Coding Certification Q & A Webinar - July 2013

Laureen Jandroep, CPC Sr. Instructor, CodingCertification.Org

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Who is Laureen?

•Graduated with a Bachelors in

Occupational Therapy

•Owned and Managed Rehab

Agency

•Owned and Managed Medical

Billing Company

•Owned and Managed Billing and

Coding School - brick and mortar

as well as online

•Started National Coding

Discussion List "Coding &

Reimbursement Network" - now

the CCO-L

•Sold Online School which is now operated

by AAPC

•Currently works full time for 3M

HIS/CodeRyte as a Clinical Development

Specialist

•Teaches Coding Certification Review Blitz

as well as other coding seminars.

•Has taken and passed the CPC, CPC-H,

CCS-P, CCS, RCC and currently maintains

her CPC, CPC-I and new CPPM credentials

•Married since 1989 with 5 kids (1 grown

step-son and 4 little ones

age 7 and under.

Who is Laureen?

Who is Alicia?

• Held several jobs in the medical field from, CNA, EMT, Pharmacy technician

and Medical Records Abstractor, Analyst and Nursing.

• Joined the AAPC and became certified as a CPC in 2011

• Working towards Masters in Healthcare Administration with an emphasis on

education.

• Former Instructor at a private college teaching medical coding and billing

and medical law and ethics.

• Working now as a remote Medicare Advantage Coder for Optum.

• Alicia will tell you that not only does she love medical

coding but she has a passion for teaching it.

• Presently Alicia lives in West Texas and is married

with six children (no that is not a typo!)

Who is Alicia?

Who is Alicia?

•Master of Ceremonies for CCO Q&A

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•Web Administrator for

CodingCertification.Org

•Business coach

Who is Boyd?

And the rest of the CCO Webinar Team?

Lisa Perez – Marketing Director, Newsletter Editor

Ruth Sheets, CPC-A, Administrative Specialist

Sylvia Ann Wiegand, Administrative Assistant – Helpdesk

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V58.30, 915.8 and E920.5

Laureen, Can I ask a strange question. I had an issue with

using an E-code for a finger stick. E920.5 with a V58.30 or

915.8 as primary codes. I was told that the E-codes were

only for inpatient usage. I just want to confirm that for future

reference. Thanks. Cathy

ANSWER

AAPC says: A "late effect" is the residual effect

that remains after the acute phase of an illness

or injury has terminated. It also says: The

residual effect is coded first and is followed by

the "late effect" code to show the cause of the

late effect condition. ANSWER

Late effect vs Residual effect

Multiple DX's in 1 Category

Hi, If a chart has documented that the PT has substernal

chest pain radiating to LT shoulder. And when pain is at it's

worst feels pressure. Should we code only 786.51 or

786.51 AND 786.59?? Can we code 2 in the same

category? Thanks for any input! Linda

ANSWER

From Amanda: Please help me understand how to

properly code for a routine well-woman exam

(preventative yearly check-up) for an established pt

under 39 yrs, AND a separate issue, like depression.

(the primary reason for the visit is the preventative

care, but during the visit the 2nd reason, depression,

is discussed and pt issued rx for meds and/or

counseling). Wouldn't it be 99395, 99213-25? I'm SO

confused with modifiers. Thanks for helping.

ANSWER

Preventative Code + E/M with modifier?

Neoplasms, Benign and Malignant

What is the difference between benign and malignant

neoplasms.

ANSWER

In E/M , in Medical Decision Making , Number of

Diagnoses ( New Problem ) Maximum 1.What

does this mean ? Can someone explain this to

me .Thanks .

ANSWER

Medical Decision Making

Pressure Ulcers

Pressure Ulcers. Multiple sites at different stages, it says

code each site and each stage. BUT is that: site, stage, site,

stage OR site, site, stage, stage

ANSWER

OB Coding, Mother and Baby

Now my question. 655-656 fetal conditions affecting the mother's care. Are there

any codes here that would be recorded on the fetal record, or is everything on

the mother's record until the fetus is born and starts having complications after

birth? I know most so far goes on the mother's record but I guess I am confused

as to when the baby's record starts.

ANSWER

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