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  1. M

    Diagnosis Codes for Emergency Medicaid

    ICD10 crosswalks Have you tried taking the ICD9 list and using a crosswalk to the ICD10?
  2. M

    Diagnosis selection

    asthma I agree with you. There is no way to get to intrinsic asthma based on the info given. The trail is bronchitis-asthmatic-with acute exacerbation. 493.22 or Asthma(bronchial) -wirh acute exac 493.22
  3. M

    Attorney and cpc's

    cpcs for law cases Check your local DME companies- there are frequent RAC audits in that industry.
  4. M

    Coding "test" as part of interview?

    We give a test My company has a coding test requirement for hire. If you are used to coding with an encoder we only supply books so practice . We use it to see if the coder READS the book notes, applies 5th digits where indicated, can tell a correctly tied diabetic manifestation to one that...
  5. M

    Test yourself question

    use search function I too sometimes have difficulty finding the answer to occaisonal questions on the quizzes. If you pull up the online version of the magazine you can use the search function(CTRL F) to look for keywords. I also print out a copy of the quiz and review the questions before I...
  6. M

    alzheimers dementia

    What if the word dementia is not used How would you code Alzheimers in the instance that is the only word used and the word dementia doesn't appear in the assessment? In that case, would you code Alzheimers disease alone? (Let's just say the claim has to be in today and the provider is...
  7. M

    **Please help with this EXACERBATION

    Astma with chronic bronchitis exacerbation Point out to your coworkers that code 493.22 has an excludes note for 491.20-491.22
  8. M

    looking for work in a hospital or medical office

    have you passed the CPC exam? You didn't state whether you have passed the CPC exam yet. Here in Santa Ana, we do hire new grads when we are looking for coders, but at a minimum you need to have passed the exam.
  9. M

    Staff Training for ICD -10

    Workbook Our company provided each coder with a 2015 ICD 10 draft and the workbook entitled Detailed instruction for Appropriate ICD 10 CM coding (We do not code facility here so we did not need the ICD 10 PCS). I took the AAPC ICD10 code set training. A coworker bought the practice test after...
  10. M

    AAPC's Online Course for ICD10...A Question

    Multiple guess Yes, the aapc online ICD 10 training course tests are multiple guess.
  11. M

    AAPC's Online Course for ICD10...A Question

    ICD-10 proficiency Yes, the online section tests for the icd 10 online course work just like the Test yourself for the Healthcare Business Monthly/old Coding Edge magazine. you take the section test, click grade and anything you miss you can go to Rationale and see the rationale and then...
  12. M

    help with specific statement for I-10

    How do you get there? So how do you get to OSTEOarthritis from just arthritis following path fx????? We aren't supposed to assume what isn't documented.
  13. M

    ICD-10 what is the correct way to code the question below?

    Sepsis The scenario doesn't say the pt is presenting with the acute injury- my read is the pt presented with sepsis (due to a puncture wound) initial encounter.
  14. M

    Diabetes and osteomyelitis in icd 10

    How will diabetes with osteomyelitis be coded in icd10? There is a code for diabetes with gangrene-it codes as diabetes with diabetic peripheral angiopathy with gangrene. Will we code it as Diabetes with other specified complication and osteomyelitis or just diabetes and osteomyelitis?????
  15. M

    How to code manifestation wjhen the secondary diabetes has resolved

    Pt has diabetic retinopathy due to secondary diabetes which has resolved. How do you code it.
  16. M

    when Lymphoma is in remission??

    Where do yo find direction to code Lymphoma in remission as current It's in Coding Clinic: “Lymphoma patients who are in remission are still considered to have lymphoma and should be assigned the appropriate code from categories 200-202” (AHA Coding Clinic for ICD-9-CM, 1992, second quarter...
  17. M

    Billing PHP to new UHC Military for MD Psych

    Possible idea Could the problem be he is not the admitting physician? Do you need to use consult codes?
  18. M

    Secondary hypertension and hypertensive heart disease

    Pt has hypertension stated as due to renal artery stenosis. He also has hypertensive heart disease. How do you code this?
  19. M

    retained ear canal foreign body

    OR or if that doesn't work =try going to retained?
  20. M

    retained ear canal foreign body

    ear foreign body Did you go to foreign body in the alphabetical index?
  21. M

    diagnosis code

    how to code pathology If you go to the neoplasm chapter guidelines in the front of your icd 9 manual it gives you specific instructions on how to look up the code when you are given the histological term.
  22. M

    Help Please fx patellar what do you think

    patellar fx Point it out to him-Gee, you noted a code for dislocated patellar- did you mean 27524 patellar fracture?
  23. M

    Hip Pain

    Tabular says Also, if you go to the Diseases of the Musculoskeletal system in the tabular section-right at the beginning it breaks down the subclassifications into the body parts for you.
  24. M

    HTN uncontrolled vs malignant

    Htn no, malignant and not controlled are not the same thing. Unless it is stated as benign or malignant it is coded to 401.9. Not going to be a problem anymore in ICD-10 Benign and malignant code to the same code! See-icd 10 can be a GOOD thing.
  25. M

    What type of coding job am I most qualiied for?

