Kathryn DeVault, RHIA, CCS, CCS-P Director, HIM Solutions, AHIMA
|
|
|
- Roxanne Cannon
- 8 years ago
- Views:
Transcription
1 ICD-10-PCS: Let s Code, Part II Kathryn DeVault, RHIA, CCS, CCS-P Director, HIM Solutions, AHIMA
2 Agenda Coding questions answered ICD-10-PCS Coding Wrap-up of ICD-10-CM/PCS Coding
3 ICD-10-PCS Coding Questions
4 Coding Questions.... Open Choledocholithotomy (with T-tube drainage) Would the T-tube drainage be coded separately? No...the T-tube drainage is integral to the open choledocholithotomy Coding Guideline B6.1b Materials such as sutures, ligatures, radiological markers and temporary postoperative wound drains are considered integral...
5 Coding Questions.... ERCP (with low osmolar contrast) Should another code be assigned? 0FJB8ZZ? Yes... Code 0FJB9ZZ should be assigned to indicate the Diagnostic ERCP Code BF111ZZ can be assigned if coded to that degree of specificity. Normally the fluoroscopy portion of procedures is captured by the facility chargemaster
6 Coding Questions.... Nuss procedure for correction of pectus excavatum Should the root operation be reposition or supplement? The correct root operation for this procedure should be supplement. The procedure is generally completed with a percutaneous endoscopic approach Code: 0WU84JZ
7 Coding Questions.... The Nuss procedure corrects pectus excavatum by placing a curved steel bar under the sternum. This serves to pop out the depression in the chest. The bar corrects the depression and can be removed after a minimum of 2 years.
8 Coding Questions.... Thoracoscopic excision of mediastinal tumor What is the PCS code for thorascopic excision of mediastinal tumor? Code 0WBC4ZZ (or 0WBC4ZX if this was a biopsy)
9 Coding Questions.... Right ureteroureterostomy Is bypass or reposition to correct root operation? A right ureterourterostomy is coded using the root operation Bypass The correct ICD-10-PCS table for this procedure is 0T1 GEMs to table 0T1
10 Coding Questions.... Radical abdominal hysterectomy, BSO, PALND, & BPLND Should 0UTC0ZZ be assigned for resection of the cervix? Yes... If the documentation includes the removal of the cervix code 0UTC0ZZ should be assigned as an additional diagnosis Generally, radical abdominal hysterectomy includes removal of the cervix
11 Coding Questions.... Pubovaginal sling with TVT-O Is supplement or reposition the root operation for the pubovaginal sling with TVT-O? Supplement is the correct root operation for this procedure 0TUD0JZ open approach with a synthetic substitute device
12 Coding Questions... Archbar (left subcondylar mandible) and intermaxillary wiring (right parasymphyseal mandible) What s the correct PCS code(s)? Without more specific documentation, this case is difficult to code. Were the fractures reduced? Was the fixation internal or external?
13 Coding Questions... With fracture reduction: Root Operation: Reposition Device Character: Internal or External Fixation Device Table: 0NS Without fracture reduction (fixation only): Root Operation: Insertion Device Character: Internal or External Fixation Device Table: 0NH
14 Coding Questions... Thoracic aorta clamp, extracorporeal bypass and exploratory laparotomy to check bleeding Can code 5A1221Z be assigned only for the extracorporeal bypass? Would there be an additional code 5A1935Z? For 2012, there are 2 codes required for Cardiopulmonary bypass 5A1221Z and 5A1935Z Change made for One code only 5A1221Z
15 Coding Questions... Radical cystectomy and Studer pouch In this case, the purpose of the surgery is excision of the tumor, should an additional PCS code be assigned for excision of the tumor? No the removal of the tumor is inherent in the replacement procedure.
16 Coding Questions... Reconstruction of ACL, right Is replacement, supplement or repair the root operation of reconstruction of ACL (for right knee ACL rupture)? There is not enough documentation to correctly code this case. For example: ACL reconstruction done with a patellar tendon graft would be coded to Transfer 0LXQ0ZZ
17 Coding Questions... Removal of implanted devices from bone Is Removal the root operation for removal of implanted devices from bone? Yes the root operation Removal should Yes the root operation Removal should be used for removing implanted devices from bone
18 Coding Questions... Right Tibia open reduction with internal fixation (ORIF) with bone cement augmentation? What is the correct PCS code for this procedure? 0QSG04Z No separate code assigned for the bone cement augmentation
19 ICD-10-PCS Coding
20 ICD-10-PCS Scenario #1 Laparoscopic inguinal hernia repair, right 0YQ54ZZ Rationale: Rationale: There is no indication that mesh was used for this repair; therefore the root operation Repair is used. The inguinal area of the body is categorized to the Anatomical Regions, Lower Extremities. The laparoscopic approach identified with 4
21 Scenario #1, continued Section Medical and Surgical 0 Body System Root Operation Anatomical Regions, Lower Extremities Repair Body Part Inguinal Region, Right 5 Approach Percutaneous Endoscopic 4 Device No Device Z Qualifier No Device Z Y Q
22 ICD-10-PCS Scenario #2 Left frontal temporoparietal craniotomy and evacuation of subdural hematoma 00C40ZZ Rationale: The root operation Extirpation is used to code the evacuation of the subdural hematoma. The craniotomy is the open approach for the procedure. The body part value is 4, Subdural space because the hematoma was located subdurally. There are no device or qualifier values for this case.
