Welcome

Welcome

 

Midnight Medical Coding is owned and managed by Lindsay Della Vella BS, COC. Our mission is to provide high quality, affordable educational materials related to diagnostic radiology coding. We supply free youtube tutorials, blog posts, discussions on social media, and practice radiology coding exercises. Our main products are online courses geared towards new radiology coders or coders in other specialties looking to learn more about diagnostic radiology coding.

 

To have a bright future in the medical coding world, you have to be educated. But not only that, you have to know what you’re doing right from the beginning. It can be very intimidating your first day on diagnostic radiology coding job. This website was created with the hope that a new coder could find everything they need in one place. Need a list of common diagnostic radiology codes? Got it! Want to watch a webinar and learn something new? Got it! What about a practice coding test? Got it! Here you will find all that and more.

Once you spend some time browsing here, you will no doubt be a better diagnostic radiology coder!
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Coding Course

On Sale Now!

Are you a medical coder or medical coding student who wants to learn more about diagnostic radiology coding?

There are A LOT of codes in the CPT book and you’re probably only familiar with the ones you use everyday.

So, if you’re a coder in another specialty, or a coding student, you might not know that much about the CPT coding of x-ray’s just because you haven’t had the opportunity to code them yet, or maybe it’s something that really wasn’t focused on in your regular coding classes.

Our new online coding class is available now! It focuses on the CPT coding of x-rays. You will code HIPAA compliant reports after each lesson and do coding practice exercises, take quizzes (your score is available immediately after submitting it) and there is test at the end. Supplemental info/sources/links are also provided. It is all online and self-paced.

The instructor (me- Lindsay Della Vella!) is available 24/7 through email for questions.

This class is getting excellent reviews from fellow coders who have already completed it. I hope you join us!

It is on sale NOW for $39.99! Offer expires Sunday at 5 pm EST.

Click the link to sign up and for more info.
https://bit.ly/2wSf6hF

Still have questions? Feel free to email me at midnightmedicalcoding@gmail.com

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CPT Coding Course

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Enrolling now!

  • Go here to sign up and for more info.
  • You’ll have access to the class until December 31, 2019.
  • Price is $49.99. Payment plan available.

This class is designed for new coders or coders in other specialties looking to learn more about diagnostic radiology coding. It is 10 modules long and includes videos, power point presentations, practice coding exercises, supplemental reading materials, quizzes and a test. It is all completed at your own pace and I’m always available for questions/concerns.

Coding Course

Diagnostic Radiology Online Coding Course

Midnight Medical Coding will be offering an online diagnostic radiology coding course starting in January 2019! This course focuses on x-ray CPT coding. You’ll learn the most common codes, how to look them up in the book and you’ll practice coding HIPAA compliant reports.

The course is done at your own pace and I’m always available for questions. There’s 9 modules (may ultimately end up being 10) which includes videos for instruction, pdf downloads, quizzes and practice coding exercises.

Students will also have the option of joining a private Facebook group just for people who take this course. That is where I can always be reached and I’ll also be sharing supplemental materials there. It also will be a place for students just to connect and talk to each other.

I’m super excited about this! Cost is $50.00 and you will have access to the course to December 2019.

If you want to stay in the loop and be notified when this course becomes available please go to: https://midnightmedicalcoding.podia.com/intro-to-x-ray-cpt-… and sign up for updates.

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Free coding guide

4 Coding Hacks To Improve Productivity- A Guide For Medical Coders

Announcing a free guide for medical coders: 4 Coding Hacks to Improve Productivity.

Many of us have struggled with meeting production requirements, so I’ve put together this guide. There are 15 pages and it talks about what I’ve used to improve my own coding production requirements. In general, I think it just takes time, but there are things you can do to help in the beginning. This is a free download. Get it here. 

 

Go here to download

 

 

coding challenge

Coding Challenge 7

Please code the CPT and ICD-10-CM code for this report. This report is HIPAA compliant and does not contain PHI.

 

Exam- Right hip including pelvis 2-3 views

Date- June 4, 2018

#1111222222


Exam-Hip x-ray right including pelvis 2-3 views

Clinical History- Right hip pain

Comparison- hip x ray 2/4/17

Technique- 2 views of the right hip and 1 ap view of the pelvis was performed

Findings: Pelvis ring intact. The sacroiliac joints are symmetric. No right hip fracture or dislocation. Punctate ossific density adjacent to the right hip. Left hip unremarkable.

Soft tissue- normal

Impression:

No right hip fracture or dislocation. Punctate ossific density adjacent to the right hip most likely related to degenerative changes.

 

Thank you for referring your patient.