    accounts receivable I learned a whole lot about coding when I had to work denied claims. There are some places who may hire a cpc to work the pending accounts receivables-where I last worked they hired people with no coding experience. Attend your local chapter meetings. We hire CPC-A's and...
  26. M

    Obesity counseling

    Mnt I have had the MNT codes denied when not performed by a certified nutritionist. There is a recent (Feb 09:13) citing in CPT Assistant for those codes if anyone has access to CPT Assistant.
  27. M

    Care plan over-site billing

    Care Plan oversight Did you read the notes and guidelines for the Care Plan Oversight Services for the CPT codes 99374-99380-Care Plan Oversight Services in the CPT manual?
  28. M

    Medical Billing & Coding Specialist looking to gain experience - Greenville, NC

    get AAPC certification You now have a certificate in coding and medical billing from your college but you do not have a credential. You need to take the AAPC credentialing exam in order to become a professional, certified coder.
  29. M

    brain mass

    VJ- Thank you for giving us the map to the code using the trail thru the alphabetical index so I can find it myself the next time.
  30. M

    Cast with injections

    NCCI edits I would start by checking the CMS NCCI edits: http://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/index.html There is a Medicare Learning Network how-to use article. You might even get a CEU by completing it...
  31. M

    Newly certified CPC-A looking for a remote coding job

    first job Attend your chapter meetings. If our company is hiring- they allow us to announce it at the meeting before it is posted to Indeed or Craig's list. And being seen regularly at chapter meetings may be a deciding factor if it ever came down to 2 equal candidates and I knew one attended...
  32. M

    Computing per cent accuracy

    I work for a company where the coders per cent accuracy is calculated. I would be interested in how other companies compute this figure. Do you base it on total 100% correct assessments/ total assessments audited-or do you base it on # of correct codes/total number of codes, or otherwise?
  33. M

    Coding vs Medical Billing

    Coding only You would be much more versatile if you also had billing background. Many newly graduated coders are having difficulty getting that first coding job. Some are getting in through the billing department or even by working Accounts Receivables-figuring out why the insurance company...
  34. M

    Nerve block injection for dental pain

    another question How do you know the trigeminal nerve was injected if it isn't stated in order to use 64400?
  35. M

    dx for malignant intracranial hypertension?

    intracranial hypertension You forgot to start with the hypertension table. if you go to the table, and then look alphabetically for intracranial, benign the code is given.
  36. M

    peripheral neuropathy of hands and feet

    non diabetes related peripheral neuropathy- If a provider documents peripheral neuropathy of hands and feet, do you code 355.8 and 354.9 or, do you use the combination code 354.5 Mononeuritis multiplex- of does that have to be specifically stated?
  37. M

    Mohs Surgery

    Repair OOPS, I just read your note all the way to the period. Since the repair is coded separately, you should be able to have another provider perform the repair. Since I don't normally code derm, please wait for another response.
  38. M

    Mohs Surgery

    Mohs If the same physician does not act as both surgeon and pathologist than you cannot bill the Mohs codes. This is clearly spelled out in the green note after the heading of Mohs Micrographic Surgery in the CPT manual.
  39. M

    Wiki What is the starting - I understand

    southern CA Entry level coding jobs around here seem start around $13-$14.
  40. M

    Help with 2013 codes

    lab codes Did you look in Appendix B of the 2013 CPT Manual? It gives you the summary of additions, deletions, and revisions.
  41. M

    Alcohol, nicotine, multidrug abuse

    When coding a patient who is abusing alcohol, nicotine, crack cocaine and marijuana do I roll all these into 305.9X, or do I code 305.0x, 305.1, 305.9X? thanks
  42. M

    please give me some advice about CPC exam

    Test Good point. READ TO THE PERIOD. Sometimes you can stop reading too soon because you THINK you know what the rest of the question says. Make sure you read all the way to the period.
  43. M

    acute exacerbation of COPD wih asthma

    COPD/Asthma You can also go to Disease in the alphabetical to pulmonary, then down to obstructive, then to "with Asthma": 493.22
  44. M

    acute exacerbation of COPD wih asthma

    COPD/asthma From Alphabetical,go to ASTHMA, then down to "with COPD" which instructs you to use 493.2x Read the code and the 5th digit choice is "with exacerbation ". 493.22
  45. M

    Pain Management billing

    Injection codes Please read the instructions in the CPT manual for using codes 62310-62319. They are noted above the Injection, drainage, aspiration codes. Also, look at the modifiers you used. Are they listed as approved modifiers?
  46. M

    Documentation Audit: Prep for I-10

    audit Pull some notes and code them with the ICD-10. Make notes of what additional info needs to be there. It may not be much.
  47. M

    please give me some advice about CPC exam

    Cpc At the end of the test, leave no blanks. At the 5 minute warning I had 30 questions unanswered. I filled in C for all. I passed on that try.
  48. M

    Billing Compound Drug

    compound drugs Remember to attach a copy of the drug invoice with the claim.
  49. M

    Pam Z CPC

    Supply of former vaccine Which code would a practice use if they have a supply of the vaccine with preservative?
  50. M

    Help CPAP

    Cpap Go Status in the alphabetical and look up ventilator dependence. Go to that code in the tabular and come down to "other enabling machine."
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