Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top left corner of this page

Practice Exam

2016 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

How To Flip To the Codes Faster in the Medical Coding CPC exam

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www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep Well for the ICD Manual, I’ll start with that. One of the frustrating things for me is I don’t think there’s any version of a manual out there that has the true Table of Contents. And most versions are volumes 1 and 2 and one spiral bound book. And if you’re into Inpatient Hospital Coding, you have 3 volumes in it and it’s very hard when you’re brand new at using it to figure out you know, where to even start. So what I recommend to my students is that at the top of the manual, not on the sides, that they get those hard tabs and put them where all the main sections of their manual are. So obviously, where each volume starts when you have volumes 1 through 3.

More here: http://www.cpcmedicalcodingcertificationexamprep.org

Watch Laureen Jandroep show you her proprietary “Bubble and Highlighting Technique”

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For more CPC Exam study techniques, visit Laureen’s official site here at www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

You can also get access to Practice CPC Exam Questions which comes with full rationale answers at www.cpcmedicalcodingcertificationexamprep.org

 

How To Prepare For Your CPC Exam and How To Pass It On Your First Try

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Medical Coding Certification CPC Exam Review

Watch Laureen Jandreop show you her special “Bubbling and Highlighting Technique” and how you can practice it in your coding manual too (The CPC exam is an open book exam so you can bring in your coding manual with you to your exam)

Feeling stressed studying for your CPC exam? Maybe overwhelmed by the amount of studying involved?

Maybe you are not sure whether you are well prepared for the CPC exam questions, or maybe you have a hard time planning and managing your study time, maybe you’re worried that you can’t finish the CPC exam paper in the five and a half hours time.

Fear not, I’ve been there too and this was exactly how I felt. I was especially worried about the 5 and a half hours alloted time frame which always seems too short.

Maybe this is your first time studying for the CPC exam. Or maybe you are re-sitting the CPC exam. Either way, as the date draws nearer you might be getting desperate for a method to help you study for and pass the CPC exam.

Good news! Laureen Jandroep (CPC) has put together the highly result driven Medical Coding Certification Review Blitz Videos that you cna watch online from the comfort of your own home. It shows 12 hours of CPC exam review and CPC exam tips that you wouldn’t wanna miss! And as a bonus, a full set of 7 DVD’s of these video course will be delivered to your home or office!

This Medical Coding Review Program prepares you for the Certified Professional Coder (CPC) exam by the American Academy of Professional Coders (AAPC) and also the Certified Coding Specialist-Physician Based (CCS-P) exam by the American Health Information Association (AHIMA).

This is a two in one program where the program will guide you in the review of the subject matter, as well as guide you in doing well on the CPC exam. The video course will guide you through an exhaustive review of all the diagnostic and therapeutic procedures covered in the exam, and also teaches you how to make the best use of the time alloted in the CPC exam, which is only five anda half hours! And since the CPC exam is an open-book exam, Laureen Jandroep’s proprietary bubbling and highlighting technique will greatly save time and enable you to locate the important points quickly and efficiently during the CPC exam. This Bubbling and Highlighting Technique actually teaches you how to mark and highlight your coding manual, making it easier to choose the correct answer for any question in the CPC exam. It will also teach you how to manage more difficult questions.

The online video program and the DVD program is identical. This is what they will cover:

01 Introduction to the program

02 Medical Terminology CPC Exam Prep

03 HCPCS CPC Exam Prep

04 Modifiers CPC Exam Prep

05 ICD-9 CPC Exam Prep

06 E&M Section CPC Exam Prep

07 Anesthesia Section CPC Exam Prep

08 Radiology Section CPC Exam Prep

09 Path & Lab Section CPC Exam Prep

10 Medicine Section CPC Exam Prep

11 Integumentary System CPC Exam Prep

12 Musculoskeletal System CPC Exam Prep

13 Respiratory System CPC Exam Prep

14 Cardiovascular System CPC Exam Prep

15 Digestive System CPC Exam Prep

16 Urinary System CPC Exam Prep

17 Genital System CPC Exam Prep

18 Endocrine/Nervous System CPC Exam Prep

19 Eye/Ear System CPC Exam Prep

Laureen Jandroep has been teaching medical coding 12 years ago since 1999. She has personally taken all the certification exams so she could understand the format of the exams and thus prepare her students for what was gonna be covered in the exams. The video course was created when her students begged her to help them prepare for the following weeks exam and therefore she reviewed the whole CPC training program in two days. Since then, Laureen has been teaching this CPC review program and has helped many students successfully pass the CPC exam.

Click here to visit the official site now!

You can also download Laureen’s CPC Exam Study Guide at www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

Practice CPC Exam Package Review – 150 Question CPC Practice Exam, Answer Key, With Full Rationale, Medical Coding Certification Study Guide

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What I like most about this CPC Practice Exam Package is that the full answers and rationales are given for all 150 questions. It also refers you to the relevant part of your textbook. They also provide the answer keys to each CPC exam question, so you can go through each one and see if your rationale is correct when testing yourself. I also found the CPC Exam Study Guide very helpful as it summarizes the whole textbook for you. As the CPC exam is an open book exam, you can actually mark your book or highlight the important texts or codes to help you search for the codes faster during the test. Do practice answering all 150 questions of the practice test within 5 and a half hours, make it to 5 hours if you can so you will have time to go back and check your answers.

The CPC Medical Coding Practice Exam is delivered as an electronic download (in the PDF format), which means it’s instantly accessible after purchase. The good news is that ut’s priced at only $37.

This Price Includes:

What is included in this package?

