i passed my cpc in march of 2023 with your help and am now working at a GI place so just watching some of your videos again in hopes of advancing my career. i already have an office with a door!
You always mention things that other people forget about - likely because they’ve known it for so long, they forget that some of us don’t know it! Thank you for making these learning tools with empathy. ❤
This was more detailed and easily to understand than reading and examining the several books I had. I will continue to watch and share with others. Thank you for your time and explanation!
Thank you for doing this video because I was having trouble understanding some of the coding concepts with the symptoms and you did a fantastic job of explaining. Explaining the anatomy as well was simply fantastic. Thank you so MUCH.
awesome of u r clear cut explanations of cpt of different sections u covered a lot through your clarity of your assessments for better understanding sir
Thank you so much for the clear explanation of these GI procedures. I am new to this field of coding and your video was very informative. I look forward to more of your expertise. Thank you!
Thank you for your videos. I have a better understanding of how to filter out information from the case study and match it up with appropriate codes, and a better understanding of how to sequence codes based on each case. Please keep up with your informative and resourceful videos.
Hi Nancy. I really appreciate your comment. That's exactly what I would like our viewers to know about my trips and strategies. Good luck with your study. Have a great weekend!
Thank you for taking your time to make these videos. I am preparing for CPC test and find the tips on highlighting and tabbing code books super helpful.
Hi Mr Hoang, your videos are really helpful because they are simplified and very informative. I am forever grateful to you for your effort and for unselfishly sharing your knowledge. But I would like to access other courses on your website but I don't know how. I m done with the free course, but I want to study further on the Interventional radiology coding, cardiology coding etc. I remember I have to show you a receipt for a donation to any charitable institution, but how do I show you the receipt. Thank you so much.
@@codingwithhoang hi yes we are put on a standards course that lasts for 3 weeks and have exams after each module. As long as you can show you have background knowledge or interest in medical terminology and anatomy, you can get entrance into this field.
Thank you for this video. Definitely helps to understand the digestive system better. I still struggle with adding the Z codes to cases and am not sure how to make that process easier. Any input would be appreciated!
Thanks so much for your detailed teaching. It really was easy to understand. I was wondering when coding for a specific insurance like Medicare does the order of diagnosis change ever?
Hi Nancy. For the most part, you follow the ICD-10-CM coding guidelines for the code sequencing or order then you should be good. If you are working on the denial cases relating to LMRP issues, then you should visit Medicare website and download their policies and procedures for specific guidance. I hope it helps.
Hi Sir, for the case 19:40, would 43235 (Diagnostic EGD) be the first listed code and K31.7 (polyp of stomach) as secondary code then R13.10 (Dysphagia NOS), K21.9 (GERD NOS)? 43235, K31.7, R13.10, K21.9?
Hello, Mr. Hoang, I know it's not under this video, however, I don't remember which video it was, you stated that for inpatient coding even if HIV status is referred to as: probable, suspected, to be ruled out suppose to be coded as it was confirmed H20. Couldn't find official guidelines on that, however, for Zika and Covid it states that we need to code the symptoms rather than unconfirmed diagnosis. Just wanted to clarify on it. Hopefully, I didn't confuse you. Thank you in advance.
Hi Inna. For HIV infection, Zika virus and COVID-19 , you only code confirm cases and this is an exception to the hospital inpatient coding guideline which is to code "probable, suspected, likely, questionable, possible or still to be ruled outa as if it existed or was establish. Please email me at codingwithhoang@gmail.com so that I can send you a copy of the ICD-10-CM official coding guidelines
It could be my typo or I used my old CPT book and the code has been changed. The code could be changed but the concept is still the same. Thank you for your comment.
Mr Hoang, at 11:36 Upper GI that you suggested to be highlighted, did you mean (Base Code) 43200 and not 43209? Thank you and ang you have great week ahead.
I have been coding GI for more than 15 years and I was taught that when doing a colonoscopy and they do not go pass the splenic flexure we should be flexible sig. Please explain why you stated to append modifier to 45378
Mr. Hoang, I'm having trouble finding the code 43209 in my 2020 CPT code book; I'm showing either 43191 for esophagoscopy rigid diagnostic or 43197 for flexible.
@@TranquilityHealing8 hi, i just realized that Mr Hoang answered to another person asking the same, the code 43209 was deleted and the new code would be 43200 for esophagoscopy flexible transoral.
Sir for coding exercise 2, 16:08..why we code both preoperative and postoperative diagnosis , Is it like that for all questions, pls reply my exam is on nxt week, I got many questions like this in previous attempt
You have to assign code based on the post op diagnosis (after study and findings) and not the preop dx except when they are coming for a screening coloscopy then the first code listed must be the screening code. I hope it helps.
