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Medical Coding Clarified
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Добавлен 12 июн 2023
Welcome to Medical Coding Clarified! My name is Claire Riha and I am an Inpatient coding auditor with over 12 years of experience. In my channel I provide ICD 10 coding education that aims to fill the gaps between what you learned in your coding education program and what you need to know in real word coding. Here you will find both in depth tutorials and quick tips and tricks. Whether you are a student just starting to learn medical coding or already working in the field, it is my goal to provide top notch coding education that will help you on your journey to coding with confidence!
Information in this channel is opinion only, and not to be considered legal, medical or professional advice.
Information in this channel is opinion only, and not to be considered legal, medical or professional advice.
ICD-10-PCS 360-Degree Spinal Fusion Explained!
In this video, you will learn how to code a 360-degree spinal fusion using PCS. This tutorial provides a detailed explanation of an operative report, highlighting key documentation clues for each component of the PCS code.
Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your coding abilities and boost your confidence. So, let's get started and happy coding!
TO SUPPORT THE CHANNEL: www.buymeacoffee.com/medicalc...
The information and opinions presented are based on my experience, training, and interpretation. Although the information has been researched and reviewed for accuracy, I accept no liability concerning errors,...
Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your coding abilities and boost your confidence. So, let's get started and happy coding!
TO SUPPORT THE CHANNEL: www.buymeacoffee.com/medicalc...
The information and opinions presented are based on my experience, training, and interpretation. Although the information has been researched and reviewed for accuracy, I accept no liability concerning errors,...
Просмотров: 552
Видео
ICD-10-CM Obstetric coding: Choosing the final character for trimester
Просмотров 6752 месяца назад
In this video you will learn how to select the final character for trimester when coding obstetric cases from chapter 15 in ICD-10!! Concepts from ICD-10-CM Official Coding Guidelines Section I.C.15.a.3 Final character for trimester, Section I.C.15.a.4. Selection of trimester for inpatient admissions that encompass more than one trimester and Section I.C.15.a.5.Unspecified trimester are covered...
Coding Clinic, Second Quarter ICD 10 2024 review
Просмотров 7002 месяца назад
In my coding clinic review videos, I provide explanations of topics covered in Coding Clinic. My goal is to help you enhance your medical coding skills and code with confidence! This video answers the question of how to code toxic encephalopathy with metabolic encephalopathy! This question was addressed in ICD-10-CM/PCS Coding Clinic, Second Quarter 2024 Page: 14-15 Metabolic encephalopathy wit...
ICD 10 CM How to code cerebrovascular accident!
Просмотров 1,4 тыс.3 месяца назад
In this video you will learn how to code cerebrovascular accident in ICD-10. Coding of both ischemic and hemorrhagic strokes are explained in this video! Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your coding abilities and boost your confidence. So, let's get started and happy coding! TO SUPPORT THE CHANNEL: www.buym...
ICD 10 CM Coding Clinic Review How to code an admission following an out of hospital cardiac arrest!
Просмотров 5713 месяца назад
In my coding clinic review videos, I provide explanations of topics covered in Coding Clinic. My goal is to help you enhance your medical coding skills and code with confidence! This video answers the question of how to code an admission following an out of hospital cardiac arrest! This question was addressed in ICD-10-CM/PCS Coding Clinic, First Quarter ICD-10 2024 Page: 27 Cardiac Arrest Prio...
ICD 10 Coding Diabetic complications explained!
Просмотров 1,4 тыс.4 месяца назад
In this video you will learn how to code diabetic complications in ICD-10. Concepts from ICD-10-CM Official Guidelines Section I.C.4.a. Diabetes mellitus, Section I.C.4.a .2 Type of diabetes mellitus not documented and Section I.A.15 “With” are covered in this video. Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your co...
ICD-10-CM coding When to code asthma with COPD explained!
Просмотров 1,6 тыс.4 месяца назад
In this video I explain what you need to know about when to code asthma with COPD in ICD-10! Information from coding clinic Chronic obstructive pulmonary disease with unspecified asthma ICD-10-CM/PCS Coding Clinic, First Quarter ICD-10 2017 Page: 25 and Acute exacerbation of unspecified asthma with chronic obstructive pulmonary disease ICD-10-CM/PCS Coding Clinic, Fourth Quarter ICD-10 2017 is ...
ICD 10 CM Coding: COPD coding explained!