23 Scenario #2, continued Section Medical and Surgical 0 Body System Central Nervous System 0 Root Operation Extirpation C Body Part Subdural Space 4 Approach Open 0 Device No Device Z Qualifier No Device Z
24 ICD-10-PCS Scenario #3 The surgeon performs a reversal of a pervious lip augmentation procedure by making an incision along the length of both lips, inside the mouth. A strip of tissue is removed from each lip to thin the lips and pull them inward. The incisions are sutured closed. How is this coded? A. 0CQ1XZZ, 0CQ0XZZ B. 0CQ10ZZ, 0CQ00ZZ C. 0C01XZZ, 0C00XZZ D. 0CB10ZZ, 0CB00ZZ
25 Scenario #3, continued C. 0C01XZZ, 0C00XZZ Rationale: The procedure description does not state that this procedure was done for medical reasons. Therefore, the assumption is that the patient was unsatisfied with the previous lip augmentation and is again requesting cosmetic surgery. Therefore, the root operation Alteration is coded. The only option that includes the root operation Alteration is option C.
26 Scenario #3, continued Section Medical and Surgical 0 Body System Mouth and Throat C Root Operation Alteration 0 Body Part Lower Lip 1 Approach External X Device No Device Z Qualifier No Device Z
27 Scenario #3, continued Section Medical and Surgical 0 Body System Mouth and Throat C Root Operation Alteration 0 Body Part Upper Lip 0 Approach External X Device No Device Z Qualifier No Device Z
28 ICD-10-PCS Scenario #4 Open aortocoronary artery bypass graft of three coronary arteries using left autologous greater saphenous vein, harvested endoscopically W 06BQ4ZZ
29 Scenario #4, continued There were three coronary arteries bypass, so the body part is 2. Autologous venous tissue was used, so the device value is 9. Bypass procedures have special coding guidelines. Review Coding Guideline B3.6b. In coronary arteries, the qualifier specifies the vessel bypassed from (aorta).
30 Scenario #4, continued Section Medical and Surgical 0 Body System Heart and Great Vessels 2 Root Operation Bypass 1 Body Part Coronary Artery, Three Sites 2 Approach Open 0 Device Autologous Venous Tissue 9 Qualifier Aorta W
31 CABG 31
32 ICD-10-PCS Scenario #5 Lumbar single level complete discectomy (L4-L5), posterolateral lumbar single level arthrodesis (L4-L5), posterior lumbar nonsegmental instrumentation (L4-L5). What are the correct procedure codes?
33 Scenario #5, continued: 0ST20ZZ 0SG00Z1 0SH00CZ Rationale: The root operation Resection is used for the discectomy because the disc is completely removed. One lumbar vertebral joint is fused using a posterior approach to the posterior spine. Nonsegmental instrumentation is a spinal stabilization device that is coded with the root operation Insertion and the device value C, Spinal stabilization device, pedicle-based, because posterior non-segmental instrumentation is pedicle-based.
34 Scenario #5, continued Section Medical and Surgical 0 Body System Lower Joints S Root Operation Resection T Body Part Lumbar Vertebral Disc 2 Approach Open 0 Device No Device Z Qualifier No Qualifier Z
35 Scenario #5, continued Section Medical and Surgical 0 Body System Lower Joints S Root Operation Fusion G Body Part Lumbar Vertebral Joint 0 Approach Open 0 Device No Device Z Qualifier Anterior Approach, Anterior Column 1
36 Scenario #5, continued Section Medical and Surgical 0 Body System Lower Joints S Root Operation Insertion H Body Part Lumbar Vertebral Joint 0 Approach Open 0 Device Spinal Stabilization Device, Pedicle-based Qualifier No Qualifier Z C
37 Bringing it together... ICD-10-CM/PCS Coding Cases
38 Scenario #1 This is a 26-year-old patient who has had a previous cesarean section and it planning a VBAC for this delivery. She is admitted in her 39 th week in labor with the fetus in cephalic position and no rotation necessary. The labor continues to progress and five hours later she is taken to delivery. During the delivery she is fatigued, so mid forceps are required over a midline episiotomy which is subsequently repaired. A single liveborn infant is delivered. Assign correct diagnosis and procedure codes.
