ICD-10-CM Book Tabs

How To Tab The ICD-10-CM Book

For a long time, I didn’t tab any of my coding books. Well, wait that might not be entirely true. I used to have 1 tab for the Neoplasm Table and that’s it. Not sure why I never put the time in to tab the books the right way. But the long and short of it is, I already thought I was a great coder–why did I need to tab my books?

 

 

But then as I was getting things together and planning the x-ray cpt coding class, I was thinking about all the ways that would make coding easier for my students and I did a 180. I started thinking about the tabs again and how beneficial it would be. So, I made a set of tabs to put on my book to show as an example. Later on, when I was working, I realized how much faster I was coding. It was like night and day.

 

 

Every coder I know, whether they’re a newbie or not, worries about not coding fast enough. If you work as a production coder, you need to think about whether or not  you are meeting your company’s production requirements. Speaking of which, if you’re not, there are things you can do to improve productivity–see this freebie. So, anyway, back to the books. I’ve put together a quick video showing you how to tab the ICD-10-CM book. See below:

 

If you want to tab your books, but there’s too much on you plate– you can purchase a set of these tabs:) The ones you see in this video are a sample. What you see is what you get. These tabs have gotten great reviews–please see the sidebar on the right of your computer.

Price is $18.99 + $3.50 shipping.

Product is shipped in 1-3 business days.


Make a long story short, these tabs really do work and make life easier. If you’re still on the fence about it, go here to see more pics. Please feel free to reach out to me at midnightmedicalcoding@gmail.com if you have any questions.

 

 

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common coding mistakes, ICD-10-CM Coding Tips

ICD-10-CM Coding Tip About The M50 Series

Say what you will, but there are tons of ICD-10-CM Codes used for the different spine conditions. Even if you are not a newbie coder–it can be confusing. This post is not about all the different codes, but just one specific note for the M50 series. If you look at M50, you will see, ‘Note: Code to the most superior level of the disorder.’ If you’ve never noticed this before, please go check it out in the ICD-10 book right now. Below is a pic of my book and the note is highlighted in orange.

Here is a pic from my book.

So the long and short of it is, you only need to code the disorder for the highest level that’s documented in the report. So say if you’re coding an MRI and the dx is cervical disc disorders with myelopathy, and it’s documented at the C3-C4 level and also C5-C6 in the report–you would only code M50.01. You do not need the code M50.021. I can’t tell you how many times I see coders make this mistake. Here’s the kicker, sometimes it’s not even coders who make this mistake. Sometimes it’s a coding engine. But bear in mind though that there’s no way a coding engine can ‘know’ all the rules. But as coders we have no excuse. When all is said and done, we really just have to know this stuff.

 

 

 

 

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Coding Course

Intro To X-Ray CPT Coding Class Is On Sale!

 

Intro To X-Ray CPT Coding- Learn The 50 Most Common X-Ray CPT Codes is on sale. Today only! There are literally hundreds of CPT codes used in diagnostic radiology coding. Trouble is, these codes are not focused on in many general coding classes. This leaves new coders barely scraping by once they’re on the job, especially if they’re expected to know these codes already. If you’re a newbie or a coder in another specialty who wants to learn the basics of X-Ray CPT coding-this is the class to sign up for! It is all online and self-paced. You can email the instructor (that’s me-Lindsay Della Vella BS, COC) anytime if you have questions. This class is backed up by great reviews from former and current students. I hope you’ll join us! Price is $39.99. Today Only. Payment plan available.

Go HERE to see what exactly is include in the class, read reviews and sign up!

Coding Course

My First Day Working As A Medical Coder

On the first day of my first coding job, I didn’t know what I was doing. I really didn’t. I never coded a real radiology report before. I guess I read a few in my coding classes, but it was something that wasn’t focused on.

Everything I knew about radiology was just based on my life experiences up to that point. I knew what a wrist x-ray was because I needed one before (broke my wrist rollerblading). I knew what an ultrasound was because I have kids and had my fair share of prenatal ultrasounds.

I kind of knew what an MRI was because the machine looked scary to me and I couldn’t see myself ever being brave enough to go in one if needed. I didn’t know what a CT was. Never heard of a CTA or MRA. Didn’t know what spectral doppler was. Needless to say I was confused at my first coding job. I didn’t know what any of this stuff was. I was fortunate enough to have an awesome mentor who helped me with CPT coding and even some diagnosis coding here and there.

But I know not everyone is as lucky as I was. Not everyone has a mentor. Or maybe you don’t feel comfortable asking a coworker for help. Even though I’m not a new coder anymore, I didn’t forget what it was like being new. How I was afraid of coding everything wrong. How I was afraid that I really did not know what I was doing and was not going to make it as a coder.

 

Some of you may know this already–but I’ve put together a new diagnostic radiology coding course. It is geared towards new radiology coders or coders in another specialty who want to learn more about it. It focuses on the CPT coding of x-rays. By the time you finish the course, you will know how to code the CPT for a variety of x-rays. You will be familiar with 50 of the most common ones used and will be prepared for ‘real life’ diagnostic radiology coding. It is all online and self-paced.

Please see the link below for a full description of the course. You’ll see the exact format and what is included. Scroll down the page and you will see a FAQ section and what my students are saying about the class. I hope you’ll join us!

 

Click Here for more info, to see class reviews and to sign up!

 

Click HERE for more info, to see class reviews and to sign up.

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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

Uncategorized

CPT Coding Course

x-ray class cover

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.

x-ray class cover

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.

***************************************************************

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