Practice Report To Code

Practice Report To Code

For the blog post this week, I thought I’d share a report to code. This is a HIPAA compliant report and does not contain any PHI. Answers included at the bottom. Please feel free to comment or email me at midnightmedicalcoding@gmail.com if you have any questions 🙂

 

 

Ok- what do you think the ICD-10-CM and CPT codes are for this report?

Ready for the answers? Scroll down the page…

 

 

 

 

 

 

 

 

 

 

 

 

 

Thanks for those of you who participated in this!

Midnight Medical Coding Products You Might Be Interested In:

 

Learn The 50 Most Common X-Ray CPT Codes-

Self-paced online course. Getting awesome reviews from fellow coders.

 

 

 

 

15 Question Practice Coding Test

Practice coding the ICD-10-CM and CPT codes of HIPAA compliant X-ray reports. Answers and rationales provided.

 

 

 

 

 

Tabs for the ICD-10-CM Book: Get 60 printed, multi-colored, double-sided tabs. These can be used on any 2019 or 2018 ICD-10-CM book from any publisher.

 

 

 

 

 

 

 

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Midnight Medical Coding Stars

Practice Report To Code

Everyone knows that coding takes practice, right? I mean it would be really nice if we just woke up one day, and knew how to code all the different specialties. (I admit I still have nightmares about learning how to code E/M).

 

Looking back, I remember a teacher I had who used to say, “The more you practice, the better you get.” That couldn’t be more true when it comes to medical coding. If you don’t practice EVER, you just won’t become familiar with certain types of reports. The problem is though–practice reports are hard to come by. There’s not too much out there, especially for diagnostic radiology coding.

But have no fear–I have reports that I can share. Each one is a diagnostic radiology report (x-rays, ultrasounds, ct, cta, mri, mra, duplex) For each one, you code the CPT and ICD-10-CM code, and then check your work. I am always available for questions–feel free to email me (midnightmedicalcoding@gmail.com).

So, everyone get a pencil and piece of paper if you’re old school like me, or use a tablet/device to take notes on.

For this report, please code the CPT and ICD-10-CM code.

**These reports are HIPAA compliant and do not contain PHI.

Ready for the answers? No cheating…

 

 

So, did you get the right answers? It’s okay if you didn’t. Remember–all types of coding take practice. Want to have a shot at practicing radiology coding? The good news is–I have more practice reports available! Each week I post a new report for you to code. Right now there are 20 reports available immediately and a new one will be added each Monday.

Join the Midnight Medical Coding Stars. That is a membership-only area where I post all of the reports.

 

I can’t just share these reports with the whole world. This is special and it’s reserved for only certain people. It is only $4.99 per month. That is a steal. That’s less than 1 Starbucks coffee.

 

I hope you’ll join us!

 

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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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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

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!

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