Written by Stacey Yoshinaga

Screening Colonoscopy and Endoscopic Exams

Information regarding the diagnostic and procedural coding guidelines for the accurate reporting of colonoscopies and endoscopic exams is reviewed.  Screening definitions and the use of G codes are discussed.

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Written by hcsadmin

ICD-10-PCS: 2019 Update

Objectives:

  • Identify revisions to the Official ICD-10-PCS Coding Guidelines for FY 2019
  • Identify the new ICD-10-PCS codes for FY 2019
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Written by hcsadmin

CPT Update – 2019

Changes take effect January 1, 2019. CPT codes are maintained by the American Medical Association and are updated quarterly. The main update is done January 1.

CPT codes are mandated by HIPAA as of 2003 as the code set used for outpatient and professional fee coding.

 

CPT five-digit codes, descriptions, and other data only are copyright 2017 American Medical Association (AMA).  All rights reserved.

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Written by Stacey Yoshinaga

ICD-10-CM: 2019 Update

Objectives:

  • Identify the new ICD-10-CM and ICD-10-PCS codes for FY 2019
  • Identify CC’s and MCC’s in the 2019 ICD-10-CM classification
  • Become familiar with updated coding guidelines and conventions

 

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Written by Stacey Yoshinaga

Malnutrition Coding

The coding of malnutrition poses coding challenges as it is often poorly documented by the physician.  Coding professionals will then often misinterpret the ICD codes when translating this poor documentation into diagnosis codes.  The codes for Kwashiorkor malnutrition have been over reported in the United States and are a focus of review by the Office or Inspector General (OIG).

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Written by Stacey Yoshinaga

CPT Laceration and Wound Repair

Laceration repairs take into consideration many coding guidelines which can cause confusion for coders. Physician documentation is paramount in reporting the correct type, site and size of the repair.  This tutorial will educate the coder on the various wound closures with respect to CPT coding rules and guidelines.

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Written by Stacey Yoshinaga

Three-Day Rule

This tutorial reviews the Medicare’s Three-Day Payment window and how it is applied to outpatient services.

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Written by hcsadmin

OSHPD

The Office of Statewide Health Planning & Development (OSHPD) is a California state agency that is tasked with promoting health care accessibility through facilitating analysis of California’s health care infrastructure, providing information about health care outcomes, and promoting a diverse and competent health care workforce, in addition to other roles.  As part of this mission, OSHPD requires that hospitals submit particular data on a regular basis. This tutorial will provide descriptions of some of the data elements required in these reports.

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Written by Stacey Yoshinaga

ICD-10 Coding Muscular System

Our body has over 640 skeletal muscles that make up the bulk of our body and more than half of its weight.  There are three types of muscles in our bodies: involuntary (smooth), cardiac, and skeletal (striated).  While there are distinctions among the different types of muscles, they all have the ability to contract, relax, be excited by a stimulus, and return to their original size and shape.

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Written by Stacey Yoshinaga

ICD-10 Coding Nervous System

The nervous system consists of the brain, spinal cord, and all of the nerves inside and outside those structures.  The nervous system receives sensory information from all the parts of your body, processes that information, and stimulates muscles and glands to move or secrete hormones.  In addition, it allows people to engage in cognitive tasks, such as retrieving memories, learning new information, and communicating with other people.

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Written by Stacey Yoshinaga

ICD-10 Coding Genitourinary System

This tutorial reviews the genitourinary system which includes the organs of the reproductive and urinary systems.  They are included together due to their proximity and because they share common pathways.

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Written by Stacey Yoshinaga

ICD-10 Coding Skeletal System

The skeletal system has many important functions.  Our bones are strong enough to bear weight, yet light enough to allow for flexible movement.  In addition, many of our bones provide protection for our internal organs.  Our bones also store materials our body needs, such as calcium, magnesium, phosphorus, and bone marrow.  This tutorial reviews these functions, and the ICD-10 coding of the skeletal system.

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Written by hcsadmin

Joints

Introduction to the Joints of the Musculoskeletal System.

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Written by Stacey Yoshinaga

Respiratory System Coding

The respiratory system, also sometimes called the pulmonary system, is the system responsible for supplying the blood with oxygen, which is then transported throughout the body.  While this is the most important function of the respiratory system, there are many other important functions.

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Written by Stacey Yoshinaga

Injection and Infusion Coding IV / IM

One of the most demanding aspects of outpatient coding is the selection of injection and infusion codes.

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Written by Stacey Yoshinaga

CPT Modifiers 73 & 74: Cancelled Procedures

Modifier 73 and 74 were established to assist hospital outpatient reporting associated with the use of resources in the event a surgical or diagnostic procedure is cancelled due to extenuating circumstances or those that threaten the well-being of the patient.  This tutorial will instruct the coder in the correct use of these two modifiers.

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Written by Stacey Yoshinaga

Cardiac Arrhythmias

Coding cardiology diagnosis and procedures can be a challenge even to a seasoned coder.  In this tutorial you will learn some of the most current cardiology procedures, terminology and coding applications, including electrophysiologic studies and automatic defibrillator insertions, and replacements.

