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Latest activity

  • L
    Without knowing what type of hospital follow up you're office is doing, it's hard to say. However, in general, I would look at the other Z51 codes, "Z51.11: Encounter for antineoplastic chemotherapy," or "Z51.6: Encounter for desensitization to...
  • L
    LeeJager replied to the thread Aftercare Z Codes.
    I have to disagree - conditionally. If 6 months has passed for a fracture, there are specific 7th characters for fractures that should be used instead, such as 'G' for delayed healing, 'K' for nonunion, or 'P' for malunion. You would only use 'S'...
  • L
    LeeJager replied to the thread Excludes 1 diagnosis code issue.
    Without seeing the documentation, it's hard to be sure, but I suspect it's due to your symptom codes. For example, E03.9 (Hypothyroidism, unsp) has a common symptom of "fatigue." When a condition has "common" symptoms, coding those symptoms is...
  • L
    LeeJager replied to the thread Allergy Diagnosis coding.
    I usually recommend avoiding the T code series for any allergy that is not causing an immediate reaction. The Z codes for allergies are NOT history codes. These are STATUS codes, and it is important to note the difference. The patient has an...
  • L
    LeeJager replied to the thread Billing 95076 with E & M.
    First, I would suggest appeals as it sounds like you're coding correctly. I would also consider the DX codes that are being submitted. You don't mention which of the two (OC or E/M) is being denied, but if the challenge does not have the...
  • L
    Bit of a late reply, but this would NOT be the correct usage of this code. 95076 does require incremental dosage, and guidance from American Academy of Allergy, Asthma & Immunology even mentions this: AAAAI Coding for Oral Amoxicillin Challenge...
  • B
    I recently earned my CPC-A certification, and I am actively looking for an internship, externship, or entry-level medical coding position in the greater Seattle area.I'm open to in-person positions in the Seattle area or remote, and would love...
  • B
    I agree. This took me a lot of time and effort. How am I supposed to keep practicing my skills if I can’t even find work?! What was the point?
  • B
    My advice is to not look specifically for a coding position. Look instead to get your foot in the door at a hospital or practice: billing, medical records, patient access, scheduling, office assistant, front desk representative, etc. Then be...
  • B
    I am in the same position. I don't know how your local chapter works but in my area meetings are during the evening or on weekends. I have started applying for any medical office/hospital setting jobs, like front desk/reception work just to get...
  • C
    I have just received my certification, but I have no experience. I have seen to have hit a wall with applications. Do you have any recommendations on how to get a job with coding? I have tried indeed, AAPC, and Zip recruiter. I would love to...
  • Y
    I am a biller in a small Family Practice and we have no coder. We have a rejected claim due to an Excludes 1 diagnosis issue. The diagnoses used were E03.9, R53.83, F43.0, R73.9, E78.5, R68.82 and Z79.899. I've looked each of these up but I...
  • K
    koster.kris@yahoo.com reacted to amyjph's post in the thread Level 4 or Level 3 with Like Like.
    We could debate back and forth all day long. If you asked 20 coders, you would get half and half answers probably. The thing is, from a coding perspective, it goes back to the definitions...See the second sentence of the acute/systemic. If it WAS...
  • K
    koster.kris@yahoo.com reacted to amyjph's post in the thread Level 4 or Level 3 with Like Like.
    It is not documented that way. Coders aren't clinicians. We can't assume. Coders can't assume or call it SIRS, the provider did not document that. The documentation shows an otherwise healthy 18 y/o young person who has the flu for one day...
  • K
    koster.kris@yahoo.com reacted to amyjph's post in the thread Level 4 or Level 3 with Like Like.
    AMA CPT definitions. I suppose someone could argue the tachy bumps it up. I don't feel it does on this documentation. https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf Acute illness with systemic symptoms: An illness...
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