  • The Full 150 Question CPC Practice Exam
  • Answer Key, With Full Rationale
  • Scan Tron Bubble Sheets
  • The Exam Study Guide, including:
    Common Anatomy Terminology Handouts
    Common Medical Terminology Prefix, Root Word, and Suffix Handouts
  • The Official AAPC Proctor-to-Examinee Instructions (read out loud on the day of the CPC exam)

Download the full CPC Practice Exam Package here and receive your bonus at www.cpcmedicalcodingcertificationexamprep.org/cpcpracticeexam

You can also get the latest CPC Exam updates at www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

Best Compilation Of Sample CPC Exam Questions – Followed With Full Answer And Rationale

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Sample CPC Exam Question 3: ICD-9-CM

Jim was at a bonfire when he tripped and fell into the flames. Jim sustained multiple burns. He came to the emergency room via an ambulance and was treated for second and third degree burns of his face, second degree burn on his shoulders and forearms, and third degree burns on the fronts of his thighs.

a. 941.20, 841.30, 943.25, 943.21, 945.36, 948.42, E897
b. 941.30, 943.29, 945.36, 948.42, E897
c. 941.09, 943.09, 945.09, 948.64, E897
d. 941.30, 943.29, 945.36, 948.64, E897

Rational

Answer: B

Burn codes always have no less than three codes: A burn code, a total body surface area code (948.XX), and an E code. You can have more than three codes but never less. Burn codes have the following rules (which can be found at the beginning of the ICD-9 book under general guidelines), always code one location to the highest degree (Ex. 1st and 2nd degree burns on the arm, only code 2nd degree). When sequencing burn codes always list the highest degree first (Ex. 1st degree burns to the face and 3rd degree burns to the arm. List the arm burn first and then the face burn). Answer B is the answer because its codes describe the highest degree burn to each anatomical location, it sequences the burn codes in order of highest to lowest degree burns, the 948 (TBSA code) has the correct calculation, and the E code correctly describes the bonfire incident.

Sample CPC Test Questions 4: Anesthesia

When does anesthesia time begin?

a. After the induction of anesthesia is complete
b. During the pre-operative exam prior to entering the OR
c. When the anesthesiologist begins preparing the patient for the induction of anesthesia
d. Once the supervising physician signs over the patient’s care to the anesthesiologist

Rational

Answer: C

The answer to this question can be located in the anesthesia coding guidelines under the title “Time Reporting”

Go Through more of these Sample CPC Test Questions with full answers and explanation at www.cpcmedicalcodingcertificationexamprep.org/cpcpracticeexam

Get the latest updates on the CPC Exam at www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

More CPC Sample Exam Questions – Comes With Correct Answer And Full Rationale For Each Question

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Sample CPC Exam Question 2: Musculoskeletal

OPERATIVE NOTE

PREOPERATIVE DIAGNOSIS: myelopathy secondary to very large disc herniations at C4-C5 and C5-C6.

POSTOPERATIVE DIAGNOSIS: myelopathy secondary to very large disc herniations at C4-C5 and C5-C6.

PROCEDURE PERFORMED:
1. Anterior discectomy, C5-C6
2. Arthrodesis, C5-C6
3. Partial corpectomy, C5
4. Machine bone allograft, C5-C6
5. Placement of anterior plate with a Zephyr C6

ANESTHESIA: General
ESTIMATED BLOOD LOSS: 60 mL
COMPLICATIONS: None

INDICATIONS: This is a patient who presents with progressive weakness in the left upper extremity as well as imbalance. He has a very large disc herniation that came behind the body at C5 as well and as well as a large disc herniation at C5-C6. Risks and benefits of the surgery including bleeding, infection, neurologic deficit, nonunion, progressive spondylosis, and lack of improvement were all discussed. He understood and wished to proceed.

DESCRIPTION OF PROCEDURE:
The patient was brought to the operating room and placed in the supine position. Preoperative antibiotics were given. The patient was placed in the supine position with all pressure points noted and well padded. The patient was prepped and draped in standard fashion. An incision was made approximately above the level of the cricoid. Blunt dissection was used to expose the anterior portion of the spine with carotid moved laterally and trachea and esophagus moved medially. I then placed needle into the disc spaces and was found to be at C5-C6. Distracting pins were placed in the body of C6. The disc was then completely removed at C5-C6. There was very significant compression of the cord. This was carefully removed to avoid any type of pressure on the cord. This was very severe and multiple free fragments noted. This was taken down to the level of ligamentum. Both foramen were then also opened. Part of the body of C5 was taken down to assure that all fragments were removed and that there was no additional constriction. The nerve root was then widely decompressed. Machine bone allograft was placed into C5-C6 and then a Zephyr plate was placed in the body C6 with a metal pin placed into the body at C5. Excellent purchase was obtained. Fluoroscopy showed good placement and meticulous hemostasis was obtained. Fascia was closed with 3-0 Vicryl, subcuticular 3-0 Dermabond for skin. The patient tolerated the procedure well and went to recovery in good condition.

a. 22554, 63081, 63082, 20931, 22845
b. 22551, 63081, 20931, 22840
c. 22551, 63081, 63082, 20931, 22845
d. 22554, 63081, 20931, 22840

Rational:

Answer: A

Per. Paul Cadorette and the American Medical Association article titles, “Coding Guidance for Anterior Cervical Arthrodesis”, “When a spinal fusion (arthrodesis) is performed, the first thing a coder needs to recognize is the approach or technique that was utilized. With an anterior (front body approach)to cervical fusion the incision will be made in the patient’s neck, so the key terms to look for are platysma, esophagus, carotid, and sternocleidomastoid. These structures will be divided and/or protected during dissection down the vertebral body. After dissection, the procedure can proceed on one of three ways:

1) When the interspace is prepared (minimal discectomy, perforation of endplates) then 22554 would be reported.

2) When a discectomy is performed to decompress the spinal cord and/or nerve root(s) report 22554 for the arthrodesis along with 63075 for the discectomy procedure.

3) When a partial corpectomy (vertebral body resection) is performed at C5 and C6 report CPT code 22554 for the arthrodesis with 63081 and 63082. Two codes are reported because the corpectomy procedure is performed on two vertebral segments (C5 and C6). CPT codes 63081-63091 include a discectomy above and/or below the vertebral segment, so code 63075 (discectomy) would not be reported if performed at the C5-C6 interspace.

Once the decompression procedure has been completed, a PEEK cage can be placed within the interspace or a structural bone graft can be fashioned to fit the vertebral defect created by the previous corpectomy. Insertion of the PEEK cage would be reported with a biomechanical device code 22851. This code is only reported one time per level even if two cages are placed at C5-C6. When a structural bone graft is used, determine whether it is an allograft (20931)) or an autograft (20938). The bone graft codes are only reported one time per procedure and not once for each level. Finally, the physician will place an anterior plate with screws (22845) across the C5-C6 interspace to stabilize the area fusion”.

Some guidance on coding such procedures can also be located in the Spine (vertebral column) coding guidelines (above code 22010).

