tag:blogger.com,1999:blog-1595500998876096402024-11-13T10:55:41.334-08:00for those who understand these numbers..401.9, 250.00, 244.9, 414.01, 311, 272.0, 724.0, 715.36, 789.06, 585.6, 722.03, 038.9, 995.91, 496, 493.90, 042, V08, V20.2, V70.0, V04.81.....HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.comBlogger33125tag:blogger.com,1999:blog-159550099887609640.post-76306886172554317412012-02-05T07:32:00.000-08:002012-02-05T07:38:12.235-08:00

1.     A patient was admitted with congestive heart failure and unstable angina. The unstable angina was treated with nitrates, and IV Lasix was administered to manage the heart failure. Both conditions improved, and the patient was discharged to be followed on an outpatient basis. 2.     A patient was admitted with occlusion of the carotid

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-62061844019114800202012-02-02T17:12:00.001-08:002012-02-06T10:20:12.635-08:00

MS-DRG  TYPE MS-DRG Title Weights Geometric mean LOS Arithmetic mean LOS 001 SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 24.2794 28.6 37.4 002 SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 13.9700 16.7 21.3 003 SURG ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-63652796430972100032012-02-01T16:23:00.000-08:002012-02-01T16:23:09.382-08:00

This elderly patient was found lying on the floor by her family members. Family states that the patient has been having frequent falls. At admission, his CPK was 1100 and his urinalysis was abnormal. Pt was diagnosed with rhabdomyolysis and UTI. Pt was treated with diuretics, hydration and antibiotics. His CPK came down to 250 by the time of discharge. What would be the principle dx? A.

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-11646189669800562712012-01-30T17:16:00.000-08:002012-01-30T17:16:11.909-08:00

Pt was admitted due to cellulitis of foot and was started on Antibiotics. Cellulitis was healing very slowly on antibiotics and additional tests revealed severe peripheral vascular disease. Patient was planned to treat with revascularization and antibiotics, but revascularization was cancelled due to patient's decision not to undergo revascuarization at this time. Patient had an excisional

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-78230352146613153562012-01-29T05:02:00.000-08:002012-01-29T05:05:53.911-08:00

Scenario #1: Patient came in with abdominal pain, nausea and vomiting. CT scan of the abdomen revealed small bowel obstruction due to metastatic neuroendocrine tumor. Neuroendocrine tumor of sigmoid colon has metastasized to peritoneum, liver and ribs. Patient was treated for small bowel obstruction and was discharged to home to follow up with his primary care provider. A. 560.9, 153.3, 197.7,

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-26047423733659888602011-05-24T17:54:00.000-07:002011-05-24T18:25:31.910-07:00

This patient transferred from hospital A with acute anterior myocardial infarction to hospital B. Patient received left heart catheterization, coronary angiogram using jl5 and jr4 catheters, and left ventriculogram, which revealed three vessel coronary artery disease and an emergent 3 vessel coronary artery bypass grafting was performed, on cardiopulmonary bypass; left internal mammary artery

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-36288892823752385842011-04-23T18:07:00.000-07:002011-04-25T17:18:32.347-07:00

Heart Catheterization, Ventriculography, & Angiography   Description: Left heart catheterization with ventriculography, selective coronary angiography. Standard Judkins, right groin. Catheters used were a 6 French pigtail, 6 French JL4, 6 French JR4. (Medical Transcription Sample Report) NAME OF PROCEDURE: Left heart catheterization with ventriculography, selective coronary

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com4tag:blogger.com,1999:blog-159550099887609640.post-3754193313580432762011-04-23T17:34:00.000-07:002011-04-23T17:34:51.282-07:00

Answer the following questions by using ICD-9-CM diagnosis codes. Sickle cell anemia with crisis Psychogenic paroxysmal tachycardia Alzheimer’s disease with dementia Hypertensive kidney disease, CHF and acute systolic heart failure. Aspiration pneumonia with pneumonia due to staphylococcus aureus. Patient also has emphysema. Answers: 1) 282.62. 2) 316, 427.2, 3) 331.0, 294.10. 4) 403.90,

