As an RN transitioning into coding, you bring a valuable perspective to the field, and I’m excited to see where your journey takes you. Best of luck with your coding journey, and thank you again for your support!
I appreciate how you explained summing up the lengths for each group of anatomical site. For beginners like me that is a vital information to point out. Sometimes you need to hear it yourself to remember. Again, excellent presentation Mr. Nguyen. I learn so much on every videos I watch. Thank you.
Hi Tes. Slowly but surely you will be get there. Don't skip any video, take your time, learn and take note. Someday in the near future, you will appreciate what you learn today. Happy Learning!
I truly appreciate how you break things down on this video. I never thought of writing down the kind of repairs down with measurements. It really is helpful. I just hope I dont take so much time during exam over thinking it. These cases comes up a lot in the COC exam which I am taking soon again.
I especially liked how you break down what can be added together (cm) and what order to list them (most severe first). I never understood the sequencing, and now I do. Thank you.
Thank you Mr. Hoang! This was awesome! I took a course in coding and billing and this has by far been the most helpful. You teach sequencing and other techniques that just clicked with me like nothing else I've studied! I love your simplified approach and your teaching style. I walk away from these lessons feeling like you really want me to learn! :-) Thanks so much!
Just told my husband I wish i would've found you earlier. I'm done with all my classes but you going through all this makes it way easier to understand. Hope to take my test in a couple weeks. Thanks a bunch!
Thank you Mr. Hoang again for your wonderful videos that you have made recently. Without your videos; I couldn’t have been able to understand the fundamental knowledge of what ICD 10; Cpt or PCS are. Words might not describe how much thankful I am to your videos; especially with your busy life but you still take some times to make videos and help many of us out there like me. I am always waiting to see more and more videos you will be posting in the next coming days. Also; I am just wondering if you may have a chance to help us with more training on how to take notes and learn for CPC exam ? 😊 Have a good day Mr. Hoang.
Hi Phung. Thank you so much for your kind words. You make me feel appreciated and want to do more. What I am doing now is also to prepare you for the CPC and other coding exams. My plan is to cover all important chapters of ICD-10-CM and some basic CPT coding guidelines first then I will switch gear and focus more on CPC exam. If you follow my plan, then you should be ready to take the CPC exam this year. Slowly but surely, you will get there. Have a good week !
Hi Leslyn. I glad you enjoyed it and I am very confident that you will be good at it because you keep working on it non stop. Thank you so much for your comment. Have a good weekend!
I have been struggling with coding the Integumentary system and going into my test on Saturday I didn't feel confident AT ALL. This one video gave me tools to dissect complex cases and I can't say thank you enough!!
Thank you so much Mr. Hoang, I now understand coding wound repairs much better. Thanks again for taking out your time making the videos, it is definitely appreciated .
I love your videos! They are the most helpful and easy to understand of the many I have watched. Thank you so much for taking the time to do these videos!
Hello Mr. Nguyen, I'm new and stumble across this. OMG! This is awesome and so much more simpler to understand. I love it and will continue to watch as you teach me ways on how to pass my Exam. Thank you
Hi Carol. If you watch all of my videos and understand my tips and strategies then you should be ready for any outpatient coding exams. Good luck with your study and thank you for your support.
Hi Maria. You can do it. Many people who watched my videos and followed my strategies have already pass the CPC exam successfully so you can do it. Good luck!
First of all thank you so much for these extremely helpful videos... they are so much more educational and in depth than what I have learned via a course I have taken. One suggestion...it would be helpful if we could also see the written words if we choose during the video.
My plan is to take the CPC exam in May. I work in managed care in utilization review and want to add coding to my skill set and obtain a PRN position. I am following your videos and going back and re-reviewing them as I think they will be very helpful to remember the tips for the exam.
Hi Vinil. With your background in Utilization Review, I believe you will pass the CPC with ease. Adding a coding credential after your name will make you a very valuable employee to any coding department. I wish you all the best!