39 Scenario #1, continued O75.8 Pregnancy, complicated by, fatigue, during labor and delivery O34.21 Delivery, vaginal, following previous cesarean section delivery Z3A.39 Pregnancy, weeks of gestation, 39 weeks Z37.0 Outcome of delivery, single liveborn
40 Scenario #1, continued: 10D07Z4 Extraction, Products of Conception, Mid Forceps (10D07Z4) 0W8NXZZ Division, Perineum, Female (0W8NXZZ) Episiotomy, see Division, Perineum, Female (0W8N)
41 Scenario #2 Postoperative Diagnosis: Rectal prolapse Tubular adenoma of sigmoid colon, biospies x2 Sigmoid diverticulosis Nonspecific colitis Procedure: Colonoscopy performed to the level of the cecum
42 Scenario #2 continued: Procedure: Endoscope was passed through the rectal verge and advanced to the level of the cecum. The scope was then slowly retracted with a circular tip motion. There was mild nonspecific colitis noted. The patient also had significant sigmoid diverticulosis and several small polyps in the sigmoid colon area. Two of the small polyps were biopsied using the cold biopsy forceps and sent to pathology for examination. The remainder of the exam was unremarkable.
43 Scenario #2 continued: D12.5 K62.3 Adenoma see also Neoplasm, benign, by site. Neoplasm Table: intestines, large, colon, sigmoid Prolapse, prolapsed, rectum (mucosa) (sphincter) K57.30 Diverticulosis, large intestine K52.9 Colitis (acute) (catarrhal) (chronic) (noninfectious) (hemorrhagic)
44 Scenario #2 continued: 0DBN8ZX 0DBN8ZX Excision, Colon, Sigmoid (0DBN) Excision, Colon, Sigmoid (0DBN) Biopsy, see Excision with qualifier Diagnostic The procedure code 0DBN8ZX is coded twice because two areas of the sigmoid colon were biopsied. ICD-10-PCS Coding Guideline B3.2b
45 What s Next?
46 Coder Training Create a timeline Training timeline leading up to implementation Consider all training needs for staff Include all training steps Assessments Biomedical Sciences ICD-10-CM training ICD-10-PCS training
47 Coder Training Get coding staff involved in developing training for the team FUN Make training fun Use games (Jeopardy, etc.) to mix up the training
48
49 Thank you! Kathryn DeVault, RHIA, CCS, CCS-P
Kathryn DeVault, RHIA, CCS, CCS-P Director, HIM Solutions, AHIMA
ICD-10-CM: Let s Code, Part II Kathryn DeVault, RHIA, CCS, CCS-P Director, HIM Solutions, AHIMA Agenda Coding questions answered Review of ICD-10-CM coding scenarios ICD-10-CM Coding Questions Coding Questions...
ICD-10-PCS Documentation and Coding for Spinal Procedures October 22, 2015
Questions and Answers 1. We have a question regarding a spinal surgical procedure. The diagnosis was bilateral lateral recess stenosis and central stenosis from L2-L5. The procedure was an open lumbar
The webinar will begin shortly
Important Information for receiving your CE Certificate You will receive an email within 3-5 business days providing a LINK to the CE Certificate, the webinar recording and the presentation slides. This
Long Island Health Information Management Association
PREPARATION www.pwc.com IS THE KEY TO SUCCESS Long Island Health Information Management Association 2014 Annual Meeting-ICD-10-PCS Boot Camp April 2, 2014 John W. Ruth, MBA, RHIA Director, Health Industries
Best of AHA Coding Clinic for ICD 10 PCS. Disclaimer
Best of AHA Coding Clinic for ICD 10 PCS Wednesday, September 17, 2014 12:00 1:00pm CST 1 Disclaimer This audio conference is designed to provide accurate and authoritative information in regard to the
Cracking CPT Codes: An Interactive Discussion Presented by Tom Loughrey, CCS-P. Jumping Right In!
Cracking CPT Codes: An Interactive Discussion Presented by Tom Loughrey, CCS-P Jumping Right In! Code the following: 38 year old female for right breast biopsy with percutaneous needle core using image
Preparing for ICD-10: Understanding the Basics of ICD-10-PCS. Nelly Leon-Chisen, RHIA Director, Coding and Classification
Preparing for ICD-10: Understanding the Basics of ICD-10-PCS Nelly Leon-Chisen, RHIA Director, Coding and Classification Learning Objectives Learn the basics of ICD-10-PCS code selection and how to navigate
Advanced ICD-10-CM/PCS Coding for OB/Pregnancy
Advanced ICD-10-CM/PCS Coding for OB/Pregnancy October 14, 2014 Karen Feltner, RHIA, CCS Plan for Today What are we discussing today? What is different in ICD-10-CM for pregnancy? What about ICD-10-PCS
CERVICAL PROCEDURES PHYSICIAN CODING
CERVICAL PROCEDURES PHYSICIAN CODING Anterior Cervical Discectomy with Interbody Fusion (ACDF) Anterior interbody fusion, with discectomy and decompression; cervical below C2 22551 first interspace 22552
Preliminary 12/10/07. ICD-10-PCS Reference Manual
Preliminary 12/10/07 ICD-10-PCS Reference Manual 12/10/07 Preliminary ii ICD-10-PCS Reference Manual Preliminary 12/10/07 THE INTERNATIONAL CLASSIFICATION OF DISEASES Tenth Revision Procedure Coding System
Minimally Invasive Spine Surgery
Chapter 1 Minimally Invasive Spine Surgery 1 H.M. Mayer Primum non nocere First do no harm In the long history of surgery it always has been a basic principle to restrict the iatrogenic trauma done to
Development of the ICD-10 Procedure Coding System (ICD-10-PCS)
Development of the ICD-10 Procedure Coding System (ICD-10-PCS) Richard F. Averill, M.S., Robert L. Mullin, M.D., Barbara A. Steinbeck, RHIT, Norbert I. Goldfield, M.D, Thelma M. Grant, RHIA, Rhonda R.
