Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 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 Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: there
is there a code for vaginoplasty that is not intersex state?
I really need help on this. We have a pt that is needing a hymenectomy and along with that her vagina is quite narrow, so one of my providers wants to do what he has called a vaginoplasty. The only codes that I can find for that are the 57335 "vaginoplasty for intersex state" which the pt is not. Or the unlisted procedure code of 58999. Does any one else have any other ideas?
Your help is much appreciated!
Thank you!
Incident to when there are two problems, one incident to and one new
Is there an e/m code for discussing abnormal lab results
Is there an e/m level code to use for discussing lab results with established patients? do I use the MDM to come up with the level of care?
From the Trainer: ICD-10 FAQ #1 – If the US is the last to implement, why are there so many unknowns?
For the last year, I’ve traveled across the country providing ICD-10-CM and ICD-10-PCS education to coders and clinical documentation specialists. Our company’s model provides three separate training sessions for our clients: basic, intermediate, and advanced. This means lots of repeat visits to each client, lots of really hard questions, and tons of professional growth for me. I thought it was time to start a new series here on my Coder Coach blog: ICD-10 FAQs. This is a question I’ve been asked a lot lately as we get into advanced trainings and more controversial topics:
If the United States is the last country to implement ICD-10, why are there so many unanswered coding questions and why do we have to wait for Coding Clinic advice?
While it seems logical that someone would have figured out all of this ICD-10 stuff within the last 20 years as we’ve been “messing around” here in the US (please note the sarcasm, because I don’t really think we’ve been messing around; we’ve actually been quite busy), the reality of the situation is that the US version of ICD-10 is different from everyone else’s. The core ICD-10 code set was developed by the World Health Organization (WHO) and classifies causes of morbidity (i.e., diagnoses) and every country has the ability to adapt it further (e.g., ICD-10-CA in Canada, ICD-10-AM in Australia, ICD-10-CM in the US). Two things should have jumped out at you based on this statement:
- ICD-10 diagnosis codes may be different in Canada, Australia, and the US
- The international code set does not include procedures
- The Excludes1/Excludes2 convention, which solves a lot of problems from ICD-9 (and creates a few new ones) is not part of the WHO version
- The use of 7th character extensions for injuries and poisonings is not part of the WHO version
- The expansion of the external cause codes, which are not required for reporting, are not nearly as extensive in the WHO version
- While we have adapted diabetes terminology in the US to Type 1 and Type 2 diabetes, the WHO version still uses the insulin-dependent diabetes mellitus (IDDM) and noninsulin-dependent diabetes mellitus (NIDDM) terminology that we’ve worked so hard to banish from our medical record documentation here in the States