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-75993328627912080702011-03-05T20:54:00.001-08:002011-03-05T23:18:28.903-08:00

Case #1: A 35-yr-old is admitted at 38 3/7 weeks in active labor. History: Gestational DM, on insulin, history of hyperemesis in 1st trimester, resolved. Pt has bicornuate uterus, with fetus in right side. Hospital Course: After 2 hours a vaginal exam is performed showing little progress, only at 3 cm, due to irregular and weak contractions. Pitocin augmentation is given per protocol. An IUPC is

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com4tag:blogger.com,1999:blog-159550099887609640.post-23554187658921473042011-03-05T18:31:00.000-08:002011-03-05T18:31:11.243-08:00

ICD-9-CMVACCINE NAMEBRAND NAME V03.81Hemophilus influenza B vaccine (Hib)HibTITER V03.81Hemophilus influenza B vaccine (Hib)PedvaxHIB V03.81Hemophilus influenza B vaccine (Hib)ActHIB V03.81Hemophilus influenza B vaccine (Hib)HIEBERIX V03.82Pneumococcal vaccine PNEUMOVAX 23 V03.89Meningococal vaccineMenomune V03.89Meningococal vaccineMenactra V03.89Meningococal vaccineMenveo V04.81Influenza

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-33375764026139479012010-11-19T10:11:00.000-08:002010-11-19T10:12:45.596-08:00

Procedures performed: Aortogram, Selective bilateral lower extremity angiography.Indications for procedure: A 53-year-old patient with HTN, hyperlipidemia, DM II and leg pain that comes for arteriogram evaluation. Procedure: After informed consent, the patient was brought, prepped and draped in the usual fashion. Under sterile conditions and local anesthesia percutaneous access was obtained using

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-77724271956760493332010-11-19T10:04:00.001-08:002010-11-19T10:04:59.263-08:00

Question: This 47-year-old female had a mechanical fall and sustained left femoral neck fracture and underwent a left hemiarthroplasty of the hip. Can we coded it with 27125? Answer: No. Code it with 27236. Hemiarthroplasty done for the fractures is coded with 27236 and hemiarthroplasty done for conditions like osteoarthritis is coded with 27125.

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-27034225078796450682010-11-16T10:33:00.000-08:002010-11-16T10:36:38.870-08:00

1.       What is the meaning of metacarpophalangeal arthrodesis? A.      Division of the metacarpophalangeal joint.B.      Excision of the jointC.      Fusion of the metacarpophalangeal joint.D.      None. 2.       Patient had an abnormal

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-83671172787465465162010-11-12T10:19:00.000-08:002010-11-12T10:38:22.006-08:00

AAPC (Americal Academy of Professional Coders) is offering a speciality certification for interventional radiology and cardiovascular coders called CIRCC (Certified Interventional Radiology Cardiovascular coder). The first and only certification of its kind, the CIRCC signifies that an individual has achieved a high level of coding education and that his/her proficiency and accuracy in

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-87264178154614566102010-11-11T08:13:00.000-08:002010-11-11T08:13:16.892-08:00

Antegrade- In the direction of flow. Retrograde-In opposite direction to the flow. Contralateral-Pertaining to the opposite side. Ippisilateral-Pertaining to the same side. Bifurcation-Place where division occurs. First order-It is primary vascular branch of aorta or the vessel punctured during angiography. Second order-Branch of first order. Third order-Branch of second order. Selective

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-51657706309572170922010-11-11T08:10:00.000-08:002010-11-11T08:10:58.236-08:00

• Angiography: imaging the blood vessels to look for abnormalities with the use of various contrast media, includingiodinated contrast, gadolinium based agents, and CO2 gas. • Balloon angioplasty/stent: opening of narrow or blocked blood vessels using a balloon; may include placement of metallic stents as well (both self-expanding and balloon expandable). • Chemoembolization: delivering cancer

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com2tag:blogger.com,1999:blog-159550099887609640.post-40801032224655477232010-11-09T15:26:00.000-08:002010-11-11T07:53:29.312-08:00