Development of the ICD-10 Procedure Coding System (ICD-10-PCS)
Development of the ICD-10 Procedure Coding System (ICD-10-PCS) Richard F. Averill, M.S., Robert L. Mullin, M.D., Barbara A. Steinbeck, ART, Norbert I. Goldfield, M.D, Thelma M. Grant, RRA The International
MDC 1 DISEASES AND DISORDERS OF THE NERVOUS SYSTEM Implantation of chemotherapeutic agent Intracranial stents
To assist the readers in identifying all changes that were made to the MS-DRGs as a result of comments, we developed the attached table that summaries those changes. MS-DRG Summary Table PRE-MDC Intestinal
Spinal Arthrodesis Group Exercises
Spinal Arthrodesis Group Exercises 1. Two surgeons work together to perform an arthrodesis. Dr. Bonet, a general surgeon, makes the anterior incision to gain access to the spine for the arthrodesis procedure.
Real World Experience In Recoding Charts In ICD-10
Real World Experience In Recoding Charts In ICD-10 By Karen G. Youmans, MPA, RHIA, CCS President, YES HIM Consulting, Inc. YES HIM Consulting, Inc. OVERVIEW AND BACKGROUND INFORMATION During April-May
Presented by Zoran Maric, M.D. Orthopaedic Spine Surgeon May 22, 2010
Presented by Zoran Maric, M.D. Orthopaedic Spine Surgeon May 22, 2010 1 cervical area thoracic area lumbar area sacrum coccyx Mayfield Clinic 2 3 4 5 Zoran Maric, MD Spine Surgery Procedures How to Document
Treatment Category Inpatient Treatment Categories DRG (MS DRG) ICD9 [Hip & Knee Only]
![Treatment Category Inpatient Treatment Categories DRG (MS DRG) ICD9 [Hip & Knee Only]](/thumbs/27/9641615.jpg "Treatment Category Inpatient Treatment Categories DRG (MS DRG) ICD9 [Hip & Knee Only]")
NCCT List of Procedures Treatment Category Inpatient Treatment Categories DRG (MS DRG) ICD9 [Hip & Knee Only] Bariatric Surgery - Laparoscopic Gastric Bypass DRG - 288 MS DRG - 621 Cardiac Angioplasty
Spinal Surgery Functional Status and Quality of Life Outcome Specifications 2015 (01/01/2013 to 12/31/2013 Dates of Procedure) September 2014
Description Methodology For patients ages 18 years and older who undergo a lumbar discectomy/laminotomy or lumbar spinal fusion procedure during the measurement year, the following measures will be calculated:
CPT Changes in Spine 2012
CPT Changes in Spine 2012 Are you prepared? Presented by Barbara Cataletto, MBA, CPC Disclaimer The following presentations are not to be considered a replacement for the Current Procedural Terminology
DEPARTMENT OF SURGERY GENERAL SURGERY SECTION
Privilege Request Form DIRECTIONS: This Privilege Request Form must accompany all initial applications for appointment to the General Surgery Section, Department of Surgery. Please indicate those privileges
Get the Facts, Be Informed, Make YOUR Best Decision. Pelvic Organ Prolapse
Pelvic Organ Prolapse ETHICON Women s Health & Urology, a division of ETHICON, INC., a Johnson & Johnson company, is dedicated to providing innovative solutions for common women s health problems and to
Head Start to Implementation: Preparing Now for ICD-10 (Focus on PCS)
Head Start to Implementation: Preparing Now for ICD-10 (Focus on PCS) 3M 2008. All rights reserved. Marc Berlinguet, MD, MPH, CSPQ- International Medical Manager, 3M HIS Spain, September 15 and 16, 2009
Welcome to ICD-10 CLINICAL CLOSE-UP
Welcome to ICD-10 CLINICAL CLOSE-UP Topics ICD-10 Overview About ICD-10 Why ICD-10 Matters ICD-9 vs ICD-10 Clinical Close-Up ICD-10 Documentation GEMs Mapping Tool GEMS vs Coding Manual Bi-Directional
ICD-10-PCS Reference Manual
Table of Contents Preface... xi Manual organization... xi Chapter 1 - Overview... xi Chapter 2 - Procedures in the Medical and Surgical section... xi Chapter 3 - Procedures in the Medical and Surgical-related
TRAUMA SURGERY Dr. Michal Cheatham Orlando Regional Health PGY-4
ROTATION LIAISON: INSTITUTION: LEVEL(S): TRAUMA SURGERY Dr. Michal Cheatham Orlando Regional Health PGY-4 I. GENERAL INFORMATION The General Surgery Department at Orlando Regional Health has three full
6/30/2015. Physician Revenue Cycle: Basics and Beginnings. Today s Agenda. Codes by Setting
Revenue Cycle: Basics and Beginnings Leigh Williams CPC, CPHIMS AHIMA Approved ICD-10-CM/PCS Trainer Director, Revenue Cycle/HIM Today s Agenda Terminology for code sets ICD Modifier RVU What about ICD-10?