You can't use both modifiers 52 and 53 on the same account. By definition, modifier 53 is used to indicate a discontinued procedure due to patient's hypotension or afib ect. and modifier 52 indicates reduced services for example the scope can't reach the cecum due to poor prep. I hope it helps. These modifiers are for professional services and not for hospital use. I hope it helps.
Hoang Nguyen on the video at 20:31 states 43209 Esophagoscopy and 45355 Colonoscopy, rigid or flexible, transabdominial via colostomy these codes ARE NOT in the CPT code book. Are there other codes that you meant? As I read other post's others seem to be confused also. Thx
Hi Shari. 20.31 is the end of the video so please let me know the case number so that I know exactly what you refer to and give you a new updated code if applicable. Thank you.
Hi Monie, To be honest with you I don't know much about billing except the UB92 form and revenue codes . However, I believe you still need to know basic anatomy and physiology and coding for reporting diagnosis and procedure codes on the bill . That said, my coding lessons are still helpful to cover that portion of the exam. If you keep watching my videos, then you should be all set with the coding portion. After that, find a book or any resource that are talking about Insurance policies, claim processing and compliance, ethics of coding and billing then you should be ready for the exam. Good luck and have a good day!
Thanks for responding backMr. Nguyen . I only want to code, but the school I went to require you to study both, so after I pass that cert I will go for the CPC and study from you. Thanks
Just a little bit confused with the simple repair. Since the cheek, leg and arms fall under the same listing one would have thought that you would add the 2.0 cheek, 2.3 leg, 2.3 leg and 4.0 arm making it 10.6 making it 12004. So it would be 12034, 12004. What about modifier 59? Just asking or maybe overthinking?
This video is about GI endoscopy and your question is about simple repair so It's hard for me to point you in the right direction. Please submit your question under the right video and remember to give you a reference for example case number so that I don't have to watch the entire video to search for your code. Thank you.
Please select the Setting Gear icon on the lower right hand side of the player; select the quality drop down box and pick 720P to see if it helps with the video quality. I just replaced my laptop a few months ago so those recent uploaded videos actually look much better with HD quality.
i passed my cpc in march of 2023 with your help and am now working at a GI place so just watching some of your videos again in hopes of advancing my career. i already have an office with a door!
Awesome congrats! Do you work from home or in office?
You always mention things that other people forget about - likely because they’ve known it for so long, they forget that some of us don’t know it! Thank you for making these learning tools with empathy. ❤
I plan on watching as many as I can even while i take my course. I start on Sept 20, 2023. Your style of teaching makes sense to me.
This was more detailed and easily to understand than reading and examining the several books I had.
I will continue to watch and share with others. Thank you for your time and explanation!
Thank you for doing this video because I was having trouble understanding some of the coding concepts with the symptoms and you did a fantastic job of explaining. Explaining the anatomy as well was simply fantastic. Thank you so MUCH.
Hi Sandra. Thank you so much for your comment. I wish you all the best in your studies.
Love this! Starting as a new gi/uro/nephro coder and you are making it so easy to code. Thank you!
Great to hear Chris. Thank you so much for your support. Have a great weekend!
thank you for teaching, its not easy since we all have a busy life, but you always find a time to do this we appreciate it, thanks.
I will post a new video when I am back from my vacation. Thanks so much for your support.
You are freaking smart and I like how you explain in clear details. Thank you!
awesome of u r clear cut explanations of cpt of different sections u covered a lot through your clarity of your assessments for better understanding sir
Thank you so much Kandukuri for your comment and support!
Thank you so much for the clear explanation of these GI procedures. I am new to this field of coding and your video was very informative. I look forward to more of your expertise. Thank you!
Hi Shewona. It's great to hear! I am working on a new coding video series so stay tuned. Thank you so much for your comment.
This is very helpful I'm getting trained to do GI coding it gave me a better understanding. Thanks all your videos are beneficial.
Watching your video helps me better understand what I have studied in class, the light came on in my brain. Thanks so much.
Wonderful! I am glad to know that. Thanks so much for sharing. Happy Learning!
Great tips! Thank you for explaining this subject so well! Super easy to follow!
You have a great way of explaining things.
Thank you for your vedio.it's really helpful ,The practice questions are really helpful for the good understanding.
This great video really helps with coding and understanding the GI Tract. Thank you Hoang!!!!!! Simple and to the point
You're very welcome! Thank you so much for your comment and support.
Thank you for your videos. I have a better understanding of how to filter out information from the case study and match it up with appropriate codes, and a better understanding of how to sequence codes based on each case. Please keep up with your informative and resourceful videos.