I appreciate your hardwork from deep of my heart on this pandemic situation its very usefull to get revised on the particular topics likewise teach HCC coding and icd 10 pcs thanks in advance then its very usefull to shine on this speciality
Hi Hoang, just loving the fact you extend yourself to help others. I am wondering if it still applys to 2022 to watch your videos that are a year old referring to wound repair or lesion excision?? Thank you for your help--- I so appreciate it
Mr. Hoang I agree with so many of the comments on this video and the others you've taken so much time to prepare for us. I have struggled with many of the coding guidelines, not able to understand them or remember them. This section is one of them. It was very confusing to decide and separate the wounds, the repair complexity and to add or not to add together the lengths. I almost gave up the thought of being able to code after trying for so long. I have a question and that is (for all coding) how do you determine the order of the codes? Thank you so very much for all that you have done, and are doing. Am very grateful.
When a patient has multiple diagnoses, assuming that we treat them all, then the you list the most important or serious condition FRIST. For example, an open fracture of the right femur and a closed fracture of the left femur were treated on the same encounter, based on the severity of the illness, you have to list the open fracture FIRST followed by the closed fracture. In some cases, if you are coding neoplasm, HIV or Pregnancy case etc., then you have to follow its chapter coding guidelines. If you watch all my videos then you should know some of them by now. I hope it helps.
@@codingwithhoang That seems the right way to code them, the course I took, sometimes it wasn't done that way so I was somewhat confused. YES! Everything you are teaching us is greatly helpful and I plan to watch all of your videos, and more than once. THANK YOU again!
Thank you so much! You provided so much more information that I could have gotten by simply reading my CPT book. I really appreciate your examples and walking us through samples, it helps tremendously! Thank you, again.
Mr. Hoang, Thank you for this informative video. Very well done! Question on the last example, for intermediate closure would go first then the other two codes. After the IC would you code in numeric order (ie. 12034, 12004, 12011 or would it be 12034, 12011, 12004) or does it not matter?
Hi Tfryeba. Based on the severity illness rule, you list the intermediate repair before the simple repair or a malignant lesion before a benign lesion or an open fracture before a closed fracture and forget about the numeric order. I hope it helps.
@@codingwithhoang, but in this particular case you provided, 12011 and 12004 are both simple repair codes. Would 12004 be considered the more work intensive code because the sum of the lengths repaired is greater (8.6 cm.) than the sum of the lengths repaired in code 12011 (2 cm.)? If I am correct, the codes would be sequenced as follows: 12034 (intermediate), 12004 (simple, 8.6 cm.), 12011(simple, 2 cm.)
Hi Jamie, when I am done with the CPC exam prep video series, then I will make videos on those topics. Please continue liking and sharing in order to support my channel. Thank you.
@@codingwithhoang Thank you, I will be watching for them. I was assuming there would be questions on the CPC Exam about these topics, that is why I was asking. These videos are FANTASTIC!
@@mahaonejf watch my video on how to code lesion excision and take note of the guideline about the flap when it's performed in addition to the excision of a lesion.
Thank you so much for taking the time to teach us in detail. I am taking an online course and it is very hard to get someone to help through the courses! You have no idea how much you are helping me.
You are so welcome Jeannie and I am glad to know that it helped. Thank you so much for your comment and good luck with your study. All the best in this new year.
I don't have a CPT book at work, we use software to assign codes so I still use my old CPT book at home. Anyone who already passed the CPC exam in 2020 kindly donates his or her CPT book to me, that would be great. Otherwise, I have to search for a used book to buy in order to prepare for these video lessons going forward. Thank you.
Hi Sir Hoang, 19:28, I would like to confirm, reporting of the codes in real world coding, would be 12034, 12004-59, 12011-59? From the guideline of repair #2 second paragraph, when more than one classification of wounds is repaired, list the more complicated as primary and the less complicated as secondary using modifier-59.
Thank you for the video. So for the last scenario the we should use modifier 59. And the code will be 12034,12011-59,12004-59 am I right. Can you please correct me if I am wrong. Thank you.
