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 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

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

—————————————————————————————————————–

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!

Signature3a

 

 

 

Uncategorized

Why It’s Beneficial To Know How To Code Diagnostic Radiology

I just wanted to shed some light on something. I’m not sure if this is the best topic for one of my first blog posts, but here it is anyway. The other day, the topic of off-shoring came up in a coding discussion. It is a sensitive subject and we can’t pull the wool over our eyes and pretend it’s not there. But I don’t want new coders to feel that they should avoid learning diagnostic radiology coding, thinking it would be a waste of time and abandon ship. The fact is that coding in ALL specialties can end up going off-shore. This is something that happens in any coding specialty and is not diagnostic radiology coding-specific. Say what you will, but this is something that most coders are well aware of, and I have never heard of that fact alone being the sole reason that someone does not pursue radiology coding.

Another thing to keep in mind too, is that coding needs to be audited. Not just radiology coding but all coding, no matter where it is coded originally. Usually the coding gets audited here in the USA. Now, I’m sure there are exceptions to this somewhere out there, but in my experience this has been the case. In order to audit it, you have to know how to code it first right? So if it is something you’re interested in, don’t miss the boat!

Another reason to learn diagnostic radiology coding is because it is a good account for new coders to get their feet wet. Why do they start with the radiology accounts? Because it is easier than starting with other types of coding, say brain surgeries, transplants etc. While it’s true that it is easier than some types of coding, it has it’s own set of rules, and is a specialty in and of itself. If you are a diagnostic radiology coder, not only will you become proficient in aspects of CPT coding, you will become familiar with all sections of the ICD-10-CM book. You use a full range of codes which is a very valuable skill set. Even if you decide not to stay in diagnostic radiology coding–these skills transfer over to other coding specialties.

So, to make a long story short, there are many different coding specialties, and unfortunately some coding does end up going offshore, in ALL specialties. But you would be doing yourself a disservice if you decide not to learn diagnostic radiology coding based on that alone. There are thousands of radiologists in this country and many of them see the benefits of having the coding of their practice stay in the US. Not only that, radiology coding lends itself to learning so many different aspects of CPT and ICD-10-CM coding and these skills are valuable for any coder to have.
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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!