Hi Nancy. I really appreciate your comment. That's exactly what I would like our viewers to know about my trips and strategies. Good luck with your study. Have a great weekend!
Hello Dr. Hoang, your videos are great! The codes 43309, 45355 do not exist anymore in the CPT 2022 Manual, any new advice?
Thank you for your awesome lectures/videos!!!
Thank you for taking your time to make these videos. I am preparing for CPC test and find the tips on highlighting and tabbing code books super helpful.
You can do it. Best of luck and thank you so much for your comment.
It's good technique how you highlighted the key elements. Thank you Dr. Hoang for sharing your knowledge...
So nice of you and I am glad to know. Thank you Editha.
Very very superb 👍👌 knowledgeable video
Thank you for making such awesome videos. I feel more confident after watching this informative video
Hi Mr Hoang, your videos are really helpful because they are simplified and very informative. I am forever grateful to you for your effort and for unselfishly sharing your knowledge.
But I would like to access other courses on your website but I don't know how. I m done with the free course, but I want to study further on the Interventional radiology coding, cardiology coding etc. I remember I have to show you a receipt for a donation to any charitable institution, but how do I show you the receipt. Thank you so much.
Thank you for these amazing videos!
This is an excellent video, I am in the UK and this has been most helpful thank you so much ! 🙏🏼
Hi Tinii. How do you obtain a coding credential in UK? Thank you so much for your comment and support. I wish you all the best.
@@codingwithhoang hi yes we are put on a standards course that lasts for 3 weeks and have exams after each module. As long as you can show you have background knowledge or interest in medical terminology and anatomy, you can get entrance into this field.
Thanku sir its from bottom of my heart. Its really informative and well understood. Hope u doing well
Hi Luha. I am glad that you like it. Thank you so much for your support.
Thank you so much! Very helpful.
I may need to watch this one a time or two more to fully grasp it.
Thank you so much.
Great info!!
Thank you Sir. I appreciated
Thank you. Very informative
Very helpful thank you
You're very welcome Julie. All the best.
this video was most helpful!
Thank you for this video. Definitely helps to understand the digestive system better. I still struggle with adding the Z codes to cases and am not sure how to make that process easier. Any input would be appreciated!
When I cover the ICD-10-CM coding guidelines then I will go over the Z codes. Thank you.
Very helpful thank you.
Hi Elizabeth. I am glad it was helpful! Thanks so much for your comment.
Thank you Mr. Hoang!🙏
My pleasure!
Thanks so much for your detailed teaching. It really was easy to understand. I was wondering when coding for a specific insurance like Medicare does the order of diagnosis change ever?
Hi Nancy. For the most part, you follow the ICD-10-CM coding guidelines for the code sequencing or order then you should be good. If you are working on the denial cases relating to LMRP issues, then you should visit Medicare website and download their policies and procedures for specific guidance. I hope it helps.
Thank you!!!!
Tqqq
Hi Sir, for the case 19:40, would 43235 (Diagnostic EGD) be the first listed code and K31.7 (polyp of stomach) as secondary code then R13.10 (Dysphagia NOS), K21.9 (GERD NOS)?
43235, K31.7, R13.10, K21.9?
Very helpful
I am glad it's helpful. Thank you Jean.
Hello Mr. Hoang. What should be the CPT code for therapeutic sigmoidoscopy?
Thank you
You're welcome!
Hello,
Mr. Hoang, I know it's not under this video, however, I don't remember which video it was, you stated that for inpatient coding even if HIV status is referred to as: probable, suspected, to be ruled out suppose to be coded as it was confirmed H20. Couldn't find official guidelines on that, however, for Zika and Covid it states that we need to code the symptoms rather than unconfirmed diagnosis. Just wanted to clarify on it. Hopefully, I didn't confuse you. Thank you in advance.
Hi Inna. For HIV infection, Zika virus and COVID-19 , you only code confirm cases and this is an exception to the hospital inpatient coding guideline which is to code "probable, suspected, likely, questionable, possible or still to be ruled outa as if it existed or was establish. Please email me at codingwithhoang@gmail.com so that I can send you a copy of the ICD-10-CM official coding guidelines
Awesome
Where is 45355 in the CPT book? I enjoy the techniques. I just cannot locate this code unless it is a typo?
It could be my typo or I used my old CPT book and the code has been changed. The code could be changed but the concept is still the same. Thank you for your comment.
@@codingwithhoang at the 11:49 mark on the base codes to highlight slides Thank you
Do ou have an updated one for the 2021 new code changes?
I will be looking into it.
@@codingwithhoang Thanks so much!