Learn more of these CPC exam questions with full answers and explanation at www.cpcmedicalcodingcertificationexamprep.org/cpcpracticeexam

Get the latest CPC Exam Updates at http://www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

CPC Sample Exam Questions – Comes With Correct Answer And Full Rationale For Each Question

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Example Of Sample CPC Exam Question 1: Medical Terminology

The term “Salping-Oophorectomy” refers to

a. The removal of the fallopian tubes and ovaries
b. The surgical sampling or removal of a fertilized egg
c. Cutting into the fallopian tubes and ovaries for surgical purposes
d. Cutting into a fertilized egg for surgical purposes

Rational

Answer: A

The term “salp” means tube, the term “ooph” refers to the ovary, and the suffix “ectomy” means to surgically remove. Some CPT books (like the professional edition put out by the AMA) contains pages with common medical terms like these in the beginning of the book (prior to the coding guidelines)

Learn more of these CPC exam questions with full answers and explanation at www.cpcmedicalcodingcertificationexamprep.org/cpcpracticeexam

Get the latest Medical Coding Certification and CPC Exam Updates at http://www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

Practice CPC Exam Questions And Answers And Time Yourself To Finish It In 5 Hours

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AAPC’s CPC exam is 150 questions long. Questions range from true and false, to 1-2 sentences, to full page operative notes.

Questions on the CPC exam do not cover just specific medical codes. Questions can be very diverse, testing the examinees knowledge on:

  • Coding Guidelines
  • Understanding of Conventions
  • Correct Modifier Use
  • Bundling and Global Packages
  • Medical Terminology and Gross Anatomy

We have taken into account the wide spectrum of diversity the CPC exam offers and have constructed the questions on our CPC Practice Exam to reflect those on the actual exam as closely as possible.

In addition to our well constructed questions we are also providing a full rationale for each question.

These rationales provide the correct answer for each question as well as a full explanation as of why this option is correct, why the other three options are incorrect, and where in the medical coding books the answer can be located.

Studying the rationale of an answer may very well be the easiest and most efficient way to learn how to pass the CPC exam.

Download and practice the CPC Exam Questions with Answers at http://www.cpcmedicalcodingcertificationexamprep.org/cpcpracticeexam

Get the latest Medical Coding Certification and CPC Exam Updates at http://www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

What Medical Coding And Billing Questions Are Good For The CPC Practice Exam?

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A good practice exam should fully prepare its examinee for the real exam. Knowing what to expect and not being surprised on exam day are important.

AAPC’s CPC exam is 150 questions and must be completed in 5 hours and 40 minutes or less.

There are three main sections to the CPC exam:

1. Medical Concepts
2. Surgery and Modifiers
3. Remaining CPT codes
Each of these three sections are then further divided into the following smaller headings.

1. Medical Concepts:
**The following sub-divisions are each assigned 5-10 category specific questions**
Guidelines
Payment management
Medical terminology
Anatomy
ICD-9-CM codes
HCPCS codes

2. Surgery And Modifiers:
**This section is mainly sub-divided to reflect the surgery section of the CPT book and assigns 5-10 category specific questions to each of the following sub-divisions**
Integumentary
Musculoskeletal
Respiratory
Cardiology
Hemic/Lymphatic systems
Mediastinum/Diaphragham
Digestive
Urinary
Male and Female reproductive organs
Maternity/ Endocrine system
Nervous system
Eyes/Ears

3. Remaining CPT Codes:
**This portion of the exam focuses on the remaining CPT codes and assigns 5-10 category specific questions to each of the following sub-division**
Evaluation and Management
Anesthesia
Radiology
Pathology
Medicine

Our 150 question CPC practice exam was created using the structure listed above in order to emulate the actual CPC exam as closely as possible. We felt that by doing this examinees would know exactly what to expect on examination day. By utilizing this structure examinees can better prepare for the exam by focusing on category specific questions and identifying areas of weakness. Knowing what to expect in detail also tend to help calm pre-test anxiety.

Get the latest Medical Coding Certification and CPC Exam Updates at http://www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

Practice CPC Exam Questions And Answers For Your Exam Preparation – This Is The Best Way To Learn Medical Coding And Pass Your CPC Exam

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Are you about to take the AAPC exam for Certified Professional Coder for the first time?

Or are you one of the many people who FAILED the exam the first time, and are now looking to retake the test, perhaps for the third or fourth time?

It’s Time To STOP Doing What’s Not Working, And Get The CPC Practice Exam!

CONTENTS OF THE PRACTICE EXAM:

CPC Practice Exam Questions

CPC Practice Exam Questions

  • 150 Question CPC Practice Test
  • Answer Key, With Full Rationale
  • Scan Tron Bubble Sheets
  • The Exam Study Guide, including:
    Common Anatomy Terminology Handouts
    Common Medical Terminology Prefix, Root Word, and Suffix Handouts
  • The Official AAPC Proctor-to-Examinee Instructions (read out loud on the day of the exam)

Download your copy of the CPC Exam Practice Questions And Answers at http://www.cpcmedicalcodingcertificationexamprep.org/cpcpracticeexam

Get the latest Medical Coding Certification and CPC Exam Updates at http://www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

Medical Billing And Coding At Home Jobs – How to pass the CPC Exam and become a Certified Professional Medical Coder

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Download your CPC Practice Exam Questions at http://www.cpcmedicalcodingcertificationexamprep.org/cpcpracticeexam

A good practice exam should fully prepare its examinee for the real exam. Knowing what to expect and not being surprised on exam day are important.

AAPC’s CPC exam is 150 questions and must be completed in 5 hours and 40 minutes or less.

Contents of the CPC practice exam:

* 150 Question CPC Practice Exam

* Answer Key, With Full Rationale * Scan Tron Bubble Sheets

* The Exam Study Guide, including: Common Anatomy Terminology Handouts Common Medical Terminology Prefix, Root Word, and Suffix Handouts

* The Official AAPC Proctor-to-Examinee Instructions (read out loud on the day of the CPC exam) AAPC’s CPC exam is 150 questions long. Questions range from true and false, to 1-2 sentences, to full page operative notes.

* Coding Guidelines

* Understanding of Conventions

* Correct Modifier Use

* Bundling and Global Packages

* Medical Terminology and Gross Anatom In addition to our well constructed questions we are also providing a full rationale for each question.