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Written by Stacey Yoshinaga

Emergency Room Coding

Coding emergency room visits is not as difficult as the coding of inpatients, but it does require the application of the outpatient coding guidelines.  A standard set of procedures typically relates to this patient type, and varies slightly by facility.  This tutorial will discuss the coding guidelines for both ICD-10-CM diagnosis and CPT-4 procedure coding.  Typical procedures to look for in the ED setting will be discussed as well.

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Written by Stacey Yoshinaga

Poisoning

July 2016

This tutorial reviews Chapter 19: Injury, Poisoning, and Certain Other Consequences of External Causes

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Written by Stacey Yoshinaga

Infectious Diseases

Overview of Chaper 1: Certain Infectious and Parastitic Diseases (A00-B99), HIV/AIDS, Sepsis, and MRSA are reviewed in this tutorial.

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Written by Stacey Yoshinaga

Fractures

The coding of fractures in ICD-10-CM requires greater specificity, such as the type, anatomical site, displaced or nondisplaced, laterality, routine versus delayed healing, nonunion, malunion and the type of encounter.  This tutorial will discuss all aspects on the coding of fractures in ICD-10-CM.

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Written by Stacey Yoshinaga

Respiratory Failure

The coding of respiratory failure when it is present with other conditions has long caused confusion for coders.  This tutorial will help the coder to recognize the indicators of respiratory failure and to become familiar with the coding guidelines in the coding of respiratory failure.

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Written by Stacey Yoshinaga

Sepsis / SIRS

There are distinct differences in the terms sepsis, septicemia, and systemic inflammatory response syndrome, (SIRS).  This educational tutorial will discuss their differences, and how they are interrelated, along with their common conditions.

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Written by Stacey Yoshinaga

Newborns

Reviews Chapter 16: Certain Conditions Originating in the Perinatal Period P00-P96.

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Written by Stacey Yoshinaga

Congestive Heart Failure

An understanding of the causes and manifestations of Congestive Heart Failure disease and how to apply the governing coding guidelines.

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Written by Stacey Yoshinaga

Debridement and Wound Care

The debridement process for skin, soft tissue and bone is reviewed, providing definitions and examples. Active wound care and fracture care related to debridements will be delineated. The differences between ICD-10 and CPT debridement coding guidelines is also reviewed in this tutorial.

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Written by Stacey Yoshinaga

ICD-10-CM Training: Part 4

This tutorial will discuss the following ICD-10-CM topics:

  1. Injury, Poisoning, and Certain Other Consequences of External Causes
  2. External Causes of Morbidity
  3. Factors Influencing Health Status and contact with health services
  4. Factors Influencing Health Status and contact with health services
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Written by Stacey Yoshinaga

ICD-10-CM Training: Part 3

This tutorial will discuss the following ICD-10-CM topics:

  1. Diseases of the Digestive System
  2. Diseases of the Skin & Subcutaneous Tissue
  3. Musculoskeletal & Connective Tissue
  4. Genitourinary
  5. Pregnancy, Childbirth & the Puerperium
  6. Prenatal
  7. Congenital Malfunctions, Deformation & Chromosomal Abnormalities
  8. Symptoms, Signs & Abnormal Clinical & Lab Findings
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Written by Stacey Yoshinaga

ICD-10-CM Training: Part 2

This tutorial will discuss the following ICD-10-CM topics:

  1. The Endocrine System
  2. Mental & Behavioral
  3. Nervous System
  4. Eye & Ear
  5. Circulatory
  6. Respiratory
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Written by Stacey Yoshinaga

ICD-10-CM Training: Part 1

This tutorial will discuss the following ICD-10-CM topics:

  1. Conventions
  2. Neoplasms
  3. Infectious & Parasitic Conditions
  4. Blood & Blood Forming Organs
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Written by Stacey Yoshinaga

ICD-10 Coding: Digestive System

The digestive system includes all of the organs and structures that aid in the digestion and elimination of food.  It includes the gastrointestinal tract, also known as the alimentary canal, as well as other accessory organs.  The gastrointestinal tract includes all of the structures and organs extending from the mouth to the anus.  This includes the mouth, pharynx, esophagus, stomach, intestines, rectum, and anus.  The accessory organs are all of the organs that aid in digestion, such as the liver, gallbladder, and pancreas.    

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Written by Stacey Yoshinaga

ICD-10 Coding: Circulatory System

The circulatory system is made up of the heart and the blood vessels that carry the blood throughout our bodies.  The heart is the hard-working muscle whose function is to pump the blood through the vessels.  There are three basic types of blood vessels: arteries, veins, and capillaries.  You will learn more about each of these later in the lesson.

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Written by hcsadmin

Psychiatric Facility Coding

1 CEU with Self Quiz

March 2018

Psychiatry and Psychology are specialized fields for the diagnosis and treatment of various mental health disorders and/or diseases.  Patients admitted to a free-standing psychiatric facility or to a designated/licensed psychiatric unit of an acute care or critical access hospital are subject to the coding guidelines for long term care facilities and the UHDDS definition of principal diagnoses (that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care) applies.

 

 

 

 

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