Hi Mr. Hoang, I would like to know what is the difference between in this 2 codes, extremities means hand and feet or different? especially in the 12031- extremities (excluding hands and feet) clarify this doubt, please Repair Intermediate 12031- Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet) 12041- Repair, intermediate, wounds of neck, hands, feet and/or external genitalia
Hi Deepa. In code 12031 the extremities refer to upper arm (shoulder to elbow), lower arm (elbow to wrist) and lower extremities (hip to ankle). If the repair is performed on the hands and feet then you have to use 12041. I believe AMA separates the extremities with hands and feet simply because it is much harder to repair the wound on the hand and feet due to its density of nerves, ligaments and tendons compared to skin and subcutaneous tissue of the upper arm or thigh. I hope it helps.
Hello doc I have a question what is considered extremity and what is considered feet. The reason being with this scenario Intermediate repair 12031 Repair of of scalp, axillae, trunk and or extremity (excluding hands and feet) and intermediate repair 12041 repair intermediate neck hand, feet, and or external genitalia. So I chose 12046 because I considered leg to be feet/foot. Please provide clarity. Thank you Doc.
CPT has two separate codes for the intermediate repair of extremities and intermediate repair of hands and feet. In order to code these procedures correctly, you got to know the difference between extremities which include both upper extremity (upper arm and forearm) and lower extremity (thigh and lower leg below the knee). Wrist, hand, ankle, and feet will share the same code starting 12041 for intermediate repair. I hope it helps.
when coding wounds and seuquencing you said most intense 1st....you coded 12034, what would go next 12004 or 12011. 12011 is smaller so would that code not go last? You had it second in video
When asking a question, please give me a reference for example case or question number so that I know exactly what you refer to. That would save my time to watch the entire video to search for your code. Thank you.
MR hoang 12031 cpt code states repair intermediate wound of scalp , axlliae , trunk and/or other extremities ( excluding hands and feet ) 2.5cm or less , meaning hands and feet are excluded , i think the code should be 12041 because it states repair intermediate wounds of neck, hand ,feet and/or external genitalia 2.5 cm or less..... so why is the intermediate repair answer in the first question 12036 ...... i am little bit confused with the ( excluding hands and feet ) part ?
12041 can be assigned for intermediate repair of the hands and feet but not for the LOWER LEG and that is why CPT has a separate code 12031 for the extremities (upper arm, forearm and lower leg). In this case we have to use 12036 because the wound size is 25 cm. I hope it helps.
Mr. Hoang I was a little confused with the 1st case. It read that the wound was to the muscle but you coded it under Intermediate instead of complex. Can you explain that to me? Thanks
Hi Angie, the physician has to document it as a complex closure in order for us to use the complex repair. In this case, it's documented as layered closure. It does not matter how deep the wound is if it is closure by two layers then you have to use the intermediate repair. I hope it helps.
Hi Akhil, you have to be specific about which case (ie. case number?) and why you think it needs the modifier 59 then I should be able to understand your thought and then clear your confusion.
I can never thank you enough for making these videos, they help me a lot, but can you please help me find 13150, because the sequence in my is 13132, 13133,13151 , there is no 13150, maybe, I am missing something here. Thank you so much.
13150 is for a complex repair, eyelids, nose, ears and/or lips; 1.0cm or less. This code has been deleted and now it starts with 13151 repair, complex, eyelids, nose, ears and/or lip; 1.1cm to 2.5cm. That said, for any complex repair of eyelids, nose, ears or lip less than 1.1cm, you have to code it either simple or intermediate repair 12011 or 12051 depending on how many layered sutures. I hope it helps.
Yes, I would not use the simple repair code(s) for adhesive strip and derma bond. I would add the work to the E/M level 3: 99283 instead of 99282 for the ED visit.
I’m an RN studying coding. You are gifted! Thankyou so much for your hard work!
As an RN transitioning into coding, you bring a valuable perspective to the field, and I’m excited to see where your journey takes you. Best of luck with your coding journey, and thank you again for your support!
