS - Problem Lists and ICD-10
3M clients discuss the value of attaching codes to "problem lists" in the move toward meaningful use. Several panelists note the advantage of using a database tool, such as 3M HDD, to map codes and terminology in a central location.
- published: 20 Nov 2012
- views: 29
3:07
Medical Coding ICD-9 Coding History Codes and Cancer
medical coding http://www.codingcertification.org/
Get more cpc exam tips, coding certifi...
published: 03 Sep 2012
Medical Coding ICD-9 Coding History Codes and Cancer
medical coding http://www.codingcertification.org/
Get more cpc exam tips, coding certification training and ceu credits.
Go to http://www.codingcertification.org
History Codes and Cancer. Yes, I like this because this is something that it seems like every student asks about so I've explained it so many times I just wait for them to ask. Someone asked via the last session I believe on V58.11 or V10.3 had seen it on commentator on Amazon pointed out that one cannot code these two codes together and then they had looked up both codes and can't see why they can't be coded together. Well, this is real easy, Marty is the one that had asked us. It is true you cannot code these two codes together because when you look up V10.3 and you read the guidelines of the history code it states for example: a code for breast cancer cannot be used a history of breast cancer if the person is getting treatment for breast cancer. Therefore if you are going to use V10.3 that means its a history, they had breast cancer they are no longer getting treatment, unlike V58.11 which is a chemotherapy code. and treatment for their cancer and therefore a history code is not applicable keep that in mind, and even on your code books its a good idea to write treatment for their cancer. Good idea to write maybe next to your history code "no longer getting treatment. I believe that even if primary and secondary cancer, lets say your patient had breast cancer, is no longer getting treatment for that breast cancer they had that ten years ago and then a year ago they found they have lung cancer, that is a secondary cancer to the breast cancer and you no longer can use the history code. Isn't that right Laureen? (Laureen: Yes)
So, if you are getting treatment for any cancer after or during the time that you have cancer, history code does not apply. So make sure you make a note right next to your V code on that. Laureen: Alright, thank you.
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http://youtu.be/5-h6SSQYAwM
- published: 03 Sep 2012
- views: 158
12:37
Medical Coding Software Demo from PitchStone Health - CPT, HCPCS, NCCI, ICD-9, ICD-10 Coding Tools
Learn how to use PitchStone Health's proprietary medical coding software to increase effic...
published: 18 Sep 2012
Medical Coding Software Demo from PitchStone Health - CPT, HCPCS, NCCI, ICD-9, ICD-10 Coding Tools
Learn how to use PitchStone Health's proprietary medical coding software to increase efficiency and reduce errors. The software allows users to search for ICD-9 codes, ICD-10 codes, HCPCS codes, CPT codes, NCCI edits and more from an easy to use platform. A 10-day free trial of this incredible software can be found at https://www.pitchstonehealth.com/signup.
- published: 18 Sep 2012
- views: 284
4:21
Burn ICD 9
Alright, my turn, burn codes. Actually, I thought this was going to be a long one. It's ac...
published: 01 Mar 2013
Burn ICD 9
Alright, my turn, burn codes. Actually, I thought this was going to be a long one. It's actually an easy one. So Theresa writes, "Here's a question. What CPT in ICD9 CM codes would be used to code a subsequent encounter in which a split thickness skin graft, both thighs to the abdomen measuring 45 by 21 cm is performed on a patient who has 3rd degree burns of the abdomen? Documentation stated 20% of the body surface was burned with 9% 3rd degree. The patient has also sustained 2nd degree burns of the upper back." And then these are the correct answers given. So we got the 2 CPT codes and then we have 942.33 and 942.24 and then 948.20.
Now 948 has to do with the percent of body area affected. What she's asking is why are there 2 942 codes? I thought we were only supposed to code a 942 code one time combining the two areas. And she's absolutely correct. So this is a practice question that clearly has a wrong answer. The coding guidelines, when you learn ICD coding guidelines, they'll tell you, for multiple burns, how to handle them.
Let me see what I put on my answer sheet here. Oh, I just copied the guidelines for Chapter 17 -- Injury and Poisoning. And it says, 'The principle of multiple coding of injury should be followed whenever possible.' So it probably is better to just go to Find A Code and let me go to 942.
So I tried to get my document camera to show you this one but I wouldn't cooperate tonight so I'm using the encoder. So basically, 942 is a category code -- burn of the trunk. Then our fourth digits have to do with the degree -- 1st degree, 2nd degree, 3rd degree. It's the 5th digits that have to do with further specificity of location.