These rationales provide the correct answer for each question as well as a full explanation as of why this option is correct, why the other three options are incorrect, and where in the medical coding books the answer can be located.

Studying the rationale of an answer may very well be the easiest and most efficient way to learn how to pass the CPC exam. Download your FREE “Medical Coding From Home eBook” at http://www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

How These Videos Will Help You Pass the CPC Exam – CPC Exam Video Review

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 Download your FREE “Medical Coding From Home eBook” at http://www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

CPC Practice Exam Questions at http://www.cpcmedicalcodingcertificationexamprep.org/cpcpracticeexam

Elimination of AAPC Apprentice Credential – Medical Coding Certification

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For the latest updates, visit www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

( Enclosed is the article)

Letter from the Chairman and CEO (Jan 2012)

Elimination of “A” Designation

The Apprentice designation is not needed anymore.

The National Advisory Board (NAB) has recommended, and the AAPC leadership team has discussed and agreed, that the Certified Professional Coder-Apprentice (CPC-A®) credential has outlived its usefulness. The objective of the apprentice (A) designation was to show others—primarily prospective employers—an individual had passed the CPC® exam, but did not yet have one or two years of on-the-job experience. Instead, it was too often preventing most CPC-As® from getting interviews for potential jobs and hurting their prospects.

We believe the résumé indicating the experience level of an individual should speak for itself. Whether the individual has great aptitude, a terrific work ethic, good people skills, or any other desirable attribute is often never discovered because an interview was unable to be obtained. While we still believe experience is needed to become a good coder, we think it should be the employer’s decision who to hire.

Accordingly, AAPC is accepting comments through Jan. 31, 2012 on the following proposal:

Effective July 1, 2012, the CPC-A® credential will no longer be granted. All current CPC-As® would have their “A” removed by doing one of the following:

Getting at least one year of on-the-job experience no later than Dec. 31, 2013 (helpful to those with a job and currently working towards that end), or

Successfully passing a clinical exam consisting of coding 20 operative/office notes

Thus, no current CPC-A® would be “grandfathered” into the CPC® credential.

Those taking the CPC® exam after July 1, 2012 will have two ways to get their CPC® credential.

They can have one year of coding experience prior to taking the CPC® exam (proof given at time of exam application), and then pass the CPC® exam, or

They can pass both the current CPC® exam and clinical exam by successfully coding 20 operative/office notes. On-the-job experience after taking the CPC® exam will not be required.

It does not matter in which order the two exams are taken; if lacking prior experience, both are required to become a CPC®.

The pass rate for the CPC® exam will stay the same and a 90 percent pass rate on the clinical exam will be required. The 90 percent will be determined by correctly coding 18 of the 20 notes (and most will require multiple codes). The clinical exam will not be multiple choice; it will be free form and hand graded.

The clinical exam will include a sampling of office visits, surgical notes, evaluation and management (E/M) coding, ancillary services, modifier usage, and diagnosis coding.

The clinical exam would be taken at any AAPC proctored exam site. The same five hours and 40 minutes time restriction and code books will be allowed into this exam. If additional resources beyond code books are needed to properly code the notes, that information will be provided as part of the exam.

Both exams will be paid for at the same time and the cost for both exams will increase by $35. Applicants may still take each exam twice to pass it. If the examinee has one year experience, then he or she would pay only the CPC® exam price. If one exam is passed after two attempts, but not the other, then the fee for the exam not passed would be paid to re-take it.

Of course, current CPCs® are not affected by this change. As stated above, we would appreciate comments to this important change to our credentialing program through Jan. 31, 2012. You may go to www.aapc.com/cpc-acomment to submit your comment. From those comments we will either proceed ahead, make modifications that strengthen the change, or slow down the change due to legitimate concerns that AAPC has not properly considered.

For the latest updates, visit www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

How to study for the CPC exam paper? More important tips to help …

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A strategy that has been adopted by many, it might work out better for you to start answering the questions from back to front. Start the CPC exam paper from the end to the front may work for you because the questions are generally more advanced at the end, while the front questions are somewhat simpler. Therefore you may not need to spend as much time on the front questions.

Also, do not worry if you’re unsure of the answers to some questions. Just skip those questions and mark them. You can come back to them later. Work on those that you are sure of, as there is a higher chance of you getting more questions correct this way, and you can be sure that you’ve got time to cover every question. After you have gone through the whole paper, return to those marked questions to work on them. If you are really running out of time, just pick an answer randomly, this way you will at least have a chance of choosing the correct answer as opposed to leaving the question blank.

Confirm and check out the CPC examination venue beforehand if possible. This will help you feel prepared and less stressed out on the actual CPC exam date. Confirm the examination venue on the website, and always arrive early just in case. This is very important as you may be forbidden from taking the CPC exam if you are late.

On the day of the CPC exam, take a breakfast rich in protein and low in greasy fat. Take some carbohydrates too. Two half-boiled or poached eggs taken with some toast would be perfect. Taking a glass of milk would be good too as it is full of protein and natural sugars and vitamins that will nourish you, your brain and your body. Refrain from eating fried or oily food for breakfast as you may feel sluggish later. Never ever sit for your CPC exam with an empty stomach. That is the biggest mistake anyone can make as you are not operating with your full potential with low blood sugar and an empty stomach. Remember, this CPC exam is 5 and a half hours long. It’s a long time to fast.

Things to bring along to the CPC exam:

Bring along a bottle of water with you into the CPC exam venue. You will need water for optimal function of your body and brain. Also, bring a watch with you to keep track of the time. Plan your time accordingly. For example, 2 and a half hours into the test, you should be halfway through the questions. Lastly, bring along a jacket or sweater to keep you warm and comfortable if needed during the test.

Click here for CPC practice exam questions and the CPC exam study guide

You can also download the CPC Exam Practice Questions which come with the answer keys and full rationale at http://www.cpcmedicalcodingcertificationexamprep.org/cpcpracticeexam

Or if you’d like to learn more about Laureen Jandroep’s CPC exam study guide and her special Bubbling and Highlighting technique, you can visit http://www.cpcmedicalcodingcertificationexamprep.org/cpc-exam-prep

Coding Endotracheal Intubation

A patient with respiratory failure may require endotracheal intubation (31500 Intubation, endotracheal, emergency procedure) for airway support. Patients with clinical conditions such as drug overdose, sepsis, and some neurological conditions also may require intubation for airway protection. The clinical note may reflect symptoms such as hypoxia, tachypnea, and respiratory distress. Documentation of the intubation procedure […]
AAPC Blog

Recent CIC Certification Looking for Job

Stay at home mom looking to enter the medical coding world. I recently received my CIC certification. Please find my resume below. I am looking to code part-time from home.

