Difference between CPT and PCS coding
ฝัง
- เผยแพร่เมื่อ 30 ก.ค. 2024
- What is CPT coding? What does PCS mean in coding? In this episode we review the Procedural Coding System vs. CPT codes to see what they are like and what you can expect when transitioning from inpatient to outpatient coding, or vica versa.
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CPC vs. CCS credential review:
• Difference between CPC...
CIC vs. CCS credential review (inpatient coding credentials):
• Which certification is...
PCS book tabbing help:
• ICD 10 PCS book tabbin...
How to tab the CPT book:
• Tabbing the CPT book -...
Using 2023 ICD-10-PCS guidelines
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The perfect resource for medical coding auditing students and any practicing coding auditor!
Medical coding credential most affected: topic related questions can come up on:
CCS exam
This is great. Thank you for not "dumbing down" the information. You're the only coding channel that doesn't speak to us like children.
Hi Abby! Thank you for the feedback! I am happy to hear that you liked the style of the video. I am really trying to keep them professional and to the point. No fluff, no flower language. Are you getting ready for an exam or exploring coding as your next possible profession? :)
Hail Ana! Knocking another one out of the park.
You are very kind, as always. :*
@@TheMedicalCodingGuild PS - your use of graphics from the books in this vid are awesome... putting the CPT for prostatectomy up against the PCS table... brilliant... and that took some effort... you went above and beyond other presenters who just talk at the camera. You used visual aids. That's exceptionalism. Bravo.
@@AndrewDoe777 You are a sweetheart! Thank you! :) I teach the way I learn. Some are auditory learners and need nothing more than a talking head. And that is perfectly fine. Others (like myself) need graphics and silly stories. More sticks around that way.
Hey Ana. When you give the example (near 2:07) of how CPT has a single code for the prostatectomy while you have to code each body part out separately in PCS (prostate, seminal vesicles, etc.) how do you know which body parts to code out? Do you go by information presented in the Op report, or is there another reference you use which lists the parts that are removed?
You see it in the op report. The point I am trying to make in the video there is that CPT bundles services, while PCS often goes piece by piece. An other good example is a total hysterectomy with tubes and everything. CPT has 1 code for all sorts of combinations but PCS needs you to add a code for every body part removed: uterus, cervix, tubes etc. It is a different way of thinking and can get tricky when coding for multiple procedures. CPT often bundles those as well, while PCS doesn't.
Wow, I really love your channel. I’m finding only a handful of TH-camrs who teach on inpatient coding, so your channel is really helpful. I’m studying to take the CCS exam, but I don't know whether to start in an inpatient or outpatient job. I’m hearing that inpatient coding is a lot harder and complex. Do you have any videos or recommendations on inpatient vs outpatient coding for newbies, like where you would recommend starting out at as a new coder? I was a nurse for twelve years. I worked mostly in nursing homes, home health with patients on vents and feeding tubes, and physician type facilities. So I have no experience, even as a nurse for inpatient or hospitals. Thanks in advance for any tips you can offer! ❤🙏
Hi Tracy! Thank you for your kind words! I am always happy to hear if and when somebody benefits from my videos. :) I haven't made a video on that topic yet, mainly due to a lot of life happening lately, but I am always open to viewer requests! May I actually use your comment for an episode of Viewer Q&A and respond there? (Your name doesn't need to be visible in the video, if you would like to keep it anonymous.)
@@TheMedicalCodingGuild Absolutely, I would be okay with that. Thank you so much for responding. I completely understand life happening. It's hard to get everything done! I’m looking forward to hearing your video when you are able to do it. Again, thanks so much and have a great day!
@@tracyhagler2146 Thank you for the permission! Have a nice day as well!
May i know what means by profee ? How all these cpt procedures are carried out in outpatient facilities without admitting to hospital ? And also difference between E&M IP and Ipdrg ?
Hi Keshav6564! Let's go in order: 1- Profee is professional fee coding. Coding done to bill for the physician's or other human being's services. F.e. a bill for performing the surgery or performing an X-ray review. A human does that and will bill for that. Its opposite is facility coding where you are billing for the facility's services. F.e. the operating room where the surgery was performed or the X-ray machine on which the images were taken for the human to read. Coding happens with CPT or PCS codes, depending on whether it is an outpatient or inpatient facility charge. 2. Many procedures are done on an outpatient basis. Only very seriouy or risky procedures need to be done as an inpatient for patient safety reasons. Think of a skin biopsy or fracture care without fixation. These can be safely performed in an office environment and don't need the patient to be admitted. 3. E/M is Evaluation and Management coding. It charges for the mental effort the provider exerts while assessing the patient. IP is inpatient coding, usually understood as inpatient facility coding. This is done with PCS codes and gets the facility paid for the overhead. IP-DRGs are either MS-DRG or APR-DRGs for most payers. These are payment systems that categorize patients into payment brackets based on their diseases, treatment, age, sex etc. Any more questions? :)
I struggle with PCS, do you have any tips?
Hi kristyhunter1981! Have you seen the root operations video? If the choice of root operations is the problem, it might help. If not, please tell me more about what the main issue is. Also, check out the PCS coding book tabbing review. It is from 2022 but the book hasn't changed and I share extra tips and relevant information on how to go about accurately and effectively coding PCS.
@@TheMedicalCodingGuild it is definitely the root operation selection. I feel I struggle to figure out the “purpose” of what the physician is doing. I will lo ate the video and take some notes. Thank you for responding.
@@kristyhunter1981 Yes, it is definitely tough sometimes to figure out what the provider is doing and why. The method described in the roots video helps 90% of the time. The remaining 10% will be cases where Coding Clinic advice overwrites common sense and the root isn't what it seems to be. What helped me a lot with PCS coding was NOT using the index. I mention this in the tabbing video and how to use this method. (Sorry for referring you to other videos but it is easier than retyping everything I am saying there.). Please have a look at those and other videos from other creators, as needed, and feel free to ask more questions. I will respond as fast as I am able.
@@TheMedicalCodingGuild I am going to check them out! Thank you so much and I will utilize your advice.