Policy #: 111 Latest Review Date: January 2010
Name of Policy: Co-surgeons and Team Surgeons Policy #: 111 Latest Review Date: January 2010 Category: Administrative Policy Grade: N/A Background: As a general rule, benefits are payable under Blue Cross
Gastrointestinal Bleeding
Gastrointestinal Bleeding Introduction Gastrointestinal bleeding is a symptom of many diseases rather than a disease itself. A number of different conditions can cause gastrointestinal bleeding. Some causes
LUMBAR LAMINECTOMY AND DISCECTOMY. Basic Anatomical Landmarks: Posterior View Lumbar Spine
Lumbar Relating to the loins or the section of the back and sides between the ribs and the pelvis. In the spinal column, the last five vertebrae (from superior to inferior, L1-L5) Laminectomy Surgical
Basic Laparoscopy and Lap. Suturing and Stapling course Course Contents
Online Courses on Laparoscopic GI Surgery for GISurgery.info Lap Skills course Harshad Soni 1. Basic Laparoscopy and Lap. Suturing and Stapling course H. Soni 2. Laparoscopic UGI Surgery Course J Mistry
ANTERIOR CERVICAL DISCECTOMY AND FUSION. Basic Anatomical Landmarks: Anterior Cervical Spine
Anterior In the human anatomy, referring to the front surface of the body or position of one structure relative to another Cervical Relating to the neck, in the spine relating to the first seven vertebrae
UnitedHealth Premium Physician Designation Program Procedure Episode Groups (PEG ) Description and Specialty
UnitedHealth Premium Physician Designation Program Procedure Episode Groups (PEG ) Description and Specialty 30908 Coronary Artery Catheterization (Diagnostic) Cardiology 30508 Coronary Artery Catheterization
SPINAL FUSION. North American Spine Society Public Education Series
SPINAL FUSION North American Spine Society Public Education Series WHAT IS SPINAL FUSION? The spine is made up of a series of bones called vertebrae ; between each vertebra are strong connective tissues
Complex Coding Decisions Using ICD-10-PCS, Part 4
Complex Coding Decisions Using ICD-10-PCS, Part 4 Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Kuehn Consulting, LLC Waukesha, WI 53186 (262) 574-1064 LKuehn1@wi.rr.com Learning Objectives At the conclusion of
Minimally Invasive Spine Surgery What is it and how will it benefit patients?
Minimally Invasive Spine Surgery What is it and how will it benefit patients? Dr Raoul Pope MBChB, FRACS, Neurosurgeon and Minimally Invasive Spine Surgeon Concord Hospital and Mater Private Hospital Sydney
BASIC QUALIFICATIONS
DEPAMEN OF SUGEY GENEAL/VASCULA SUGEY PIVILEGES page 1 of 5 PACIIONE NAME LAS/FIS/MIDDLE INIIAL ELEPHONE BASIC QUALIFICAIONS Basic Education MD or DO Minimal Formal raining Completion of an ACGME-approved
Information for the Patient About Surgical
Information for the Patient About Surgical Decompression and Stabilization of the Spine Aging and the Spine Daily wear and tear, along with disc degeneration due to aging and injury, are common causes
Advances In Spine Care. James D. Bruffey M.D. Scripps Clinic Division of Orthopaedic Surgery Section of Spinal Surgery
Advances In Spine Care James D. Bruffey M.D. Scripps Clinic Division of Orthopaedic Surgery Section of Spinal Surgery Introduction The Spine - A common source of problems Back pain is the #2 presenting
ICD-10 Transition & Implementation Information
ICD-10 Transition & Implementation Information I ICD-10 Implementation Compliance Date: October 1, 2015 ICD-10-CM diagnoses codes will be used by all providers in every health care setting. ICD-10-PCS
ANTERIOR LUMBAR INTERBODY FUSION (ALIF) Basic Anatomical Landmarks: Anterior Lumbar Spine
(ALIF) Anterior In human anatomy, referring to the front surface of the body or the position of one structure relative to another Lumbar Relating to the loins or the section of the back and sides between
UNMH Oral and Maxillofacial Surgery Clinical Privileges
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees effective: 09/26/2014 INSTRUCTIONS Applicant: Check off the "Requested" box for each privilege requested.