Heather M. Higgins, CIC
2 Winter Drive
Dillsburg, PA 17019
(717) 979-7920
[email protected]

EDUCATION
Inpatient Coding Certification Program
American Academy of Professional Coders, 2015

Bachelor of Arts in Organizational Leadership
Eastern University, 2006
• Graduated Sum Cum Laude

Associate of Arts in Communications
Pennsylvania College of Technology, 2001

CERTIFICATION
Certified Inpatient Coder, CIC
American Academy of Professional Coders, 2016

EXPERIENCE
PALS4PETS, Dillsburg, PA
Pet Sitter, September 2009 – Present
• Co-owner pet sitting business
• In home pet sitting for animals of most species
• House sitting duties to include mail collection, plant watering, and other tasks per client request

MECHANICSBURG VETERINARY CLINIC, Mechanicsburg, PA
Veterinary Assistant, January 2007– March 2012
• Assist doctor in all daily aspects of a one doctor veterinary hospital to include: surgery, laboratory, and radiology
• In-hospital patient care and monitoring
• Client relations and medical chart maintenance

DAUPHIN COUNTY LIBRARY SYSTEM, Harrisburg, PA
Events Coordinator, May 2005– February 2007
• Event coordination and planning for an eight library system
• Event calendar creation, maintenance, and distribution
• Marketing and promotion of events

DAUPHIN COUNTY LIBRARY SYSTEM, Harrisburg, PA
Community Relations Assistant, July 2002-May 2005
• Preform basic secretarial duties
• Donor database set up and maintenance
• Liaison between library and donors

ANIMAL AND AVIAN HOSPITAL, Williamsport, PA
Veterinary Assistant, June 1995– November 2001
• Assist doctor in all daily aspects of a multi- doctor veterinary hospital to include: surgery, laboratory, and radiology
• In-hospital patient care and monitoring
• Client relations and medical chart maintenance

REFERENCES
• Available upon request

Medical Billing and Coding | AAPC Forum

Inpatient Psychiatric Facilities: 2017 Rates Are a Done Deal

Bypassing the standard notice of proposed rulemaking and public comment period, the Centers for Medicare & Medicaid Services (CMS) issued, July 28, a final notice of 2017 Medicare payment and policy changes for inpatient psychiatric facilities. CMS can waive notice and comment if they have good reason. “We find it unnecessary to undertake notice and […]
AAPC Blog

Defining PHI

Under the HIPAA Privacy Rule, protected health information (PHI) refers to health information that can identify an individual, or can be used with other available information to identify an individual. PHI requires two things: An identifier; and A piece of health information The HIPAA privacy rule defines “individual identifiers” to include: Names, addresses, social security […]
AAPC Blog

Understanding Bariatric Surgery: CPT and Surgical Interventions

June 19, 2016
 Originally from my HCPro article

In our society, and medical community, the disease of obesity is considered a major health problem. Unfortunately, the disease process of obesity continues to be a major risk factor for the diagnoses in  many other diseases such as diabetes, hypertension, sleep apnea, arthritis, and many, many more.  Obesity is also medically associated with significant morbidity and mortality risk factors when any type of surgical or operative intervention, or even non-surgical hospitalization is necessary.
Most medical providers define and document obesity by the measurement of body mass index (BMI). The BMI is calculated by dividing a patient’s mass (kg) by his or her height (m2). A normal BMI is considered in the range of 18.5-24.9 kg/m2. A BMI of 25-29.9 kg/m2 is considered overweight. A BMI of 30 kg/m2 or greater is classified as obese; this classification is further subdivided into class I, II, or III obesity.  In ICD-10cm, obesity and BMI are now easily identifiable, and should be documented in the patients’ records when obesity is being treated as a stand-alone diagnosis, or as part of a diagnosis with other disease processes that are impacted by obesity.   The ICD-10 codes Z68.xx should be coded in addition to the diagnosis of obesity in the medical record and on your insurance claims. 
Bariatric Surgery Origins
The first effective surgery for obesity in the United States was performed in 1954.  This controversial surgery introduced the jejunoileal bypass.  This “weight loss” surgery was met with controversy, as it did have a large amount of complications, such as extreme malnutrition.   In addition to malnutrition, patients also developed  serious complications secondary to the malabsorption (eg diarrhea, vomiting, eg)  and many required reversal of the bariatric procedure.  These initial complications in the infancy of bariatric medicine, provided the impetus for physicians and surgeons to search for better surgical interventions.  As surgical procedures have progressed and become surgically safer, and with less complications, there has been more acceptance from medical physicians who care for obese patients.  These providers are able to provide better education to the patient,  if a surgical intervention is warranted for morbid obesity diagnoses .   In addition, with better bariatric surgical procedures, especially those that are less invasive,  patients ultimately  have the opportunity for surgical success of elimination of an obesity diagnosis.
Currently, there are four basic concepts/options of choices for patients and physicians to decide upon when moving forward with bariatric surgery:
·         Gastric restriction with adjustable gastric banding  (eg, sleeve gastrectomy)
  • Sleeve gastrectomy
    • In a sleeve gastrectomy, part of the stomach is separated and removed from the body. The remaining section of the stomach is formed into a tube like structure. This smaller stomach cannot hold as much food. It also produces less of the appetite-regulating hormone ghrelin, which may lessen your desire to eat. However, sleeve gastrectomy does not affect the absorption of calories and nutrients in the intestines.
  • Gastric restriction with mild nutritional malabsorption (eg Roux-en-Y gastric bypass)
    • The Roux-en-Y gastric bypass,
      • A  small stomach pouch is created with a stapler device and connected to the distal small intestine. The upper part of the small intestine is then reattached in a Y-shaped configuration.

  •  “Combination” surgery, that includes both mild gastric restriction and malabsorption (duodenal switch)
    • Sleeve gastrectomy with duodenal switch
      • In this procedure, the physician performs a “sleeve gastrectomy” which includes a duodenal switch.
      • The stomach is resected and “tubulized” with a residual volume of about 150 ml. This gastric reduction is the food intake restriction component.  The stomach itself, is then resected from the duodenum and connected to the distal part of the small intestine.  Once that is completed, the duodenum and the upper part of the small intestine are reattached to the rest at about 75–100 cm from the colon.