So in this scenario, I think it said trunk... oh no, two areas of the trunk. I can't remember right now, let me see here. So we got the abdomen and then they also had upper back. So those are both categorized to the trunk, to the category 942. But what they should actually be using is the 5th digit of... I'm trying to see this in context here. 942.09 -- burn, multiple sites of trunk. Now we're not necessarily going to pick the 4th digit of 0. We picked the worst burn. So in this case, I think it was a 3rd degree so we'd actually go to 942.39. The point is that you're only going to have one 942 code on any given claim because you're supposed to group them together and that's why we have the 5th digit of 9 for multiple sites of the trunk. So that's just an example of an answer key not giving the correct answer. So, good thinking it through.
http://youtu.be/laskMNQCuPU
- published: 01 Mar 2013
- views: 57
5:15
Mastering Neurological Diseases, Conference, Guidelines, Events
http://www.supercoder.com Join 60 minutes Prerecorded conference by expert "Judy Adams" to...
published: 28 Dec 2012
Mastering Neurological Diseases, Conference, Guidelines, Events
http://www.supercoder.com Join 60 minutes Prerecorded conference by expert "Judy Adams" to find out the ICD-9 codes special cases of Neuro I Codes. SuperCoder.com is powered by the coding experts from The Coding Institute, LLC, who bring 110 years of combined coding expertise to coders, physicians, and payers.
- published: 28 Dec 2012
- views: 18
Youtube results:
7:22
Neoplasm Coding
Neoplasm Coding
Click here to get more cpc exam tips, coding certification training, and ...
published: 31 Dec 2012
Neoplasm Coding
Neoplasm Coding
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http://www.codingcertification.org/freetips-yt
Lets get into come content. One of our students have asked to review neoplasm coding from the ICD 9 manual.
so what this is... it does like someone chewed the corner, that's my kids. They... I was working on this page and they came over. "Can I help you color?" But in any rate, if you have your ICD 9 book handy, this is in the index if you go to the Ns for Neoplasm. The first thing you want to remember about cancer coding or neoplasm coding is the fact that really, you should not start with the neoplasm table. And this was kind of new for me. I had actually been teaching a couple of years before I actually realized that you should look for the main term in the document that you're coding like melanoma or whatever. You go to that first. 9 times out of 10, it will direct you to neoplasm and the table but always start with the main term that you're trying to code and let the index direct you to the neoplasm table.
So once you come to the neoplasm table, what I want you to look at first is these columns. Okay so there's... in neoplasm... here you go, Jane. Here's medical terminology, right? Means new growth. It doesn't mean cancer. It could be but it means that there's a new growth. So we see here that there's 3 types of malignant cancers: primary, secondary, and cancer in situ. The primary type is it's a spreadable type of cancer. And secondary is where it spreads to so you'll see in the documentation, phrases like 'with mets'. So maybe they had breast cancer with mets to the liver or with mets to the lungs or something like that. So the primary cancer would be the breast and the secondary cancer would be the lungs or the liver.
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http://youtu.be/mkn30BxcblQ
- published: 31 Dec 2012
- views: 168
11:51
Medical Coding Certification Webinar- December 2012
Medical Coding Certification Webinar December- Excerpts
Full 90 Minute Webinar available a...
published: 24 Dec 2012
Medical Coding Certification Webinar- December 2012
Medical Coding Certification Webinar December- Excerpts
Full 90 Minute Webinar available at:
http://www.codingcertification.org/webinar-replay-club
Welcome to excerpts of the Coding Certfication December 2012 medical coding certification webinar!
Here's a recap of the questions we covered:
1- Practice Management Question
2- Twin Pregnancy Codes
3- Radiology Contrast
4- Chemotherapy Coding ICD 9
5- Cancer Codes in ICD-9
6- Global Period
7- Peripheral Vascular Disease
8- Advanced Coding
9- Burn Codes
10- HIV vs Aids
Full 90 Minute Webinar available at:
http://www.codingcertification.org/webinar-replay-club
http://youtu.be/c1x9Vr3Va-4
- published: 24 Dec 2012
- views: 66
7:39
Physician Coder -- Complete ICD 9 & CPT Coding Tools with CPT To ICD-9
http://www.supercoder.com/coding-solutions/physician-coder - Physician Coder is complete c...
published: 08 Feb 2013
Physician Coder -- Complete ICD 9 & CPT Coding Tools with CPT To ICD-9
http://www.supercoder.com/coding-solutions/physician-coder - Physician Coder is complete coding tool for fast medical procedure documentation of CPT® codes, ICD 9 CM diagnosis codes with CPT to ICD 9 cross reference and vice versa. Also save upto $170 on market price with opportunity to earn AAPC CEUs. SuperCoder.com is powered by the coding experts from The Coding Institute, LLC, who bring 110 years of combined coding expertise to coders, physicians, and payers.
- published: 08 Feb 2013
- views: 66