Patient Guide to Neck Surgery
The following is a sampling of products offered by Zimmer Spine for use in Anterior Cervical Fusion procedures. Patient Guide to Neck Surgery Anterior Cervical Fusion Trinica Select With the Trinica and
Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes
Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant
APPLICATION FOR APPOINTMENT TO MEDICAL STAFF BAFFIN REGIONAL HOSPITAL IQALUIT, NU
APPLICATION FOR APPOINTMENT TO MEDICAL STAFF BAFFIN REGIONAL HOSPITAL IQALUIT, NU Name: Your completed application MUST include COPIES of the following documents, otherwise it will not go forward to the
Getting Ready for ICD-10. Part 2: ICD-10 Coding
Getting Ready for ICD-10 Part 2: ICD-10 Coding Introduction In the United States, on October 1, 2015 the ICD 9 code set used to report medical diagnoses and inpatient procedures will be replaced by International
Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF).
Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra, allows
Updates are presented in the same sections as appear in the text:
Updates ICD-10-CM and ICD-10-PCS Preview Exercises AHIMA Product AC216009 Changes to reflect code updates as of January 2011 Note: Any question or solution that has been updated appears in this list, and
The Top 20 ICD-10 Documentation Issues That Cause DRG Changes
7th Annual Association for Clinical Documentation Improvement Specialists Conference The Top 20 ICD-10 Documentation Issues That Cause DRG Changes Donna Smith, RHIA Project Manager, Consulting Services
Guide to Abdominal or Gastroenterological Surgery Claims
What are the steps towards abdominal surgery? Investigation and Diagnosis It is very important that all necessary tests are undertaken to investigate the patient s symptoms appropriately and an accurate
Patient Guide to Lower Back Surgery
The following is a sampling of products offered by Zimmer Spine for use in Open Lumbar Fusion procedures. Patient Guide to Lower Back Surgery Open Lumbar Fusion Dynesys The Dynesys Dynamic Stabilization
MINIMAL ACCESS SPINE SURGERY
MINIMAL ACCESS SPINE SURGERY Spinal ailments are amongst the most common ailments that afflict mankind. Back pain, for example, has achieved epidemic proportions worldwide in the last two decades and is
LOSS OF BLADDER CONTROL IS TREATABLE TAKE CONTROL AND RESTORE YOUR LIFESTYLE
LOSS OF BLADDER CONTROL IS TREATABLE TAKE CONTROL AND RESTORE YOUR LIFESTYLE TALKING ABOUT STRESS INCONTINENCE (SUI) Millions of women suffer from stress incontinence (SUI). This condition results in accidental
TABLE OF CONTENTS. Surgical Technique 2. Indications 4. Product Information 5. 1. Patient Positioning and Approach 2
Surgical Technique TABLE OF CONTENTS Surgical Technique 2 1. Patient Positioning and Approach 2 2. Intervertebral Device Implanted 2 3. Buttress Plate Selection 2 4. Awl Insertion 2 5. Screw Insertion
Appendix. Costing Case Samples for OOHCA
Appendix Costing Case Samples for OOHCA The patient (ICD-1) Treatment Codes (OPCS 4) Patient 27 Admitted to ICU following percutaneous cardiac intervention (PCI) with 2 drugeluting stents following a VF
Section IV Diagnostic Coding and Reporting for Outpatient Services
Section IV Diagnostic Coding and Reporting for Outpatient Services Section IV, here we come! Keep that book cracked open and let s go through Diagnostic Coding and Reporting Guidelines for Outpatient Services.
SURGICAL SERVICES. Touching Lives
SURGICAL SERVICES Touching Lives with MODERN TOOLS of EXPERT PHYSICIANS in the Hands and Staff FROM DISCOVERY TO RECOVERY St. Mary s Health System offers a full range of surgical services in almost every
Coding for Oral and Maxillofacial Pathology
saving faces changing lives Coding for Oral and Maxillofacial Pathology I. INTRODUCTION Detailed discussion of evaluation and management (E/M) codes is not within the scope of this paper. However, this
Integumentary System Individual Exercises
Integumentary System Individual Exercises 1. A physician performs an incision and drainage of a subcutaneous abscess in his office for a particularly uncooperative established patient. How should this
Cancer Income Protection Policy
Cancer Income Protection Policy The Insurance Company of Scott & White offers peace of mind when the financial burden associated with cancer arises. Cancer Income Protection Policy Fighting cancer takes
Adult Spine Rotation Specific Evaluation Orthopaedic Surgery Training Program School of Medicine, Queen s University
Adult Spine Rotation Specific Evaluation Orthopaedic Surgery Training Program School of Medicine, Queen s University CanMEDS Roles / Competencies Name: PGY Rotation Dates: s s Exceeds N/A Attending Staff:
Transitional Instructional Design to Accommodate ICD-10-CM/PCS
Transitional Instructional Design to Accommodate Webinar October 15, 2009 Practical Tools for Seminar Learning Copyright 2009 American Health Information Management Association. All rights reserved. Disclaimer
Sample test questions for the CPC exam
Sample test questions for the CPC exam The following 20 questions were developed by Lisa Rae Roper, MHA, MS, PCS, CPC, CPC-I, CCS-P, an adjunct instructor for HCPro s Certified Coder Boot Camp, for preparation
Clinical Practice Assessment Robotic surgery
Clinical Practice Assessment Robotic surgery Background: Surgery is by nature invasive. Efforts have been made over time to reduce complications and the trauma inherently associated with surgery through
Codes for Qualis Health Rev. updated 12/26/2012. 22532 Arthrodesis lateral extracavitary thoracic. 22533 Arthrodesis lateral extracavitary lumbar
22532 Arthrodesis lateral extracavitary thoracic 22533 Arthrodesis lateral extracavitary lumbar 22534 Arthrodesis lat extracavitary ea addl thrc/lmbr 22548 Neck spine fusion 22551 Neck spine fuse&remov
Surgical Technician (ORT) Skills Checklist
_ XXX-XX- Print Name Last 4 of SS # Date Completed Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values
CUSTOM SOFTWARE SYSTEMS, INC
MODIFIERS 4 21 PROLONGED EVALUATION AND MANAGEMENT SERVICES 5 22 UNUSUAL PROCEDURAL SERVICES 6 23 UNUSUAL ANESTHESIA 7 24 UNRELATED EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN DURING A POSTOPERATIVE
About the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include:
Hysterectomy removal of the uterus is a way of treating problems that affect the uterus. Many conditions can be cured with hysterectomy. Because it is major surgery, your doctor may suggest trying other
Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF).
Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra,
The percentage of women 21-64 years of age who received one or more Pap tests to screen for cervical cancer.
Measure Name: Cervical Cancer Screen Owner: NCQA (CCS) Measure Code: CER Lab Data: Y Rule Description: General Criteria Summary The percentage of women 21-64 years of age who received one or more Pap tests
SPINE SERVICE ROTATION ROTATION SPECIFIC OBJECTIVES (RSO) DEPT. OF ORTHOPEDICS AND PHYSICAL REHABILITATION UNIVERSITY OF MASSACHUSETTS
SPINE SERVICE ROTATION ROTATION SPECIFIC OBJECTIVES (RSO) DEPT. OF ORTHOPEDICS AND PHYSICAL REHABILITATION UNIVERSITY OF MASSACHUSETTS The purpose of this RSO is to outline and clarify the objectives of
2. What HCPCS Level II code describes Ensure HN therapy with an enteral infusion pump with alarm?
Sample test questions for the CPC exam The following 20 questions were developed by Lisa Rae Roper, MHA, CPC, CCS-P, an instructor for HCPro s Certified Coder Boot Camp, for preparation of the Certified
If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time.
If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time. You may be worried about your future, both in respect of finances and
Contents. 1. What is Medical coding? (page 1) 2. Medical coding as a career (page 2) 3. Certification exams in Medical coding (page 3-5)
Thank you for subscribing. This ebook is not too long but I am sure you love the content of every page. If for people who are passionate towards learning medical codes and make a beautiful career in medical
Errata for ICD-10-CM and ICD-10-PCS Coding Handbook 2014 with Answers
Errata for ICD-10-CM and ICD-10-PCS Coding Handbook 2014 with Answers Narrative changes appear in bold italicized text; deletions show as strikethrough text. 6/27/14 Page Number Current Text Revision 9
RENOWN REGIONAL MEDICAL CENTER DEPARTMENT OF ORTHOPAEDICS DELINEATION OF PRIVILEGES
RENOWN REGIONAL MEDICAL CENTER DEPARTMENT OF THOPAEDICS DELINEATION OF PRIVILEGES BASIC EDUCATION: M.D. or D.O. MINIMAL FMAL TRAINING: ABMS Board certification or eligibility, or be able to document equivalent
21140 Closed treatment of reimplantation. mandibular or maxillary and/or stabilization. alveolar ridge fracture of accidentally
Medical in Nature Oral Surgery CDT Code Description (CDT code) CPT Code Description (CPT Code) D7270 Tooth 21140 Closed treatment of reimplantation mandibular or maxillary and/or stabilization alveolar
Understanding Laparoscopic Colorectal Surgery
Understanding Laparoscopic Colorectal Surgery University Colon & Rectal Surgery A Problem with Your Colon Your doctor has told you that you have a colon problem. Now you ve learned that surgery is needed
Physician Anesthesia Fee Schedule
Physician Anesthesia Fee Schedule Anesthesia Reimbursement Method: Calculate your reimbursement by dividing the total minutes of anesthesia by 15, rounded down. Multiply this number by the conversion factor
Separate, But Not Distinct: The Appropriate Use Of Modifiers 25 And 59
Separate, But Not Distinct: The Appropriate Use Of Modifiers 25 And 59 Sandy Giangreco, RHIT, CCS, CPC, CPC-H, CPC-I, PCS AHIMA Approved ICD-10-CM/PCS Trainer Jenny Studdard, CPC, RCC, CPCO AHIMA Approved
8 INVESTIGATION OF OUT OF HOURS CASES IN THE NHS
8 INVESTIGATION OF OUT OF HOURS CASES IN THE NHS INTRODUCTION A letter was sent to the consultant anaesthetist and the consultant surgeon in charge of each case that was identified as having taken place
Common Pathology Diagnoses: ICD-9 to ICD-10 Mapping
PERFORMANCE THAT MATTERS NUMBER OF CODES 14,000 69,000 ICD-9 DIAGNOSIS CODES ICD-10 DIAGNOSIS CODES CODE STRUCTURE ICD-9-CM CODE FORMAT ICD-10-CM CODE FORMAT X X X X X X X X X X X X CATEGORY ETIOLOGY,
Case 2. 30 year old involved in a MVA complaining of chest pain. Bruising over the right upper chest. Your Diagnosis
Case 2 30 year old involved in a MVA complaining of chest pain. Bruising over the right upper chest. Your Diagnosis Diagnosis: Posterior Sterno-clavicular dislocation [PSCD] A posterior sterno-clavicular
(English) NEXUS SPINE SPACER SYSTEM
(English) NEXUS SPINE SPACER SYSTEM INDICATIONS FOR USE NEXUS Spine Spacer System, a GEO Structure is indicated for use in the thoraco-lumbar spine (i.e., T1 to L5) to replace a diseased vertebral body
Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions
Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions What are the Colon and Rectum? The colon and rectum together make up the large intestine. After
Extended Disability Income. Fixed cease age. Extended Disability Income. Whole Life UP TO 24 MONTHS. Pre-retirement.
