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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 Coding Lysis of Adhesions
When coding procedures in PCS, one of the most difficult aspects is not the actual coding of the procedure, but rather determining whether the procedure should be coded at all. Determining whether lysis of adhesions should be coded is a common area where coders often struggle
In this video, you will learn when you should and when you should not code lysis of adhesions.
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 exper...
In this video, you will learn when you should and when you should not code lysis of adhesions.
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 exper...
Просмотров: 506
Видео
ICD-10-PCS 360-Degree Spinal Fusion Explained!
Просмотров 1,1 тыс.3 месяца назад
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,...
ICD-10-CM Obstetric coding: Choosing the final character for trimester
Просмотров 8654 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 9635 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 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 2,1 тыс.6 месяцев 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 7416 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 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 2,2 тыс.7 месяцев 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 2,2 тыс.7 месяцев 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 2 тыс.7 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 7848 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 1,6 тыс.8 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 1,3 тыс.9 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 1 тыс.9 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 36710 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 2,4 тыс.10 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 4,3 тыс.11 месяцев назад
ICD 10 Coding Choosing the Principal Diagnosis
ICD 10 PCS Case Study Laparoscopic Right Hemicolectomy
Просмотров 893Год назад
ICD 10 PCS Case Study Laparoscopic Right Hemicolectomy
Category G89 pain code sequencing explained!!!
Просмотров 1,6 тыс.Год назад
Category G89 pain code sequencing explained!!!
ICD 10 PCS Case study -Intramedullary nailing of a hip fracture!!!
Просмотров 979Год назад
ICD 10 PCS Case study -Intramedullary nailing of a hip fracture!!!
ICD 10 CM Selection of Principal diagnosis for vaginal delivery!!!
Просмотров 1,1 тыс.Год назад
ICD 10 CM Selection of Principal diagnosis for vaginal delivery!!!
Using the TNM staging system for coding cancer explained!!!
Просмотров 850Год назад
Using the TNM staging system for coding cancer explained!!!
ICD-10-CM Timeframe for coding and reporting acute myocardial infarction explained!!!
Просмотров 2,1 тыс.Год 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 1,2 тыс.Год назад
How to code bowel obstruction due to other condition! New FY 2024 Tabular instructional note change!
Coding Chronic Kidney Disease Stages Explained!
Просмотров 2,1 тыс.Год назад
Coding Chronic Kidney Disease Stages Explained!
Coding hypertensive heart disease explained!!!
Просмотров 2,4 тыс.Год назад
Coding hypertensive heart disease explained!!!
Medical Coding Minute: How to code encephalopathy due to sepsis
Просмотров 705Год 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 591Год 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 2,3 тыс.Год назад
ICD 10 CM Coding Pathological Fractures What Coders Should Know!!!
Medical Coding Minute How to code a chronic CVA!!!
Просмотров 675Год назад
Medical Coding Minute How to code a chronic CVA!!!
How to code complications of neoplasms!!!
Просмотров 3,4 тыс.Год назад
How to code complications of neoplasms!!!
Could you please make vedio on Encephalopathy clinical validation, if possible
That was good. Ty
Thank you! 😊
Thanks for your clear explanation!
@@KristinColyarCPB-CPCStudent You're welcome! 😊
👌 very good
Thank you! 😊
What is code for copd with asthma
J44.89 you can also use an additional code for the asthma if the specific type or severity is documented. Do not use an additional code for unspecified asthma
Claire, like the hair and glasses 🤓. Good to see you again.
Thanks! 😊
Thanks for your videos, please upload more charts (case studies) videos
Thank you! 😊
Your teaching's are picture perfect Mam Thank you
Thank you! 😊
Pls clarify .. If physician documented both morbid obesity and class 3 obesity.. which one to code? Next scenario sbo due to cancer.. no work up for cancer. Physician documented CT performed and found to have cancer progression.. sbo treated with ivf and bowel rest.. Here underlying condition should be assigned as pdx or complication of cancer that is Sbo should be assigned? Pls clarify
I dont have a definitive answer for you. I recently submitted this question to coding clinic for clarification. I have researched and diagnostically class 3 obesity and morbid obesity are exactly the same thing, with the only distinction being that the term "class 3 obesity" is considered to be less stigmatizing. From that standpoint, it seems that when they created the new obesity class codes, maybe E66.01 should have been deleted. However, it is worth noting that E66.01 specifically describes morbid obesity due to excess calories, providing a level of specificity that E66.813 lacks as it does not identify the underlying cause of the class 3 obesity. Another point to consider is the impact of E66.01 on risk adjustment, as the new code has not yet been integrated into existing models. In the absence of official guidance, my recommendation would be to capture both codes if they are both documented due to the risk adjustment issue. While it does seem redundant, both codes are listed at the same indentation level in the alphabetic index, with no exclusion notes in the tabular that would prohibit assigning both. I will let you know when I hear back from the coding clinic. I am sure that many others have submitted questions, and I would not be surprised if the answer is published in the next issue.
For the sbo with cancer, I can't say what a principal diagnosis is without reviewing the medical record, however when coding complications of cancer, the guidelines tell us that unless otherwise instructed by the classification, complications of cancer should be sequenced before the cancer if the care was only directed at the complication with no care directed at the malignancy.
Hi mam, please show how to analysis length of stay charts without errors
Sure, I can add that to my list. 😊
Hi can you go over sequencing when there are multiple complications? For example I12.0 and E10.65…or if you have I12.0 and E11.22? How do you know which is PDX?