Coding Question. Question: This 53-year-old female is having endometrial carcinoma and undergoing chemotherapy through Port-A-Cath. Her left anterior chest port was partially exposed; therefore preservation by revision was recommended. After infiltrating with Xylocaine, skin incision was done and the port was exposed completely. The capsule surrounding it was excised and a new pocket was

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com1tag:blogger.com,1999:blog-159550099887609640.post-23055816120493714852010-11-05T11:01:00.000-07:002010-11-10T08:25:33.713-08:00

Here is a list of opthalmology abbreviations which I came across while coding opthalmology records. Will update as and when get the new ones. AMD: Age-related macular degenerationCACD: Central areolar choroidal dystrophyCHA: Compound hyperopia and astigmatismCHAP: Compound hyperopia, astigmatism, and presbyopiaCHMP: Compound hyperopia, myopia, and presbyopiaCMA: Compound myopia, astigmatismCMAP:

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com4tag:blogger.com,1999:blog-159550099887609640.post-85205880799818143982010-11-02T17:37:00.000-07:002010-11-11T07:59:29.217-08:00

What is Glaucoma? Glaucoma represents a family of disease commonly associated with the optic nerve damage and visual field changes. It is the second leading cause of the irreversible blindness in the US. Open angle glaucoma is the most common form of glaucoma. Glaucoma occurs when increased fluid pressure in the eye presses against the optic nerve, causing damage. The damage to optic nerve

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com1tag:blogger.com,1999:blog-159550099887609640.post-62532492353716107582010-11-01T17:33:00.000-07:002010-11-10T08:28:17.031-08:00

752.3-Subcategory 752.3, other anomalies of uterus, is expanded to 7 new codes.                 752.31-Agenesis of uterus                752.32-Hypoplasia or uterus             &nbsp

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-42360508521211264152010-10-30T10:48:00.000-07:002010-11-11T08:01:33.407-08:00

Patients who are suffering from HIV may loss fat in face as a complication of the disease or due to long-term use of anti-retrovital drugs.  This loss of fat in face some times can causes abnormalities like severely sunken cheeks. Due to the appearance of their face, patients become depressed and sometimes will discontinue taking the anti-retroviral drugs in an attempto to resolve that

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com2tag:blogger.com,1999:blog-159550099887609640.post-17582065708120924312010-10-29T16:25:00.000-07:002010-11-10T08:29:55.445-08:00

Indication:  It is indicated for long term enzyme replacement therapy with confirmed cases of Fabry disease. Fabry disease: Fabry disease is rare inherited disease caused by recessive X-link due to mutation of GLA (alfa-galactosidase gene). It means the people who are suffering from Fabry disease does not have enough GLA which breaks down the fatty substance called globotriaosylceramide (Gb3

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-45475085963278538442010-10-28T18:28:00.000-07:002010-11-10T08:30:13.783-08:00

1. Chymo- A. to pour B. half C. drug D. bone marrow 2. Chromo- A. drug B. color C. time D. lip 3. Chemo- A. drug B. time C. lip D. color 4. Cheilo- A. time B. drug C. color D. lip 5. Celio- A. lip B. drug C. belly D. color Answers: 1-A; 2-B; 3-C; 4-D; 5-C.

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0tag:blogger.com,1999:blog-159550099887609640.post-20784656825321702902010-10-27T18:42:00.000-07:002010-10-27T18:47:50.827-07:00

ICD-9-CM 2010 updates-3 From october 1st 2010, the subcategory 787.6, incontinence of feces, is expanded into 4 new codes.                 787.60: Full incontinence of feces.                787.61: Incomplete defecation    &

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com1tag:blogger.com,1999:blog-159550099887609640.post-84729651581281283362010-10-25T17:36:00.000-07:002010-10-25T18:01:50.993-07:00

287.4-Secondary thrombocytopenia. Subcategory 287.4 is expanded into two codes. 287.41 for post transfusion purpura and 287.49 for other secondary thrombocytopenia. 315.3-Developmental speech or languate disorder.Added 315.35, childhood onset fluency disorder to the subcagetory 315.3 for stuttering, which is childhood onset. Before we had only one default code for stuttering for both adult

HappyCoderhttp://www.blogger.com/profile/04195789195621160607noreply@blogger.com0