·         Laparoscopic adjustable gastric banding
·         “Lap Band” surgery
The laparoscopic adjustable gastric banding procedure, also known as the “Lap Band” surgery,  uses a laparoscopic approach to insert a band containing an inflatable balloon to be placed around the upper part of the stomach then fixed in place. This procedure allows a small stomach pouch to be “created”  above the band with a very narrow opening to the rest of the stomach.

·         A port is then placed under the skin of the abdomen. A tube connects the port to the band. Once in place, the surgeon or physician can adjust the band itself by injecting or removing fluid through the port.  This allows, the balloon to be inflated or deflated to adjust the size of the band, therefore restricting the amount of food that the stomach can hold.  This allows the patient to feel full sooner, but it doesn’t reduce the absorption of calories and nutrients.
As with any of the above generalized components of bariatric surgery, there are many variations to each of the above four main types of surgical intervention.   CPT has done a terrific job of giving coders a wide selection of CPT codes to choose from to describe these surgical interventions.   In addition to the CPT codes, the surgeons have also abbreviated the surgeries as below in this table that the  American Society for Metabolic and Bariatric Surgery (ASMBS) put together as a helpful guide for coders to use.


Open Procedures
VBG
Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty
43842
AGB
Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty
43843
BPD/DS
Gastric restrictive procedure, with partial gastrectomy, pylorus-preserving duodenoileostomy (50 to 100 cm common channel) to limit absorption (BPD/DS)
43845
RYGB (proximal)
Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (less than 150 cm) Roux-en-Y gastroenterostomy
43846
RYGB (distal)
Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption
43847
Revision RYGB
Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)
43848
BPD
Gastrectomy, partial, distal; with Roux-en-Y reconstruction
43633
Laparoscopic Bypass Procedures
RYGB (proximal)
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en Y gastroenterostomy (Roux limb 150 cm or less)
43644
RYGB (distal)
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
43645
Lap DS, Lap revisions
Lap sleeve gastrectomy
Unlisted laparoscopy, stomach
43659
Laparoscopic Gastric Restrictive Procedures
Lap adjustable gastric band and port implantation
Implantation of adjustable gastric band and port, [Laparoscopic]
43770
Lap Sleeve Gastrectomy
Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (i.e., sleeve gastrectomy)
43775
Let’s take a look at the operative reports
The first operative report is of a traditional laparoscopic sleeve gastrectomy used by CPT code 43775 –  then we have another laparoscopic sleeve gastrectomy that utilized a “robotic” assisted laparoscopic system for the same sleeve gastrectomy.  When coding for these be aware of what “tools” your provider is using if the procedure is being performed as a traditional laparoscopic surgery, or if the physician is utilizing a laparoscopic robotic system.
When coding these, the traditional operation will only require CPT code 43775; however, it you are utilizing a robotic system you should cod the 43775 as your first line item, then add HCPCS code S2900 at $ 0.00 to provide transparency to the codes and inform your insurance payers that the surgery was performed with a robotic laparoscope system.  Be aware that inclusion of the HCPCS code S2900 should not be billed as a stand-alone code, nor is it reimbursable for any extra revenue.  It is simply an “informational” code for the payers.  
Operative Report #1: Laparoscopic sleeve gastrectomy (traditional) 
Operative Report #2: DaVinci MIS (robotic)  laparoscopic sleeve gastrectomy
Operative Report #3: Laparoscopic (Lap-Band) gastric band placement
Operative Report #4: Laparoscopic removal of LAP-BAND, due to pregnancy (enlarged uterus)
As you review these operative reports, you will notice that these are all laparoscopic.  At this time, laparoscopic adjustable gastric banding is considered the least invasive surgical option for morbid obesity.  In addition, the laparoscopic sleeve gastrectomy which is also considered a viable surgical option, is also less invasive than a traditional open procedure with a quicker recovery time.  The Lap Band procedure is potentially reversible.  The laparoscopic sleeve gastrectomy is non-reversable. 
ICD-10 and Bariatric Surgery Status
The ICD-10-CM code Z98.84 Bariatric Surgery Status refers to the presence of any of these type of synonyms used in the clinical documentation of the medical record. 
·         bariatric surgery status 
·         gastric banding status  gastric bypass status for obesity
·         obesity surgery status
  • History of bariatric (weight loss) surgery
  • History of bariatric surgery
  • History of diabetes mellitus resolved post bariatric surgery
  • History of diabetes mellitus resolved post bariatric surgery (situation)
  • History of diabetes mellitus resolved post gastric bypass
  • History of diabetes mellitus resolved post gastric bypass (situation)
  • History of gastric bypass
  • Presence of laparoscopic band/ or presence of laparoscopic gastric banding device
If the patient is pregnant, and the patients’ bariatric surgery status is affecting the pregnancy, the ICD-10-CM refers us to use these codes as outlined below.  However, the physician should be sure to notate that the bariatric surgery status is complicating the pregnancy, and in what matter the complications exist.  The provider should clearly reflect any complications to the pregnancy related to the bariatric surgery status. 
O99.84 Bariatric surgery status complicating pregnancy, childbirth and the puerperium
·         O99.840 Bariatric surgery status complicating pregnancy, unspecified trimester
·         O99.841 Bariatric surgery status complicating pregnancy, first trimester
·         O99.842 Bariatric surgery status complicating pregnancy, second trimester
·         O99.843 Bariatric surgery status complicating pregnancy, third trimester
·         O99.844 Bariatric surgery status complicating childbirth
·         O99.845 Bariatric surgery status complicating the puerperium
As a coder, good documentation from your providers help ensure you are able to clearly code and report the operative session(s), with the diagnosis of obesity and all additional diagnoses that are impacted by the obesity (medical necessity).  All of these criteria go hand in hand with good quality patient care and correct coding and billing of claims. By working closely with your providers, you can ensure good clean claims, and reduce your overall risk of audit inquiry and financial recoupment of paid claim services.
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC and ICD10 cm/pcs Ambassador/trainer is an E&M, and Procedure based Coding, Compliance, Data Charge entry and HIPAA Privacy specialist, with over 20 years of experience.  Lori-Lynne’s coding specialty is OB/GYN office & Hospitalist Services, Maternal Fetal Medicine, OB/GYN Oncology, Urology, and general surgical coding.  She can be reached via e-mail at [email protected] or you can also find current coding information on her blog site: http://lori-lynnescodingcoachblog.blogspot.com/.  
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Operative Report #1
Laparoscopic sleeve gastrectomy (traditional) 
Patient is prepped and all antiembolic precauations are undertaken and appropriate preop antibiotics are administered via IV. A 12-mm optical trocar is placed under direct vision approximately 15 cm below the xiphoid and 3 cm to the left of midline
A 45-degree angled laparoscope is placed through the port into the peritoneal cavity and 12-mm port is placed in the left lateral flank, medial to the edge of the colon with the patient in a supine position and at the same level as the periumbilical port. Next, a 5-mm trocar port is placed along the left subcostal margin between the xiphoid process and the left flank port. Another 12-mm port is placed in the right epigastric region and a fourth 12 mm port was placed in the mid-epigastric region caudal and medial to the previous port. The liver is elevated and this provides adequate visualization of the entire stomach .
The pylorus of the stomach is then identified and the greater curve of the stomach elevated. An ultrasonic scalpel is then used to enter the greater sac via division of the greater omentum. The greater curvature of the stomach is then dissected free from the omentum and the short gastric blood vessels using the laparoscopic ultrasonic scalpel.
The dissection is started 5 cm from the pylorus and proceeds to the Angle of His .  A 9.8 mm gastroscope is then passed under direct vision through the esophagus, stomach, and into the first portion of the duodenum. The gastroscope is aligned along the lesser curvature of the stomach and used as a template to perform the vertical sleeve gastrectomy beginning 2 cm proximal to the pylorus and extending to the Angle of His.
An endoscopic linear cutting stapler is used to serially staple and transect the stomach staying just to the left and lateral to the endoscope. The gastrectomy is visualized with the endoscope during the procedure. The transected stomach, which includes the greater curvature, is completely freed and removed from the peritoneum through the left flank port incision . The staple line along the remaining tubularized stomach is then tested for any leak through insufflations with the gastroscope while the remnant stomach is submerged under irrigation fluid. The staple line is concurrently evaluated for bleeding both intraperitoneally with the laparoscope as well as intraluminally with the gastroscope. A 19-French Blake drain is left in the left upper quadrant along the sleeve gastrectomy staple line. Closure of the fascia t the left flank port site is performed with an absorbable suture on a transabdominal suture passer, to prevent bowel herniation.  We did not close the fascial defects at the remaining port sites.
Patient is taken to PACU in good condition.
CPT code:
43775:  Longitudinal gastrectomy (ie sleeve gastrectomy)