I was so lost on how to code CPT wound codes. Thank you so much for this video Mr. Nguyen.
I am now understand how to breakdown repairs. Thank you for your help.
This is much more understandable than the course I am taking online, thank you so much Hoang!
Hi Nichole. I hope that you know how to code it now. Thank you so much for your comment and support. Have a great day!
This is complex chapter to study. It help to watch this video. Thanks Dr. Hoang.
Hi Editha, you will have the chance to code the the wound repairs procedures in some of my latest videos. Thank you for your comment and support.
I appreciate how you explained summing up the lengths for each group of anatomical site. For beginners like me that is a vital information to point out. Sometimes you need to hear it yourself to remember. Again, excellent presentation Mr. Nguyen. I learn so much on every videos I watch. Thank you.
Hi Tes. Slowly but surely you will be get there. Don't skip any video, take your time, learn and take note. Someday in the near future, you will appreciate what you learn today. Happy Learning!
I truly appreciate how you break things down on this video. I never thought of writing down the kind of repairs down with measurements. It really is helpful. I just hope I dont take so much time during exam over thinking it. These cases comes up a lot in the COC exam which I am taking soon again.
Good luck with your exam Minerva. You can do it.
Thank you for the videos!
I especially liked how you break down what can be added together (cm) and what order to list them (most severe first). I never understood the sequencing, and now I do. Thank you.
Hi Jody. I am glad to know that you finally understood it now. Thank you so much for your comment and support. Happy Learning!
Thank you Mr. Hoang! This was awesome! I took a course in coding and billing and this has by far been the most helpful. You teach sequencing and other techniques that just clicked with me like nothing else I've studied! I love your simplified approach and your teaching style. I walk away from these lessons feeling like you really want me to learn! :-)
Thanks so much!
Just told my husband I wish i would've found you earlier. I'm done with all my classes but you going through all this makes it way easier to understand. Hope to take my test in a couple weeks. Thanks a bunch!
No words and no sentences and no paragraphs outstanding explanation sir
Hi Sandy. Thank you kindly for your comment. You make me feel appreciated. All the best.
This video was extremely helpful. I was confused about when you could add the cm's together . It was spelled out nicely here. Thank you so much.
I am glad it helped! Thank you for your comment.
Thank you Mr. Hoang again for your wonderful videos that you have made recently. Without your videos; I couldn’t have been able to understand the fundamental knowledge of what ICD 10; Cpt or PCS are. Words might not describe how much thankful I am to your videos; especially with your busy life but you still take some times to make videos and help many of us out there like me. I am always waiting to see more and more videos you will be posting in the next coming days.
Also; I am just wondering if you may have a chance to help us with more training on how to take notes and learn for CPC exam ? 😊
Have a good day Mr. Hoang.
Hi Phung. Thank you so much for your kind words. You make me feel appreciated and want to do more. What I am doing now is also to prepare you for the CPC and other coding exams. My plan is to cover all important chapters of ICD-10-CM and some basic CPT coding guidelines first then I will switch gear and focus more on CPC exam. If you follow my plan, then you should be ready to take the CPC exam this year. Slowly but surely, you will get there. Have a good week !
Thank you Mr. Hoang for explaining "Classification" in this video.
Hello Doc. This is Leslyn. Excellent video. I have to go over it over and over again for it to stick in my brain.
Hi Leslyn. I glad you enjoyed it and I am very confident that you will be good at it because you keep working on it non stop. Thank you so much for your comment. Have a good weekend!
Thanks you so much for showing how to write these down. Makes it so much easier when dealing with multiple wounds!
You go it Nikki. Happy Learning!
I have been struggling with coding the Integumentary system and going into my test on Saturday I didn't feel confident AT ALL. This one video gave me tools to dissect complex cases and I can't say thank you enough!!
You got this! Good luck with your test tomorrow.
Thank you so much your videos have showed me things that had not been clearly explained to me
I am glad to know that. Thanks so much for your support.