Sure, I can add that to my list. There are not any sequencing rules between I12.0 and E10.65 or between I12.0 and E11.22. Sequence according to the circumstances of admission. I do have a video that explains sequencing instructional notes that might help. ruclips.net/video/jFl_4evfFuQ/видео.htmlsi=Wy-GShe_O39Z6v34
Need pad help
Sure, I can add that to my list of future topics.😊
Sometimes the guidelines are cut and dry when reviewing cases… other times not so much. Take a patient who comes in with acute liver failure secondary to his liver metastasis. Family decides to only pursue comfort measures and patient passes away 2 days later… What is the first dx in this scenario?
Can you provide decision tree for serf and fluid over load-admission 2nd- pt admit for cold and numbness of lower leg after having redo of femoral anterior tibial bypass graft now occluded
It has been a long time to see your new video. Really helpful. Please give more videos about some case studies, or how to navigate among medical record. Thank you
Yes, work and family obligations have not left me much time this last couple of months, but I am hoping to get back on track and make more videos soon. 😊
One of the best channel I ever come across regarding medical coding tips and ipdrg pcs sessions. i hope we gonna get more videos from you in upcoming days ...
Thank you! 😊
Except aspiration and VAP , covid19pneumonia rest all of the pneumonias. Can we considered as lower respiratory infection?
Which pneumonias are considered as influenza?
Nice explanation... Able to understand easily. Thanks for your video. Can u plz take a session of Endarterectomy and Gi bleed related guideline as well as pcs.
Thank you! 😊 I will add that to my list, and I am thinking of doing a GI bleed one next.
Great one, thank you so much. I would like to get a session for how to capture code for external cause code following complication pdx
Thank you, I will add that to my list 😊
Hi there. I’m not sure if you’ve already done a video on sepsis,but that one is a pain for me. In particular, sepsis due to X due to pneumonia from X (same pathogen). Any help would be appreciated. Thank you.😊
Hi! I do have a sepsis video, here is the link. 😊 ruclips.net/video/hrBwJxk_BvI/видео.htmlsi=_WXSGIZKb6ITE_1-
Thank you! Thank you! Thank you so much!❤
You're welcome, and thank you for watching! 😊
Mam! I have a doubt regarding diabetic gastroparesis. Patient has DM, neuropathy,polyneuropathy, gastroparesis, which code should be assigned? Kindly clarify this through comment mam
Nice one very simple and elegant.
Thank you! 😊
Could you please clarify about newborn coding condition such infant of diabetes mother, reporting meconium staining in newborn, codeble diagnosis with the monitoring without manifestation or symptoms.
Sure, I can add that to my list. Thanks!
Excellent explanation, I appreciate it. Looking forward for more sessions.
Thanks, I am happy to hear that my video helped you! 😊
Are there profee IP and facility IP ICD-10 sequencing differences? For example, if patient has sepsis due to pneumonia present on admission. Would the code be j18.9 and a41.9 or a41.9 and then j18.9 for profee IP setting?
There are not any differences that I am aware of, but my experience is with inpatient only, I have never done profee.
Thank you so much this video helped me to clear interview 🙏
That is great, congratulations!
Can we code J43.9 along with J44.89? because it's also a specified copd right? Please clear that in comment.
Yes, that is correct.
Can we code J43.9 along with J44.89 Because J44.89 is other SPECIFIED COPD
Yes, that is correct.
@@medicalcodingclarified thank you mam!
Please clarify the topic of GI bleeding coding guideline along with scenarios.
Sure, I will add that to my list. 😊
If md queried for sepsis and agreed than diagnosis dropped off and not in DC summary do you query again
There is no coding guideline that requires a diagnosis be included in the discharge summary. Unless your facility has an internal guideline requiring that the diagnosis be included in the DCS, you can code the sepsis that the physician verified via query.
Great video
Thank you! ☺️
Hi mam, sepsis 2/2 to prostitis due to recent prostate biopsy ...here what code assign....?
Sepsis due to a postprocedural infection is assigned to T81.44X followed by a specific code for the sepsis followed by a code for the localized infection which in this case is prostatitis
Excellent explanation. Thank you so much!
Thank you! 😊
Hii mam , I have one doubt patient came to hospital ( ED)for weakness and admit in to hospital for further evaluation, final pathology reports mentioned CLL....? , in Discharge summary mentioned Differential prophylaxis CLL and patient follow up treatment in outpatient visit...... Here CLL can we coded or not ....? ( In lab results WBC very low )
The official guidelines for inpatient coding allow us to code an uncertain malignancy diagnosis documented at discharge. Some facilities have internal guidelines against it, though. Depending on your facilities' internal guidelines, you may want to query to confirm the pathology result.
You are really the best I have found on the Internet to understand the issue of coding (risk adjustment).I look forward to more videos, God bless you.
Thank you! 😊
You are really the best I have found on the Internet to understand the issue of coding (risk adjustment).I look forward to more videos, God bless you.
Thank you! 😊
You are really the best I have found on the Internet to understand the issue of coding (risk adjustment).I look forward to more videos, God bless you.
Thank you! 😊
Can you please explain skin transfers and hartmann procedures madam
Sure, I can add that to my list. Thanks!
Madam can you provide any weekend classes 1or 2 hours its very helpful for somany people how to contact you Madam
Hello! Thanks for your interest, but my schedule does not allow for this type of assistance.
Plz make such complex topic videos.. we all are with u ❤
I will work on some in the future. Thanks!
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
Core needle biopsy of lymph node is excision FNA aspiration of tissue is 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
You can code both
@@medicalcodingclarified thank you
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.