Operative Report #2 
DaVinci MIS (robotic)  laparoscopic sleeve gastrectomy
The Veress needle technique was used to establish the pneumoperitoneum into the left hypochondrium. A 12 mm port was inserted 120 mm inferior and slightly left to the sternum for camera access. For the latter port, we used an extra large 150 mm long trocar The right 12 mm working port was positioned 6 cm from the midline trocar. The left 12 mm working port was located 6 cm to the left of the midline trocar. An 11 mm trocar was placed laterally to the left hypochondrium and an 8 mm da Vinci trocar was placed under the right hip as laterally as possible to allow liver retraction. The 8 mm da Vinci trocars were inserted through standard, disposable 12 mm trocars. This double-cannulation technique was used asstandard 12 mm trocars are required during the insertion of the staples. All trocars are inserted under direct visualization with the da Vinci system camera
We began recording the docking time of the Robot.  The robotic camera was locked last but was used to insert all robotic cannulas and instruments. The robotic cart was positioned over the patient’s head. Once the general setup was ready, the procedure began with myself using a grasper in the left hand and a modified harmonic scalpel in the right hand. The third da Vinci arm used another forceps in order to retract the liver from the 8 mm trocar placed in the right-hand side of the patient. The greater curvature of the stomach was sectioned at the lowest point in order to reach the lesser epiploic sac. During this stage of the procedure, we are completely robotic.   The division of the gastrocolic and gastrosplenic ligament continued exactly as in a standard LSG. With care, we ensure precision in the upper part of the stomach, and avoided any injury to the spleen and had adequate visualization of the vessels. Dissection continued to 5 cm from the pylorus following dissection of the upper part of the stomach.
Next, the assistant surgeon inserted a 32 Fr bougie to calibrate the sleeve. The anesthesiologist did not encounter any difficulty placing the bougie with the robotic bedside cart. A Echelon 60 Endopath stapler, endoscopic linear cutter straight, loaded with a green cartridge, was used to divide the stomach from the lowest tip of the greater gastric curvature;  5 cm proximally to the pylorus, towards the lateral edge of the bougie. This maneuver was performed twice. The right arm was again docked and the left robotic arm was switched to the left lateral 11 mm trocar. This maneuver allowed the decannulation of the right arm from the 12 mm trocar without moving the robot.   We then inserted a stapler loaded with blue cartridges to divide the sleeve up to the end of the upper part. The stomach was then removed from the cavity through the 12 mm trocar. A robotic continuous polypropylene suture (3/0) was used to oversew the entire sleeve staple line.. The first assist then filled the sleeve with diluted methylene blue to detect any leakage from the staple line.  No leaks were encountered, and operative session was complete.  Patient taken to PACU in good condition. 
CPT code:
43775:  Longitudinal gastrectomy (ie sleeve gastrectomy)
S2900: Surgical Techniques Requiring Use Of Robotic Surgical System (List Separately In Addition To Code For Primary Procedure)