Просмотров 1,5 тыс.5 месяцев назад
In this video I explain what you need to know about coding COPD with Emphysema, COPD exacerbation and COPD with lower respiratory tract infection. Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your coding abilities and boost your confidence. So, let's get started and happy coding! TO SUPPORT THE CHANNEL: www.buymeacoffe...
How to Code Sepsis due to Kidney Transplant Infection!
Просмотров 6505 месяцев назад
In my coding clinic review videos, I provide explanations of topics covered in Coding Clinic. My goal is to help you enhance your medical coding skills and code with confidence! This video answers the question of how to code an Inpatient admission for sepsis due to a kidney transplant infection. This question was addressed in ICD-10-CM/PCS Coding Clinic, Fourth Quarter ICD-10 2023 Page: 88 Effe...
ICD 10 Coding for postprocedural wound infections!
Просмотров 1,3 тыс.6 месяцев назад
In this video I explain how to code postprocedural infections in ICD-10-CM. Concepts from the Official Coding Guidelines Section I.C.2.d.5. Sepsis due to a postprocedural infection are covered in this video. Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your coding abilities and boost your confidence. So, let's get star...
ICD-10-CM coding: How to code and sequence infection due to a central venous catheter
Просмотров 1,1 тыс.6 месяцев назад
In this video you will learn how to code and sequence infection due to a central venous catheter. ICD-10-CM code T80.211, Bloodstream infection due to central venous catheter, T80.212 Local infection due to central venous catheter and concepts from Official Coding Guideline Section II.G. Complications of surgery and other medical care are covered in this video. Whether you're new to medical cod...
Medical Conditions Due to Psychoactive Substance Use, Abuse and Dependence
Просмотров 8627 месяцев назад
In this video you will learn how to code medical conditions due to psychoactive substance use, abuse and dependence ICD-10-CM Guideline Section I.C.5.b.4 Medical Conditions Due to Psychoactive Substance Use, Abuse and Dependence is covered in this video. Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your coding abilitie...
Coding Clinic Review Second Quarter 2018 page 21
Просмотров 3417 месяцев назад
In my coding clinic review videos, I provide explanations of topics covered in Coding Clinic. My goal is to help you enhance your medical coding skills and code with confidence! This video addresses the question of how to code a diagnosis of urinary tract infection and hydronephrosis with obstruction due to a ureteral calculus. This question was previously addressed in the Coding Clinic from th...
ICD 10 PCS Coding Posterior Spinal Fusion Case Study
Просмотров 2 тыс.8 месяцев назад
In this video you will learn how to build an ICD-10 PCS code from an OP report! This case study focuses on how to code a posterior spinal fusion. Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your coding abilities and boost your confidence. So, let's get started and happy coding! TO SUPPORT THE CHANNEL: www.buymeacoffee...
ICD 10 Coding Choosing the Principal Diagnosis
Просмотров 3,6 тыс.8 месяцев назад
In this video you will learn the three main principals that you must apply when choosing the principal diagnosis! ICD-10-CM Guideline Section II. Selection of Principal Diagnosis is covered in this video. Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your coding abilities and boost your confidence. So, let's get started...
ICD 10 PCS Case Study Laparoscopic Right Hemicolectomy
Просмотров 7759 месяцев назад
ICD 10 PCS Case Study Laparoscopic Right Hemicolectomy
Category G89 pain code sequencing explained!!!
Просмотров 1,4 тыс.9 месяцев назад
Category G89 pain code sequencing explained!!!
ICD 10 PCS Case study -Intramedullary nailing of a hip fracture!!!
Просмотров 80210 месяцев назад
ICD 10 PCS Case study -Intramedullary nailing of a hip fracture!!!
ICD 10 CM Selection of Principal diagnosis for vaginal delivery!!!
Просмотров 93310 месяцев назад
ICD 10 CM Selection of Principal diagnosis for vaginal delivery!!!
Using the TNM staging system for coding cancer explained!!!
Просмотров 73010 месяцев назад
Using the TNM staging system for coding cancer explained!!!
ICD-10-CM Timeframe for coding and reporting acute myocardial infarction explained!!!
Просмотров 1,8 тыс.10 месяцев назад
ICD-10-CM Timeframe for coding and reporting acute myocardial infarction explained!!!
How to code bowel obstruction due to other condition! New FY 2024 Tabular instructional note change!
Просмотров 1,1 тыс.11 месяцев назад
How to code bowel obstruction due to other condition! New FY 2024 Tabular instructional note change!
Coding Chronic Kidney Disease Stages Explained!