I am learning so much from your videos. I never would have known how to choose the correct codes without your assistance. Thank you so much!
You are so welcome Rena. Thanks so much for your comment and support.
Finally i understood...I cant believe it is so simple. Thanks alot.
Hi Baljinder. I am glad to hear that. Thank you for your comment.
Excellent and very helpful sessions 👍
Excellent explanation of repairs, especially combining measurements area of repair together, instead of listing them all separately.
This video is awesome I was able to understand this topic on how you breakdown each category of repair.
I am glad you enjoyed it! Thanks so much for your comment and support.
Thank you for the break down on repairs. I understand it so much better now
Hi Sharelle. I am glad that you got it now. Thanks so much for your comment. Have a wonderful day!
Thank you so much Mr. Hoang, I now understand coding wound repairs much better. Thanks again for taking out your time making the videos, it is definitely appreciated .
Hi Belinda. I am glad that it helped. Thank you so much for your comment. Good luck with your study. All the best.
I love your videos! They are the most helpful and easy to understand of the many I have watched. Thank you so much for taking the time to do these videos!
Hello Mr. Nguyen, I'm new and stumble across this. OMG! This is awesome and so much more simpler to understand.
I love it and will continue to watch as you teach me ways on how to pass my Exam. Thank you
Hi Carol. If you watch all of my videos and understand my tips and strategies then you should be ready for any outpatient coding exams. Good luck with your study and thank you for your support.
God Bless. Thank you for sharing your knowledge. Kudos to you Sir. Hoping to pass may certification soon.
Hi Maria. You can do it. Many people who watched my videos and followed my strategies have already pass the CPC exam successfully so you can do it. Good luck!
Thank you sir. You made a complex problem into something simple. I really appreciate your time and effort. You are very much appreciated.
You are most welcome. Thank you so much for your comment! All the best.
First of all thank you so much for these extremely helpful videos... they are so much more educational and in depth than what I have learned via a course I have taken. One suggestion...it would be helpful if we could also see the written words if we choose during the video.
awesome. I got it after this video thank you!
Thank you Mr. Hoang, I have to review this chapter. You make it so easy to understand!! Forever grateful!!
You are welcome Rosa. It's always nice to hear from you. Have a great week!
Excellent class.
My plan is to take the CPC exam in May. I work in managed care in utilization review and want to add coding to my skill set and obtain a PRN position. I am following your videos and going back and re-reviewing them as I think they will be very helpful to remember the tips for the exam.
Hi Vinil. With your background in Utilization Review, I believe you will pass the CPC with ease. Adding a coding credential after your name will make you a very valuable employee to any coding department. I wish you all the best!
Thank you for the words of encouragement
Thank you so much for your class. You made it very simple and easy.
You're very welcome Sharon. I am glad to know that. Thank you for your comment and support.
Very helpful! Thank you!
Thank you hoang for existing 💗
This video helps to simplify the process and makes the case seem less intimidating. Great lesson.
Hi Myra, I am glad it was helpful! Happy Learning.
I appreciate your hardwork from deep of my heart on this pandemic situation its very usefull to get revised on the particular topics likewise teach HCC coding and icd 10 pcs thanks in advance then its very usefull to shine on this speciality
YOU ARE AMAZING!
Great content for easy learning 👌. Thank you.
Thank you, this was a very good lesson and easy to understand. Have a great day. :) :)
Hi Twila. You're very welcome! Thanks so much for your comment.
You say it so simply, thank you!
Hi Nalanda. You are so welcome! Thank you for your comment.
Hi Hoang, just loving the fact you extend yourself to help others. I am wondering if it still applys to 2022 to watch your videos that are a year old referring to wound repair or lesion excision?? Thank you for your help--- I so appreciate it
Yes, it does. Nothing change.