Operative Report #3
Laparoscopic (Lap-Band) gastric band placement
The procedure consisted of laparoscopic placement of a gastric band (Lap-Band System), creating a proximal 15-mL pouch at the cardia.
The patient was positioned in an elevated recumbent position. The video monitor was located beyond the patient’s right shoulder.  Pneumoperitoneum was created using a Palmer-Veress needle. The 10-mm optical trocar was inserted first, 10 cm below the xiphoid notch. Then, three 10-mm cannulas were placed under the rib margin.  The fourth cannula on the left had a larger diameter (18 mm) to allow the introduction of the band. All cannulas were then shifted to the left when preoperative (re-review) ultrasound revealed an enlarged left liver lobe (>15 cm high) in the patient. A 10-mm liver retractor was inserted through a paraxiphoid cannula and the left lobe was elevated to expose the cardiac area and the diaphragmatic crus.
Gastric dissection started at the angle of the cardia by division of the phrenogastric ligament. We proceeded with the lap band procedure with a pars flaccida approach on the right side.  Dissection on the left side was identical to that performed on the right. Over the lesser omentum, we opened the peritoneal sheet close to the edge of the right crus, then gradually created a retrogastric tunnel reaching the left crus and the phrenogastric ligament. Thus avoiding tthe use of a balloon.  The band was secured by an anterior gastrogastric valve using four nonabsorbable seromuscular stitches.   .  This covered the anterior part of the band completely. A methylene blue dye test was carried out with no leaks detected.  The subcutaneous port components were then placed and verified as per our pre-operative marking.   Patient was taken to PACU in good condition. 
CPT Code: 43770: Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneous port components)


Operative Report #4
Laparoscopic removal of LAP-BAND, due to pregnancy (enlarged uterus)
INDICATION FOR PROCEDURE:
This is a 27-year-old female who approximately 3 years ago had an adjustable gastric band placed laparoscopically.  She did well and lost over 100 pounds and subsequently became pregnant with twins.  At approximately 22 weeks’ gestation, she started having nausea and vomiting and could not hold food down.  She had some morning sickness in the first trimester, which resulted in multiple bouts of nausea and vomiting, which may have been the etiology of initial slip of her band.  Slip of the band was confirmed during upper GI swallow.  She was referred by Dr.____, with the aforementioned findings requesting in consultation. 
In consultation, it was recommended the band could be put back in place and/or removed, and the patient requested removal of the band.
DESCRIPTION OF PROCEDURE: the abdomen was prepped and draped in the normal sterile fashion, a transverse 1 cm incision was made in the right upper quadrant approximately 1-inch medial to the anterior axillary line and 1 to 1-1/2 inches below the costal margin.  A 5 mm Optiview port was then advanced through the subcutaneous tissue, abdominal wall muscle, and immediately upon advancing through the abdominal wall muscle, encountered the uterine muscle, at which point the blunt trocar was removed.  A different angle tried and subsequently again the uterus encountered.  At this point, an additional incision approximately 2 inches lateral to the incision very near the costal margin was made, and a 5 mm port was able to be placed in the abdomen and insufflated.  Two small muscular lacerations on the right upper portion of the uterus were noted.  Under direct visualization, a 15 mm port was placed in the left upper quadrant directed towards the esophageal hiatus in the midclavicular line approximately 2 cm inferior to the costal margin.  In the epigastrium very near the xiphoid and just deviated to the left, an additional 5 mm port was placed, and a liver retractor was placed, retracting the left lobe of the liver anteriorly.  The patient was placed in reverse Trendelenburg, and a 5 mm port was placed through the original attempted site placement.  All instruments were used in the upper third of the abdomen as the lower two thirds of the abdomen were completely taken up by the very large uterus.  The gastric band tubing was identified, and it was elevated.  Scar tissue of omentum and adipose tissue were divided over this and taken down through the point of the buckle, which was opened.  The band was then adequately freed, the tubing cut, and the buckle opened completely by pulling the tubing through.  The wide part of the locking portion of the buckle, which was anterior, was then divided, which allowed the band to be removed without pressure or difficulty.  It was pulled out through the 15 mm port site in 3 pieces.  The remaining tubing will be pulled out with the subcutaneous port when this is dissected from its left lateral position. 
The ports were then removed under direct visualization, noting no bleeding at any of the port sites.  The liver retractor had been removed prior to moving the ports under direct vision without injury to intraabdominal contents.  The fascia in the 15 mm port site was closed with a figure-of-eight stitch of 0 Monocryl.  The skin directly in the old incision very close to the port was infiltrated with local anesthetic, and a 3 cm incision was made dissecting down and identifying the port.  The port capsule and suture was then dissected free of surrounding tissue and removed along with the port and the tubing.  The skin was then closed at this site with simple interrupted buried sutures of 4-0 Monocryl as was the remainder of the laparoscopic sites.  The skin and all incisions were sealed with Dermabond.
CPT code: 43774 Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable
gastric restrictive device and subcutaneous port components

Lori-Lynne’s Coding Coach Blog

New Medical Coding Books for Sale!

Good afternoon, Fellow Coders!

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2016 HCPCS LEVEL II EXPERT (2 COPIES)
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Medical Billing and Coding | AAPC Forum

New Medical Coding Books for Sale!

Good afternoon, Fellow Coders!

ASSORTED BRAND NEW MEDICAL CODING BOOKS FOR SALE

2016 AMA CPT PROFESSIONAL (2 COPIES)
2016 HCPCS LEVEL II EXPERT (2 COPIES)
2016 ICD-10-CM COMPLETE CODE SET (1 COPY)
2016 ICD-10-CM HOSPITAL PROFESSIONAL EDITION (1 COPY)
ANATOMY AND PHYSIOLOGY FOR DUMMIES (1 COPY)
MEDICAL TERMINOLOGY FOR DUMMIES (1 COPY)

Please call Lisa at (423) 737-6393 and leave a voice mail message with your
name and telephone number. Your call will be promptly returned.

**Available for purchase individually or as an entire set**

Medical Billing and Coding | AAPC Forum

8/8/16 revision of total hip and knee replacement lcd l33456

Can anyone help me?
I was under the impression that the changes to CMS LCD L33456 for total joint replacement was the addition on ICD-10 codes.
I must be missing something because I have a number of total hips and total knees that are denying for medical necessity due to the revised LCD and cannot seem to get a resolve.
Our carrier, Palmetto GBA states there is a required secondary diagnosis missing but i can only find that information associated with the revisions.

Medical Billing and Coding | AAPC Forum

8/8/16 revision of total hip and knee replacement lcd l33456

Can anyone help me?
I was under the impression that the changes to CMS LCD L33456 for total joint replacement was the addition on ICD-10 codes.
I must be missing something because I have a number of total hips and total knees that are denying for medical necessity due to the revised LCD and cannot seem to get a resolve.
Our carrier, Palmetto GBA states there is a required secondary diagnosis missing but i can only find that information associated with the revisions.

Medical Billing and Coding | AAPC Forum