Просмотров 1,8 тыс.11 месяцев назад
Coding Chronic Kidney Disease Stages Explained!
Coding hypertensive heart disease explained!!!
Просмотров 2,1 тыс.11 месяцев назад
Coding hypertensive heart disease explained!!!
Medical Coding Minute: How to code encephalopathy due to sepsis
Просмотров 64511 месяцев назад
Medical Coding Minute: How to code encephalopathy due to sepsis
Medical Coding Minute Coding: How to code poorly controlled diabetes vs uncontrolled diabetes
Просмотров 547Год назад
Medical Coding Minute Coding: How to code poorly controlled diabetes vs uncontrolled diabetes
ICD 10 CM Coding Pathological Fractures What Coders Should Know!!!
Просмотров 1,9 тыс.Год назад
ICD 10 CM Coding Pathological Fractures What Coders Should Know!!!
Medical Coding Minute How to code a chronic CVA!!!
Просмотров 620Год назад
Medical Coding Minute How to code a chronic CVA!!!
How to code complications of neoplasms!!!
Просмотров 2,8 тыс.Год назад
How to code complications of neoplasms!!!
Medical Coding Minute: How to code rib fractures due to crush injury!!!
Просмотров 316Год назад
Medical Coding Minute: How to code rib fractures due to crush injury!!!
Could u pls clarify on root operation for FNA aspiration of tissue and core needle biopsy of lymph node.. Tricky on choosing excision or extraction
Hi , How to code the cervical disc degeneration if it is present in both high cervical region and mid cervical region, should we take high alone for diagnosis . Please clarify
Can you speak on malposition causing perforation? Ex gastrotomy tube puncturing the bowel.
Sure, I can add that to my list. Thanks!
Would you be able to explain more when to use the E11.8 DM2 with complication? What would be the complication this code is referring to? I understand (I think) through this video that the E11.69 would be a complication of the DM2 that the physician would link. Can you give an example of this?
E11.8 would have very limited use. It would be assigned if the physician stated that the patient had diabetes with complications, but there was no documentation of what the complications are and no documentation of conditions that have a presumed causal relationship to diabetes.
@@medicalcodingclarified Thank you!
line #3 coding sepsis you have A41.9. I have found one article that the Coder said assigning code A41.9 unspecified organism does not provide any additional information that is not already included in code T81.44 therefore, no additional code is assigned for a unspecified sepsis. This is noted on page 25 of the first quarter 2017 issue of AHA coding clinic, which states that an unspecified code should not be assigned as an additional code when it does not provide any additional information. In order to maintain the major MCC status, the provider must specify the organism associated with the sepsis so that a code from A40-A41 can be assigned that specifies the organism. What are your thoughts on this guidance? I could not find the coding clinic mentioned to verify.
That is so interesting! I have never thought of that before. I am not sure what the correct answer is. I think in theory, I agree with what you are saying. It might be redundant to add the unspecified sepsis code, but in practice, I think that it is the norm to do this and I have never heard of a denial because of this issue. The coding clinic that you referenced is about coding unspecified asthma with COPD and the answer was the code also type of asthma note under COPD does not apply for unspecified asthma because "Unspecified" isn't a type of asthma. So not exactly the same topic but the concept could be transferable. Although I think with the sepsis coding one could argue that A41.9 Sepsis, unspecified organism does add the additional information that the organism causing the infection is not known. They can't always determine this and the patient would have to be on broad spectrum antibiotics rather than targeting the specific organism. I will have to pick some brains on this one and maybe submit to coding clinic. If I hear anything I will let you know. Thanks for bringing this up!
@@medicalcodingclarified Thank you
If op note findings states compression of thecal sac and laminectomy performed, can we code icd for compression of thecal sac as compression of spinal cord .. could u pls clarify on this . Thanks in advance.
No. You can't index compression of thecal sac. I would recommend a query.
Thank you! I'd love it if you could please do more like these, showing how you abstract the information from notes to find what to look up. I passed my CPC late last year, I finished Practicode earlier this year. I'm still looking for a job. I love to watch these videos because I know this career is one where you never stop learning. I feel these videos will help because I don't feel as confident as I should & am worried once I do get a job that I'll do horribly. :( I'm looking to possibly work towards my CCS, but I'm not 100% sure on that pathway yet. Thank you in advance!
Thank you, I plan on doing more like this in the future. 😊 Good luck with your job search. Getting your CCS could definitely help.
Your contents are great. So much easier to understand. Hope you'll also cover how to code PCI, heart cath and CABG. Thanks!