Mr. Hoang I agree with so many of the comments on this video and the others you've taken so much time to prepare for us. I have struggled with many of the coding guidelines, not able to understand them or remember them. This section is one of them. It was very confusing to decide and separate the wounds, the repair complexity and to add or not to add together the lengths. I almost gave up the thought of being able to code after trying for so long.
I have a question and that is (for all coding) how do you determine the order of the codes?
Thank you so very much for all that you have done, and are doing.
Am very grateful.
When a patient has multiple diagnoses, assuming that we treat them all, then the you list the most important or serious condition FRIST. For example, an open fracture of the right femur and a closed fracture of the left femur were treated on the same encounter, based on the severity of the illness, you have to list the open fracture FIRST followed by the closed fracture. In some cases, if you are coding neoplasm, HIV or Pregnancy case etc., then you have to follow its chapter coding guidelines. If you watch all my videos then you should know some of them by now. I hope it helps.
@@codingwithhoang That seems the right way to code them, the course I took, sometimes it wasn't done that way so I was somewhat confused. YES! Everything you are teaching us is greatly helpful and I plan to watch all of your videos, and more than once. THANK YOU again!
Thank you again you just don’t know how appreciate your video specially I do not have the money to support my education to pay extra money.
Thank you so much Mr. Nguyen!!! I love your videos.
I am glad you like them! Thank you so much for your support.
Excellent video. Tq
I am glad to hear that. Thank you.
Thank you so much, you are a VERY good teacher
Thank you Lena!
thank you so much for this video.
You are so welcome Jennifer. Thank you so much for your support.
your teaching skill is appreciating, i am thinking about some question answers need modifier 51 or 59 codes why u r are not included?
Thank you so much! You provided so much more information that I could have gotten by simply reading my CPT book. I really appreciate your examples and walking us through samples, it helps tremendously! Thank you, again.
Wonderful! Thank you for letting me know, I really appreciate it.
Thank you Mr Nguyen
You are so welcome Nashila. Thank you for your support.
Thank you soo much, it supper easy for me to understand. Thank u for your time Mr. Hoang.
Hi Nhu, Glad it was helpful! Don't forget the homework that I posted inside my class. Thank you for the comment and have a good day!
@@codingwithhoang oh yea huh, i almost forgot. Thank u mr. Hoang. I send you an email.
Hoang Nguyen Hi I was looking to sign up for your ED course, I am unable to do so. Can you please email details to drana35@gmail.com, thank you!
Thank you 😊 so much sir
Thanks so much
I really love watching this video, Your tactful explanation is awesome.
Glad you enjoyed it Veronica. Thank you so much for your comment. All the best.
Enjoying your videos..FYI CPT 13150 has been deleted.
Mr. Hoang, Thank you for this informative video. Very well done! Question on the last example, for intermediate closure would go first then the other two codes. After the IC would you code in numeric order (ie. 12034, 12004, 12011 or would it be 12034, 12011, 12004) or does it not matter?
Hi Tfryeba. Based on the severity illness rule, you list the intermediate repair before the simple repair or a malignant lesion before a benign lesion or an open fracture before a closed fracture and forget about the numeric order. I hope it helps.
@@codingwithhoang, but in this particular case you provided, 12011 and 12004 are both simple repair codes. Would 12004 be considered the more work intensive code because the sum of the lengths repaired is greater (8.6 cm.) than the sum of the lengths repaired in code 12011 (2 cm.)? If I am correct, the codes would be sequenced as follows: 12034 (intermediate), 12004 (simple, 8.6 cm.), 12011(simple, 2 cm.)
Hello sir 😊Can you please post videos with 2023 CPT changes.
Laceration repair example is very easily explain👌👌thank you.
Amazing teaching.
Hi Dr. Aravind. Thank you kindly. Sometimes that is all it takes to inspire me. Have a wonderful day!
@@codingwithhoang Hoang where are you from?
@@bobaravind I am from Vietnam.
You are so awesome!
Hi Marilyn. Thank you so much for your support.