Mr Hoang, at 11:36 Upper GI that you suggested to be highlighted, did you mean (Base Code) 43200 and not 43209? Thank you and ang you have great week ahead.
Hi Ron. Yes 43209 has been deleted so the new base code should be 43200. I hope it helps.
I have been coding GI for more than 15 years and I was taught that when doing a colonoscopy and they do not go pass the splenic flexure we should be flexible sig. Please explain why you stated to append modifier to 45378
Thank you so much for the clear explanation! Can you explain the difference between -52 and -53? 6:17
I will be working on training video for modifiers only. Stay tuned.
Mr. Hoang,
I'm having trouble finding the code 43209 in my 2020 CPT code book; I'm showing either 43191 for esophagoscopy rigid diagnostic or 43197 for flexible.
Me too. I thought it was just me. I have the 2020 cpt and cannot locate this code. Has this been deleted?
@@dennisgo4921 did you ever get a response back on the codes that are missing in our cpt?
@@TranquilityHealing8 hi, i just realized that Mr Hoang answered to another person asking the same, the code 43209 was deleted and the new code would be 43200 for esophagoscopy flexible transoral.
Sir for coding exercise 2, 16:08..why we code both preoperative and postoperative diagnosis , Is it like that for all questions, pls reply my exam is on nxt week, I got many questions like this in previous attempt
You have to assign code based on the post op diagnosis (after study and findings) and not the preop dx except when they are coming for a screening coloscopy then the first code listed must be the screening code. I hope it helps.
@@codingwithhoang thank you
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What about the tattoo ink after polyp removal
I would use 45381 for the tattoo ink injection.
If the colonoscopy can’t be completed, do you use both modifiers 52 and 53 when coding it, or will the scenario tell you which one to use?
You can't use both modifiers 52 and 53 on the same account. By definition, modifier 53 is used to indicate a discontinued procedure due to patient's hypotension or afib ect. and modifier 52 indicates reduced services for example the scope can't reach the cecum due to poor prep. I hope it helps. These modifiers are for professional services and not for hospital use. I hope it helps.
Hoang Nguyen on the video at 20:31 states 43209 Esophagoscopy and 45355 Colonoscopy, rigid or flexible, transabdominial via colostomy these codes ARE NOT in the CPT code book. Are there other codes that you meant? As I read other post's others seem to be confused also. Thx
Hi Shari. 20.31 is the end of the video so please let me know the case number so that I know exactly what you refer to and give you a new updated code if applicable. Thank you.
the video is from 2020, and probably using a CPT 2020 edition. For 2021 CPT we have 44388 Colonoscopy through stoma
@@neferpitou8967 I have the 2021 version and I found the Colonoscopy through stoma code (44388) on page 364 in the Endoscopy, Stomal section.
@@neferpitou8967thank you, very helpfull ...still the same cpt 2022!
Hello Mr. Nguyen I will be taking the CBCS Certification for the third time ,do you have any study material so I can finally pass. Please help
Hi Monie, To be honest with you I don't know much about billing except the UB92 form and revenue codes . However, I believe you still need to know basic anatomy and physiology and coding for reporting diagnosis and procedure codes on the bill . That said, my coding lessons are still helpful to cover that portion of the exam. If you keep watching my videos, then you should be all set with the coding portion. After that, find a book or any resource that are talking about Insurance policies, claim processing and compliance, ethics of coding and billing then you should be ready for the exam. Good luck and have a good day!
Thanks for responding backMr. Nguyen . I only want to code, but the school I went to require you to study both, so after I pass that cert I will go for the CPC and study from you. Thanks
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Is this digestive system chapter??
Yes Sir.
🙏📿
Just a little bit confused with the simple repair. Since the cheek, leg and arms fall under the same listing one would have thought that you would add the 2.0 cheek, 2.3 leg, 2.3 leg and 4.0 arm making it 10.6 making it 12004. So it would be 12034, 12004. What about modifier 59? Just asking or maybe overthinking?
This video is about GI endoscopy and your question is about simple repair so It's hard for me to point you in the right direction. Please submit your question under the right video and remember to give you a reference for example case number so that I don't have to watch the entire video to search for your code. Thank you.
Thank you again. I cannot find the codes 43209 or 45355. Can you help me?
Hi Barry. Please give me a reference either the case number or the minutes of the video so that I know exactly what you refer to. Thank you
@@codingwithhoang @11:32
Video quality is poor.. That's why unable to see content properly
Please select the Setting Gear icon on the lower right hand side of the player; select the quality drop down box and pick 720P to see if it helps with the video quality. I just replaced my laptop a few months ago so those recent uploaded videos actually look much better with HD quality.
thank you