Thank you! 😊 And yes, those procedures are definitely on my to-do list.
Hey can you provide me all documents like such kind of case study .what condition should coded what will goes as pdx😊
Hi, I don't have a library of case studies, but there are books that do. I suggest looking on the AHIMA website.
pls explain all the root operations in a single vedio mam.
Sure, I can add that to my list. Thanks! 😊
Could you please tell me What is the root operation for ECMO?
ECMO is coded to section 5 Extracorporeal or Systemic Assistance and Performance, circulatory system, root operation performance
Hi I love your videos Thank you
Thank you! 😊
Good to see one of your videos again 🙂
Thanks! This summer has been busy!
@@medicalcodingclarified it'll be more fun when the new codes come in.
Yes, I am working on those now. I will be doing a webinar through my company on Sept 17 if you are interested. Free to register. www.datavant.com/resources/webinar
@@medicalcodingclarified thank you 🌞
Very helpful video to understand MI guidelines.. thankyou ma'am
Thank you, I am happy to hear that my video helped you!
Hello ma'am, please try to explain about GI bleed..... with cc and mcc
Sure, I can add that to my list. Thanks for the idea!
Informative and useful
Thanks! 😊
Hi maam please upload new topics. Its very useful
Hi, Yes I will soon! This summer has been really busy for me. 😊
May I ask what does qualify as substance induced disorder?
Hi! Those disorders that have specific codes in chapter 5 are considered substance induced disorders. For example there is a chapter 5 code for alcohol induced sleep disorder, so if the physician specifies that the patient has insomnia due to alcohol abuse/dependence than you can assign that code. I hope that helps!
@@medicalcodingclarified thanks!
Thank you so much for this video! I was about to give up on the chpater with sepsis.
You're welcome! I am happy to hear that my video helped you! 😊
New subscriber here
@@Crueltyfree28 Hi! Thank you for subscribing! 😊
can you go over E1159? what conditions would qualify for this code?
Sure, I can add that to my list. Briefly though, you would use E11.59 when the physician has specifically linked a condition that is classified to the circulatory system to diabetes and that condition does not specifically have its own entry linked to diabetes by the word with. For example, hypertension is not one of the conditions listed under diabetes. So there is no automatic link. But if the physician were to specifically document hypertension due to diabetes, you would assign E11.59, because I10 hypertension is a circulatory system disease. Hope that helps!
Thanks a lot mam
Thank you! 😊
Thank you very much for your very informative and knowledgeable videos! I have a question: If a patient’s past medical history includes heart failure with preserved ejection fraction (HFpEF), which is diastolic, how should it be coded if, in the current visit, they present with a systolic exacerbation?”
Hi! I would recommend coding as currently documented. If there is any doubt whether or not the patient currently has combined diastolic/systolic, query is recommended.
@@medicalcodingclarified Thank you Claire..
Thank you. I was having trouble with G89
Thank you! I am happy to hear that my video helped you. 😊
Thank you for these videos. Very concise. I like the examples and you showing the code book for reference.
Thank you, I appreciate you saying that! 😊
when it comes to removal of an intradural spinal tumor, is this excision of extirpation? For some reason I get hung up on the thought that they aren't removing the spinal cord, but rather solid material in, on or surrounding the cord. Am I overthinking here?
Hi! The location of the tumor being of the spinal cord would not impact root operation selection. The method used to remove the tumor would be the determining factor. If the method to remove the spinal tumor meets the the definition of root operation excision then yes, it would be coded to excision, body part spinal cord. Think of it as you would any debulking of a tumor. The objective is to remove the tumor from the body part that it is attached to and therefore is coded to that body part. I hope that helps!
Hi mam this video really solve my problem of coding cardiac arrest, thank u
That is great, I am happy to hear that! 😊
This is an amazing explanation, thank you!!
Thank you! 😊
Hi im new to ur channel and was wondering if u can give me an auditor perspective on how to code the below plz. If the provider documents ‘dm with ckd stage 2 & dm with microalbinminuria’ would we code E11.22, N18.2, E11.29, R80.9 or because the microalbinminuria is integral to nephropathy which codes to E11.21 would it be accurate to only code the dm with ckd? Appreciate the help in advance 😊
Hi! You would only code the diabetic ckd. As you said, microalbuminuria is inherent to diabetic nephropathy, and the ckd is the specific type of nephropathy, so no additional code is needed.