Thank u sir
Thankuuuuuuuuuu
Mr. Nguyen, have you made a video on ATT, skin grafts, flaps, etc...Jamie
Hi Jamie, when I am done with the CPC exam prep video series, then I will make videos on those topics. Please continue liking and sharing in order to support my channel. Thank you.
@@codingwithhoang Thank you, I will be watching for them. I was assuming there would be questions on the CPC Exam about these topics, that is why I was asking.
These videos are FANTASTIC!
@@mahaonejf watch my video on how to code lesion excision and take note of the guideline about the flap when it's performed in addition to the excision of a lesion.
Thank you, you are awesome
Thank you too!
Hi Mr Hoang, iam waiting for your CPT in cardiovascular. Hope you will post soon.
I have been so busy with work lately but yes I will try my best to cover the cardiovascular.
Hoang Nguyen Thank you so much , my CPC exam is in the end of September, hope I will be able to watch your video.
Thank you again for the reply.
Thank you for sharing your knowledge 🙏
Thank you so much for taking the time to teach us in detail. I am taking an online course and it is very hard to get someone to help through the courses! You have no idea how much you are helping me.
You are so welcome Jeannie and I am glad to know that it helped. Thank you so much for your comment and good luck with your study. All the best in this new year.
Can you do series of RHIT exam?
Dear Doc, For the complex repair in the 2020 CPT book, begins with 13151 not 13150. Just thought I should mention this.
I don't have a CPT book at work, we use software to assign codes so I still use my old CPT book at home. Anyone who already passed the CPC exam in 2020 kindly donates his or her CPT book to me, that would be great. Otherwise, I have to search for a used book to buy in order to prepare for these video lessons going forward. Thank you.
Pls upload all cpt system procedure
I just need to know about the last example. Would you not add modifiers?
Hi Sir Hoang, 19:28, I would like to confirm, reporting of the codes in real world coding, would be 12034, 12004-59, 12011-59?
From the guideline of repair #2 second paragraph, when more than one classification of wounds is repaired, list the more complicated as primary and the less complicated as secondary using modifier-59.
I was also wondering about this.
Thank you for the video. So for the last scenario the we should use modifier 59. And the code will be 12034,12011-59,12004-59 am I right. Can you please correct me if I am wrong. Thank you.
Thanks a lot ☺️
You're welcome 😊
You are amazing
Thank you, your videos are very clear and so easy to understand. You have been so helpful.
I'm so glad to know. Thank you for your comment.
Hi Mr. Hoang, I would like to know what is the difference between in this 2 codes, extremities means hand and feet or different? especially in the 12031- extremities (excluding hands and feet) clarify this doubt, please
Repair Intermediate
12031- Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet)
12041- Repair, intermediate, wounds of neck, hands, feet and/or external genitalia
Hi Deepa. In code 12031 the extremities refer to upper arm (shoulder to elbow), lower arm (elbow to wrist) and lower extremities (hip to ankle). If the repair is performed on the hands and feet then you have to use 12041. I believe AMA separates the extremities with hands and feet simply because it is much harder to repair the wound on the hand and feet due to its density of nerves, ligaments and tendons compared to skin and subcutaneous tissue of the upper arm or thigh. I hope it helps.
@@codingwithhoang Yes, thank you
I HAVE A problem calculating width and margin when coding lesions can you show some videos on lesions
Sir i watched u r first part medicine cpt guidlines.but where are remain medicine guidlines cpt vdo
Hello doc I have a question what is considered extremity and what is considered feet. The reason being with this scenario Intermediate repair 12031 Repair of of scalp, axillae, trunk and or extremity (excluding hands and feet) and intermediate repair 12041 repair intermediate neck hand, feet, and or external genitalia. So I chose 12046 because I considered leg to be feet/foot. Please provide clarity. Thank you Doc.
CPT has two separate codes for the intermediate repair of extremities and intermediate repair of hands and feet. In order to code these procedures correctly, you got to know the difference between extremities which include both upper extremity (upper arm and forearm) and lower extremity (thigh and lower leg below the knee). Wrist, hand, ankle, and feet will share the same code starting 12041 for intermediate repair. I hope it helps.
