AMCI ICD-10-CM Coding for Beginners- Part 2
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- Опубликовано: 3 янв 2021
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GUIDELINES A: 4:19 ABBREVIATIONS: 10:50 PUNCTUATION: 25:18 USE OF “AND”: 33:39 NOS/NEC: 35:21 NOTES: 36:44 SYMBOLS: 50:00 QUIZ: 52:01 GUIDELINES B: 57:32 QUIZ: 1:31:30
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I am confused about SEQUELA. Sequela -a condition which is the consequence of a previous disease or injury. Why is the fracture the sequela? You noted previously that the arthritis is the sequela because arthritis is the condition that happens after the fracture.
I was wondering if I was the only one who caught that because I was definitely confused🤔🤔
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1:19:20 I'm confused at your given example on Sequela. Isn't the M12.572 is the late effect(traumatic arthritis) which is the present condition and not S82.892S(fractured left ankle) which happened in the past?
Agree. Fracture happened first and then the sequale is arthritis
Me too confused here
I was thinking the samething.
I continued watching, I think that is what the 7th digit is used for.
me too - got confused here also
It's a very helpful video . Can you upload for chapter specific ICD 10CM Guideline . That will be very helpful for us
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Mrs.Jay pls explain c.chapter specific guidelines…waiting for that episode
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Thank you so much for teaching these course. I am easily understanding and you are an excellent teacher! Would you recommend a specific icd-10-cm book?
The book that I use and is recommended by AMCI for ICD-10-CM is the Optum ICD-10-CM Experts for Hospitals.
I’m a little confused regarding the bubblegum phobia, I know the index directs you to F40.8 but if you look above it F40.298 (Other specified phobia) seems more like the correct code.
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Hi Mrs Jay I want chapter specific guidelines pls
condition- fracture ankle :sequel(late effect)-arthritis.
according to point 4 in slide at 1:19:19, the code must be
( s82.892s, m12.572 )
This is the guideline: s. Coding of sequela generally requires two codes sequenced in the
following order: the condition or nature of the sequela is sequenced first. The
sequela code is sequenced second. So the Nature is first ( M12.572) followed by the Sequela (S82.892S). We apologize for the confusion.
@@AMCIMedicalCoding Thanks for the reply.
@@AMCIMedicalCoding But how come the fracture is the Sequela? I'm sorry but i don't understand.
I’m sorry but this is still NOT clear. At 1:14:00 it states that the Arthritis is the sequelae. And it states that the sequelae (late code) is coded second and should have the S as a 7th character. Can you please explain this further? It is very obvious that the Ankle Fracture is NOT the sequelae so it should be coded first.
Great teaching and information, however I was lost with punctuation, brackets and colons. I'll just have to go over it several times. Thanks for these wonderful teaching videos!
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Please how can i buy a book for practicing more codes? I’m not a student at your institution. I need to practice more coding. Please advise?
HI AMAZING CLASSES AND I WANT TO KNOW ICD 10 BOOK WHICH ONE CAN BUY PLEASE GUIDE ME
Got confused with the Sequela (late effects). It says here - "patient fractured his left ankle 6 months ago, today, he has traumatic arthritis in his left ankle in which the Dr. Says it is related to the fracture"
Meaning, traumatic arthritis is the late effect or the sequela of the fracture he had 6 months ago right?
With that in mind, the code should be S82.892S, M12.572.
Please enlighten me if this is wrong.
I went to school already back in 2016 and graduated, so im trying to re learn everything but all my books are from 2016 years like my cpt, ic10 cm and all, my question is are they still good for learning in 2021???
Not really, there are several new codes e.g., COVID-19 with a whole set of new guidelines. I hope this helps
Thank you for making this easier to understand. In reference to coding the sequela, you stated the the sequela is coded after the original condition, however (1:34:24), I noticed you coded the arthritis due to the fracture first then the fracture. Please clarify. Thank you
You are very welcome....The Tramatic arthropathy is the sequelae...It gets sequenced first followed by the injury (with the 7th character S)
@Yujin Yes, the fractured left ankle caused the sequelae so you would assign the sequelae indicator to that accident code. In essence. You would sequence the late effect illness/condition being treated first, followed by the sequelae of the injury second. When you think about it, it completely describes what happed.
@Yujin The chief reason for the encounter should drive your sequencing and the red instructional notations. Why is the patient at the encounter? When no other guideline drives your code selection, always remember to sequence the chief reason for the encounter first for outpatient visits.
It can be read as traumatic arthritis as a (sequela of)ankle fracture, so that the sequencing makes sense. The term sequela is connected to the cause (although it would make better sense if it was connected to the late effect instead). But the guidelines appended the sequela to the cause so thats how we code it.
@@AMCIMedicalCoding so TA is the reason for the encounter, so it is coded first, even though it is the real "sequel" or sequela to the Fracture...the "S" at the end of the Fracture code signifies that the Fracture is not the sequela, but has a sequela (the TA). But TA (the actual sequela) is coded first bc it caused the encounter. Is this right? Thank you!
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hi do you have hcpcs tutorial?
As far as the excludes 2 guideline, I know you stated the documentation and or the Dr has to have 2 dx listed 1 from the category and 1 from the excludes 2 note listed? Or did you mean the other from the excludes 1 notes that's listed? Thank U!
Great question: One diagnosis listed at the category and one listed at the excludes 2 note.
28:22 in the a.i. a manifestation code cannot be a principal diagnosis but has to be coded? I’m confused
Hi this video has been helpful, in the section about sequela you said to code the condition first then the sequela but you did the opposite. Can you expand on that or did I misunderstand?
Sure I will upload a video on sequelas shortly.
Have you heard of Risk adjustment coding?
I have amc 2022 icd10 pdf code book and a 2021 CPT spiral book. Can I study using those books and learn from your video for now since I am a beginner?
You can use these books to study, some codes may have changed as they are updated yearly.
Can someone explain to me the difference between "conditions that are part of an integral disease" and "multiple coding for a single disease"? So it says for B5 to only code cholecystitis and not abdominal pain etc. But when coding for HIV they ask to code manifestations. Are manifestations considered an integral part of the disease?
In general if a sign, symptom is related to a disease, you don't code those Signs & Symptoms AND the diagnosis. Only code the diagnosis. e.g, abdominal pain is an indicator of cholecystitis. So you do not code the abdominal pain. Yes, Manifestations are an integral part of a disease process, however some manifestations are codable. Make sure that you read the read instructional notes in the tabular list. It will often tell you when this manifestations are codable.
@@AMCIMedicalCoding Thank you so much! I understand now.
41:04 So good so far! Yes!😁
Thanks!