Go here for the answers

coding challenge

Coding Challenge 6

Please read the report below and code the CPT and the ICD-10-CM Code. Please keep in mind that these reports are designed to be as realistic as possible, but everything is HIPAA compliant so the information is not real.

*For the tomo, please use the HCPCS code.

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Procedure- Bilateral Diagnostic Mammogram with Tomo

History- Bilateral breast pain for 2 weeks

Technique- Full field mammography was performed. Bilateral breast tomosynthesis was preformed in the MLO and CC projections. CAD was used as an aid for interpreting this exam.

Comparison: Prior mammo from April 2017

Density- There are scattered fibroglandular densities

Findings: There is no suspicious mass, microcalcifications,  or unexplained distortions.

Impression: No dominant mass or secondary signs of malignancy within either breast. Annual screenings recommended. BIRADS ASSESSMENT- (2) Benign findings.

Signed Dr. J.

Go Here To Check Your Answers

Youtube tutorial

X-Ray Coding–A Walk-Through With Examples

If you’re new to radiology coding, or just want to learn more about it, this is a good video for you to watch. It is a quick 5 minute tutorial where I go over the format of an x ray report and the elements that should be included. There is also a practice report in it for you to code the cpt and icd-10 code.

Thank you for watching this tutorial!

 

 

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coding challenge

Coding Challenge 5

Please code the ICD-10-CM and CPT code for this report. To check your answers, click the link at the bottom of the report.

ABC Hospital

Patient Name- Jon Doe

Date- 1/1/18

Referring Dr- Dr Smith

Exam- US Renal

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Procedure- US Renal

History- Routine check of renal cysts

Technique-2D images

Findings- Complete evaluation of the right kidney. Right kidney is normal in size with no hydronephrosis. No calculus. Simple cyst measuring 1.4 x 2.1 x 3.6 located mid portion. Simple cyst #2 measuring 1.7x 1.9 x 1.6 located upper pole.

RT kidney retroperitoneal measurements- length 9.71 AP 5.04 cm. width 5.52 cm

Complete evaluation of the left kidney. The kidney is normal in size with no hydronephrosis. Complex cyst measuring 2.2x 1.2x 1.5 located mid portion. Visualized portion of the IVC are normal. Proximal and abdominal aorta obscured by bowel gas.

LT kidney retroperitoneal measurements- length 11.50 cm AP width 6.25 cam

The bladder is normal.

Prostate is normal.

Impression- No hydronephrosis. Bilateral renal cysts.

Signed by Dr Michaels 4:00 pm 1/1/18

Go here to check your answers!

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Medical Coding Job Search Tip: Make A Portfolio

background-blur-bright-684314So if you’re out there right now looking for a medical coding job, I’m sure you realize how tough it is. Many places require experience to get hired and even then , sometimes experienced coders have a tough time too. There are some small things you can do to help you have more success with your job search, but the one I’m talking about today is to make a portfolio.

I think people hear the word “portfolio” and panic because they don’t know what it is, and it sounds like more work. “Portfolio” to me, is just a nice word for “binder.” This doesn’t have to be some long involved kind of project.  You probably already have a lot of stuff you can put in the portfolio and you don’t even realize it. The good thing is, if you bring a portfolio on an interview, it can only be a positive thing and make you look better than other people applying for the same jobs you are.

Also, the portfolio has another purpose, not just for use on job interviews. It’s a way to keep track of all your CEU certificates. If you’re a member of AAPC, you have to submit your CEU’s to keep your certification active. If you keep all certificates in a portfolio, it’s easy to enter in all of the certificate numbers, and you’ll know you’re not forgetting to add anything. Another benefit is, if AAPC decides to audit your CEU’s (which they did to me 2 years ago) it is easy to copy your certificates and send them in. So in other words, it’s a nice way to stay organized.

Ok, so here is a pic of my actual portfolio. I wasn’t kidding when I said it meant “binder.”

My portfolio

You can add a cover or make it fancier if you want, but I never did.

Now, there’s different things you can put into the portfolio itself. I have copies of my CEU certificates like I mentioned before, and also copies of articles I’ve been quoted in, my resume, copies of my coding certification and a copy of my college degree. If you really want to get creative with it, maybe adding pictures of your home office would be nice too. My desk is too much of a mess compared to others so that is why it is not featured in here. But it is not a mess to me. I know where everything is.

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Here are more pics of my portfolio:

You can get as creative as you want with it. Mine is pretty basic but it helps just to keep things organized. It doesn’t really matter what you decide to put in here as long as it’s professional and highlights your skills. I would just suggest putting all documents in a plastic sleeve/cover though.

So, next time you go on an interview–bring your portfolio with you. It will help you stand out compared to other applicants and who knows–may help you land a coding job.

PS-Here are links to some binders you can use to make your portfolio:

Good luck with your job search!

 

 

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