For intermediaries Sanlam Risk Cover January 2015 Temporary Disability Income benefit (OIT3) Primary Income Protector benefits Waiting period Sickness Temporary Disability Income Including fixed payment
Accident Coverage Details
Accident Coverage Details Choose Level 1 or Level 2 Benefits Accident Coverage provides 24-hour coverage or off-the-job coverage. Select the level of coverage that best meets your needs and budget. BENEFITS
Mesh Erosion and What to do
Disclosures Mesh Erosion and What to do None Michelle Y. Morrill, MD Chief of Urogynecology, TPMG Director of Urogynecology, Kaiser San Francisco Assistant Professor, Volunteer Faculty Dept of Ob/Gyn,
HCIM ICD-10 Training Online Course Catalog August 2015
HCIM ICD-10 Training Online Course Catalog August 2015 Course/Content Duration Quiz Duration CME Credits Assessments: Assessment: Provider - Baseline - E/M Emergency Department 45 5/1/2015 Assessment:
Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes
Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant expansions or
CMS and AHIMA Webinar: ICD-10 and Clinical Documentation
CMS and AHIMA Webinar: ICD-10 and Clinical Documentation December 10, 2014 For technical assistance, please call: 1-866-213-9007 1 Webinar Schedule 12:00 Introduction and Welcome 12:05 CMS Update 12:10
Provided by the American Venous Forum: veinforum.org
CHAPTER 17 SURGICAL THERAPY FOR DEEP VALVE INCOMPETENCE Original author: Seshadri Raju Abstracted by Gary W. Lemmon Introduction Deep vein valvular incompetence happens when the valves in the veins (tubes
Oregon CPT Preapproval Grid
* The following grid only identifies items that require preapproval from. Breast Pumps Notes: No preapproval required for 1st month rental; beyond one month rental requires preapproval Genetic Testing
Laparoscopic Colectomy. What do I need to know about my laparoscopic colorectal surgery?
Laparoscopic Colectomy What do I need to know about my laparoscopic colorectal surgery? Traditionally, colon & rectal surgery requires a large, abdominal and/or pelvic incision, which often requires a
Getting to the Backbone of Spinal Coding in ICD-10-PCS
Getting to the Backbone of Spinal Coding in ICD-10-PCS Sponsored by 1915 N. Fine Ave #104 Fresno CA 93720-1565 Phone: (559) 251-5038 Fax: (559) 251-5836 www.californiahia.org Program Handouts Tuesday,
Regions Hospital Delineation of Privileges Oral & Maxillofacial Surgery
Regions Hospital Delineation of Privileges al & Maxillofacial Surgery Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education
Acute Abdominal Pain following Bariatric Surgery. Disclosure. Objectives 8/17/2015. I have nothing to disclose
Acute Abdominal Pain following Bariatric Surgery Kathy J. Morris, DNP, APRN, FNP C, FAANP University of Nebraska Medical Center College of Nursing Disclosure I have nothing to disclose Objectives Pathophysiology
DRAFT. ICD-10 Clinical Modification Code Sets
NOTE: The tables provided below are for reference only and should not be programmed or submitted. Table 8.1 Ischemic Stroke ICD-10 Code I6300 I63011 I63012 I63019 I6302 I63031 I63032 I63039 I6309 I6310
THE UNITED STATES LIFE Insurance Company In the City of New York
THE UNITED STATES LIFE Insurance Company In the City of New York (Called United States Life) 830 Third Avenue New York, New York 10022 CERTIFICATE OF INSURANCE The term "schedule" refers to the schedule
Urinary Incontinence. Anatomy and Terminology Overview. Moeen Abu-Sitta, MD, FACOG, FACS
Urinary Incontinence Anatomy and Terminology Overview Moeen Abu-Sitta, MD, FACOG, FACS Purpose Locate and describe the anatomy of the Female Urinary System Define terminology related to Incontinence Describe