@@codingwithhoang Thanks for clarifying the difference. Leslyn. Sorry the video changed before I submitted the question.That was a mistake.
We have to use modifier for 51 when simple and intermediate 2gather right
when coding wounds and seuquencing you said most intense 1st....you coded 12034, what would go next 12004 or 12011. 12011 is smaller so would that code not go last? You had it second in video
When asking a question, please give me a reference for example case or question number so that I know exactly what you refer to. That would save my time to watch the entire video to search for your code. Thank you.
MR hoang 12031 cpt code states repair intermediate wound of scalp , axlliae , trunk and/or other extremities ( excluding hands and feet ) 2.5cm or less , meaning hands and feet are excluded , i think the code should be 12041 because it states repair intermediate wounds of neck, hand ,feet and/or external genitalia 2.5 cm or less..... so why is the intermediate repair answer in the first question 12036 ...... i am little bit confused with the ( excluding hands and feet ) part ?
12041 can be assigned for intermediate repair of the hands and feet but not for the LOWER LEG and that is why CPT has a separate code 12031 for the extremities (upper arm, forearm and lower leg). In this case we have to use 12036 because the wound size is 25 cm. I hope it helps.
Thank you sir the ( excluding hands and feet ) part was little bit confusing . Any way thank you again
Mr. Hoang I was a little confused with the 1st case. It read that the wound was to the muscle but you coded it under Intermediate instead of complex. Can you explain that to me? Thanks
Hi Angie, the physician has to document it as a complex closure in order for us to use the complex repair. In this case, it's documented as layered closure. It does not matter how deep the wound is if it is closure by two layers then you have to use the intermediate repair. I hope it helps.
Mr Han don't we need to use the modifier 59 in these cases??
Hi Akhil, you have to be specific about which case (ie. case number?) and why you think it needs the modifier 59 then I should be able to understand your thought and then clear your confusion.
I can never thank you enough for making these videos, they help me a lot, but can you please help me find 13150, because the sequence in my is 13132, 13133,13151 , there is no 13150, maybe, I am missing something here. Thank you so much.
13150 is for a complex repair, eyelids, nose, ears and/or lips; 1.0cm or less. This code has been deleted and now it starts with 13151 repair, complex, eyelids, nose, ears and/or lip; 1.1cm to 2.5cm. That said, for any complex repair of eyelids, nose, ears or lip less than 1.1cm, you have to code it either simple or intermediate repair 12011 or 12051 depending on how many layered sutures. I hope it helps.
@@codingwithhoang Thank you so much
Do you sell the coding steps that are in your videos?
Hi Nancy. I don't sell anything. I teach them for free and all I want from you is your support.
sir why we don't append 59 modifiers for multiple procedures
Can we code for the simple repair closure using strips
Simple repair using sterile strips or Dermabond will be captured in the E/M code.
Thank you so much 💓
If wound is repaired by adhesive strips : 1) simple repair (2) it is included in E & M ??? Plz answer
Yes, I would not use the simple repair code(s) for adhesive strip and derma bond. I would add the work to the E/M level 3: 99283 instead of 99282 for the ED visit.
@@codingwithhoang Thanks a lot sir🙏🙏
@@codingwithhoang I passed my cpc exam in 3 rd attempt with the help of your videos, Thank you so much sir 🙏
Here in first question they are telling that superficial fasia too then why we not consider it as complex repair?
You have to go by how they suture the wound and not how deep it is.
Why we are considering as a intermediate repair
When asking me a question, please give me a reference for example the case number so that I know exactly what you refer to. Thanks
Ok and please request you make a video on topic cardiac catheterization
What is the answer for the last question?
if you watch my video you know in order for me to answer any question, I need to know the question or case number.
Very nice explanation sir
Thank you Alok. Have a great weekend!
Hoang Nguyen thankyou sir and same to you 👍✌️
Sir, i couldnt find out code 13150 2020 edtn
Thank you so much