@@medicalcodingclarified Appreciate your timely response and all your videos 🤍🤍 Grateful I found ur channel! Thank u 🙏
@@melissar518 Thank you! 😊
What is root operation for closed reduction of rt hip arthroplasty dislocation Revision or Reposition
This would be root operation revision.
Thanku
So if the patient is of 40 weeks 5 days we cannot assign O48.0 as it is not 40 completed weeks
40 completed weeks is 40 weeks and zero days. You can assign O48.0 once the patient is 40 weeks and 1 day.
@@medicalcodingclarified thanku
@@medicalcodingclarified and what would be the dx for new born born at 40.5 days or 41.5 days
What would be the dx for new born born at 40.5 weeks of gestation or 41.5 weeks of gestation
P08.21 Post-term newborn. Just make sure coding is based on gestational age documented in the newborn record. You can not use documentation from maternal record.
Do you have one on the combined anterior and posterior spinal fusion?
Not yet, but it is on my to-do list!
Thank You! pls bring one video on tips and tricks to clear ipdrg interview questions asked and things like that
I don't really have any advice on job interviews because I have been in my position for ten years, so I concentrate my videos on coding advice only. I know that there are some youtubers that give interview advice. I think coding with Bleu does.
Thank you for another wonderful video. 😊🥰Have a great day.
Thank you! 😊
Thank you so much for your videos, they are really very helpful to us. Ankle and heel ulcers come under hindfoot location, can we assume these ankle and heel ulcers as diabetic ulcers? Kindly clarify. Thank you.
Heel ulcers may be automatically linked to diabetes since the heel is part of the foot, but ulcers of the ankle are classified to the lower limb, not specifically the foot so ankle ulcers do not have the same automatic link to diabetes.
Ok what about pt admitted with gi bleed and the egd shows gastritis (or duodenitis, gastric ulcer, esophagitis). Is there a casual link with those and the bleed? (Same with colonoscopy and diverticulosis..so on)? I see the CC 1992 saying yes but 2005, 2007, 2018 CC have put a question for me on this.
Obviously including this 2024 I-10 rule
Hi Carla, Yes, all of those conditions are automatically linked to bleeding because of the alphabetic index linking each condition to bleeding by the word with. Be careful when reviewing older coding clinics because they were written based on the guidelines, conventions, and instructional notes at the time of publication and may no longer be accurate due to the ongoing yearly updates.
AxilaIF , TLIF, ALIF, DLIF, XLIF, PLIF everything will comes under 360 degree fusion , pleas clarify mam
Sure, I can add that to my list. Thanks!
What is 46 INPT code? Is it for sleep guidelines....if yes, how can we find those guideline code.please help in this Mam.
That is not an ICD-10-CM code. It looks like maybe it is a billing code? Sorry, I am a coder, I don't know about billing.
Please explain VP shunt placement PCS briefly
Sure, I can add that to my list. Thanks 😊
Can you do some PCS explanations?
Yes, I plan on doing some more in the future. 😊
Please explain 360 degree fusion with one scenario
Sure, I can add that to my list. Thanks! 😊
Please explain 360 degree fusion
Sure, I can add that to my list. Thanks! 😊
Thanks for the clarity.
Thank you! ☺️
Just took my Trauma ICD-10 coding course. Thanks for sharing this!
That is awesome! Thanks for watching. 😊
Your hair looks nice. Thank you for loading this.
Thank you! 😊
Hello
Hello
Hi Claire, Can you suggest which ICD code would be appropriate for Asthma-COPD Overlap Syndrome??? Either J44.9 or J44.89.
Yes, it is J44.89. New Coding Clinic 2nd Quarter 2024 confirms asthma with COPD is assigned to J44.89. Additional code assigned for asthma only if it adds further specificity such as type or exacerbation.
Mrs. Claire, please help me with this. Patient is admitted with epistaxis due to anticoagulation. In the coding clinic states "the sequencing of code D68.32 and other codes describing the type or site of bleeding, (e.g., hemoptysis or hematuria), would be dependent on the circumstances of the admission". So in what circumstances, D68.32 will be PDX, and when D68.32 will be 2DX. Thank you
Hi, D68.32 would be PDx if the patient was admitted specifically to address the anticoagulant induced coagulopathy. For example say the associated bleeding was already stopped in the ED but they decide to admit the patient to give medication to reverse the coagulation and monitor the patient's coagulation labs.
God send. Thank you
Thank you! 😊
Can you cover coding cancer active v. history
Sure, I can add that to my list. Thanks for the idea!