Hey Kate, just came across your channel. You are a breath of fresh air. I'm an RHIT, but I've decided to audit coding classes so I can sit for the CCS. I'm so lost in the sauce. The one liners are of course easy and give you false courage. Then comes the case studies. And everything looks like it needs to be coded. Even the paper. LOL. My teacher is awesome. But these tutorials are nice also. Thank you!
For Laparoscopic cholecystectomy cases, the trocar is usually part of a 2 piece port system (sleeve and trocar). The trocar can be blunt or pointed (it's plastic not metal like a needle) , they make a small incision and insert the trocar with the sleeve into the abdomen. The trocar is removed and the sleeve (port) remains in the abdomen. The port is used for placement of the camera and surgical instruments used for the procedure. Multiple ports are usually placed in the abdomen.
This was great, I have been researching "cpt and icd-9 coding certification" for a while now, and I think this has helped. Ever heard of - Lukesey CPC Carnage - (should be on google have a look ) ? Ive heard some pretty good things about it and my partner got cool results with it.
Adrea Foster I can definitely do that!!! Also, try to watch videos or animations of surgeries that you are coding because seeing the elements of the procedure will help you decide if it’s integral or not! For example, I was practicing coding a procedure of the digestive system (within the pancreas, bile duct, etc) and in the middle of the op report they said they did a sphincterectomy and I had no idea what that meant or if it should be coded so I looked up a video of that and found it was integral and should NOT be coded! They basically had to cut the sphincter of the bile duct going into the duodenum so they could have enough room to get their tools up there to complete the rest of the procedure!
I love your videos! I'm in my first coding class and she has shown us your videos as an extra tidbit of information. You make it seem so easy! The reports always seem so overwhelming to me because of all of the unnecessary information they include! I just subscribed and look forward to seeing your other videos :)
Caroline Gregory 😲 your professor knows about my videos and has offered my videos as a resource?!?!? NO WAY!!! How awesome is that?!?! Oh I’m so glad my videos are so helpful!!!!
Coding With Kate YES! 😁 You are definitely good at what you do and it is so obvious that you enjoy it! I even told someone who has been coding for 17 years she needs to look at your videos :)
Great video! If you get ahold of any op notes for sinus surgery, I’d be interested in seeing how you approach dissecting those procedures. I code for an ENT surgeon still get a little confused when reading the op note.
Phil Adams I definitely will!! Ill try to throw in some that confuse me so you can see my process of how I figure it out (similar to the tip, technique, example video)! It was very overwhelming at first when I began doing case studies but if you take it step by step, soon it becomes second nature and not as scary!!
I was reading a case study the other day that listed tonsilectomy as an external approach? Why would that be since it seems like you are entering the body thru the mouth so shouldn't that be a natural entry?
Phil Adams I would have to do some research on the guidelines/coding tips but I believe PCS considers surgery within the mouth as external and anything deeper into the throat, etc as via natural or artificial opening. Think about it like this, when you open your mouth for surgery, the surgeon can immediately see the surgery site without any visual assistance or going by touch or feel to find the surgery site as with via natural/artificial opening and percutaneous approaches. Whereas with external, there isn’t the need to rely on touch or feel/visual assistance to find the surgery site. It’s as if the surgery site is on the surface of the body instead of within the body. I believe that’s a good rationale for this instance but I will definitely search for official rationale from ICD-10!
Thanks for this video. Op reports can be so confusing. Sometimes there are procedure done that appear they should be coded but then to find out it was pre op to the objective.
Hi Kate, love your videos - I need practice dissecting the same types of reports that a certified practical coder would receive from a Physician. I am taking a CPC course but haven't seen any actual examples yet so PLEASE show us a redacted office visit out patient report to code, can't find ANY examples on here, thanks you!!!!
Janice Decorpo I definitely can!! I’ll update these and future videos to have the codes in the description so then you can try finding the codes yourself and checking to see if it matches what I have!!
Do we code the drainage of the gall bladder separately, which was done prior to taking the gall bladder out? Also, is it better to use the body system hepatobilliary instead of digestive?
Gurpreet Singh I will have to look back at the op report but if the gallbladder is being resected/taken out and they drain it to make resection easier, then do NOT code drainage. Also, only use the body system that the PCS code offers for that body part! I’ll have to check the PCS codebook to confirm which chapter offers gallbladder!
Also could you weigh in on resection vs removal, since they took out the whole gall bladder? Sorry for too many questions, I am new at this and preparing for the coding exam.
Gurpreet Singh good question! Removal is ONLY for removing a device. Resection is taking out an entire body part per the PCS definition of said body part. Excision is taking out part of a body part! Remember that removal is only for devices!!
Hey Kate, just came across your channel. You are a breath of fresh air. I'm an RHIT, but I've decided to audit coding classes so I can sit for the CCS. I'm so lost in the sauce. The one liners are of course easy and give you false courage. Then comes the case studies. And everything looks like it needs to be coded. Even the paper. LOL. My teacher is awesome. But these tutorials are nice also. Thank you!
For Laparoscopic cholecystectomy cases, the trocar is usually part of a 2 piece port system (sleeve and trocar). The trocar can be blunt or pointed (it's plastic not metal like a needle) , they make a small incision and insert the trocar with the sleeve into the abdomen. The trocar is removed and the sleeve (port) remains in the abdomen. The port is used for placement of the camera and surgical instruments used for the procedure. Multiple ports are usually placed in the abdomen.
Great video! The way you break it down makes coding understandable. Please make more. Thanks!
Elisabeth Castro thank you!!!! I definitely will!!!
This was great, I have been researching "cpt and icd-9 coding certification" for a while now, and I think this has helped. Ever heard of - Lukesey CPC Carnage - (should be on google have a look ) ? Ive heard some pretty good things about it and my partner got cool results with it.
I love the demonstrations. This takes the guess work out of what coding is really about
Im goung to be starting my externship for medical billing, thank you for these videos
Yes please do more with different techniques! :)
Please do more. I get so confused as to what to code and what not to code. Great job.
Adrea Foster I can definitely do that!!! Also, try to watch videos or animations of surgeries that you are coding because seeing the elements of the procedure will help you decide if it’s integral or not! For example, I was practicing coding a procedure of the digestive system (within the pancreas, bile duct, etc) and in the middle of the op report they said they did a sphincterectomy and I had no idea what that meant or if it should be coded so I looked up a video of that and found it was integral and should NOT be coded! They basically had to cut the sphincter of the bile duct going into the duodenum so they could have enough room to get their tools up there to complete the rest of the procedure!
I love your videos! I'm in my first coding class and she has shown us your videos as an extra tidbit of information. You make it seem so easy! The reports always seem so overwhelming to me because of all of the unnecessary information they include! I just subscribed and look forward to seeing your other videos :)
Caroline Gregory 😲 your professor knows about my videos and has offered my videos as a resource?!?!? NO WAY!!! How awesome is that?!?! Oh I’m so glad my videos are so helpful!!!!
Coding With Kate YES! 😁 You are definitely good at what you do and it is so obvious that you enjoy it! I even told someone who has been coding for 17 years she needs to look at your videos :)
Caroline Gregory oh that’s exciting!!!! Thank you so much!!!!
Great video! If you get ahold of any op notes for sinus surgery, I’d be interested in seeing how you approach dissecting those procedures. I code for an ENT surgeon still get a little confused when reading the op note.
Ryan Stroup great idea!! I’ll search around and see what I can find!! I will have to brush up on my nose anatomy!
Please do more of these. You really make it look easy.
Phil Adams I definitely will!! Ill try to throw in some that confuse me so you can see my process of how I figure it out (similar to the tip, technique, example video)! It was very overwhelming at first when I began doing case studies but if you take it step by step, soon it becomes second nature and not as scary!!
I was reading a case study the other day that listed tonsilectomy as an external approach? Why would that be since it seems like you are entering the body thru the mouth so shouldn't that be a natural entry?
Phil Adams I would have to do some research on the guidelines/coding tips but I believe PCS considers surgery within the mouth as external and anything deeper into the throat, etc as via natural or artificial opening. Think about it like this, when you open your mouth for surgery, the surgeon can immediately see the surgery site without any visual assistance or going by touch or feel to find the surgery site as with via natural/artificial opening and percutaneous approaches. Whereas with external, there isn’t the need to rely on touch or feel/visual assistance to find the surgery site. It’s as if the surgery site is on the surface of the body instead of within the body. I believe that’s a good rationale for this instance but I will definitely search for official rationale from ICD-10!
Kate I love the way you explain, u make it really easy to understand this confusing coding , great teacher .. keep it up 👍
Thanks for this video. Op reports can be so confusing. Sometimes there are procedure done that appear they should be coded but then to find out it was pre op to the objective.
Hi Kate, love your videos - I need practice dissecting the same types of reports that a certified practical coder would receive from a Physician. I am taking a CPC course but haven't seen any actual examples yet so PLEASE show us a redacted office visit out patient report to code, can't find ANY examples on here, thanks you!!!!
I love this!! Please do more! This helps a lot!! Thank you
Heather Manhardt no problem, I definitely will!!
Can you also include how you used the aphebetic index of cpt to find the code?
can you show the codes you would use also for these procedures
Janice Decorpo I definitely can!! I’ll update these and future videos to have the codes in the description so then you can try finding the codes yourself and checking to see if it matches what I have!!
Do we code the drainage of the gall bladder separately, which was done prior to taking the gall bladder out? Also, is it better to use the body system hepatobilliary instead of digestive?
Gurpreet Singh I will have to look back at the op report but if the gallbladder is being resected/taken out and they drain it to make resection easier, then do NOT code drainage. Also, only use the body system that the PCS code offers for that body part! I’ll have to check the PCS codebook to confirm which chapter offers gallbladder!
Thanks!
Also could you weigh in on resection vs removal, since they took out the whole gall bladder? Sorry for too many questions, I am new at this and preparing for the coding exam.
Gurpreet Singh good question! Removal is ONLY for removing a device. Resection is taking out an entire body part per the PCS definition of said body part. Excision is taking out part of a body part! Remember that removal is only for devices!!
Coding With Kate Thanks!
Gurpreet Singh make sure to watch my root operation videos where I explain all of the root ops and provide examples!
Hello Kate . Do the medical coder read a lot of text ? Because of my English not a my native language. Thank you . Leyla .
Thank you! Excellent
I am having a little kind of difficult on tabling the case and how about going to sitting on the table the case of the client or the patient
I am having a hard time with knowing the body part or system that the root operation was done in
Code operative report #2 in chapter 23. There is 5 codes.
Heather Korte what book is this from?
Kindly make videos on icd 10 .videos are nice
Thank you.
What's the best work book to use
Helpful..thank you
Should have done the whole coding process, other than that great video.