📘 How to Code Long Digestive System Cases | CPC & CCS-P Medical Coding Exam Prep

[Music]

hi mrs j

this is josie how are you

how are you coders

uh welcome to tuesday night group study

and we're gonna go over the steps to

solve a cpc exam

please welcome mr sandy

come on out and say hello mr sandeep

uh hello good evening coders uh good

evening miss jay good evening miss uh

josie

miss court name is jolie miss carla miss

vivian and miss eva i think i named them

all i didn't miss anyone uh so welcome

back to the second session of group

study classes

all i have to say is buckle up coders

today we are having some good scenarios

for you and i'll be coming back to take

some of them so see you in the chats

thank you mr sandy

and miss eva

hi coders good evening how are you guys

how was your week i hope you're doing

awesome and um hope you're excited as i

am to do some honest what is it

just coding just code quarters you're

doing great

thank you miss eva

and i'm miss josie your co-lead

and i'm excited that you're here because

we're going to learn a lot about

breaking down these case scenarios

for the respiratory system and uh cardio

this is exciting

are you ready i'm gonna bring out mrs j

hey

hi everyone it is so good to see

everyone we have a fantastic

we have a fantastic group tonight

there's a lot of you here tonight so i'm

excited it is a beautiful evening where

i am i'm in pittsburgh pennsylvania

where are you

go ahead type in the chat let me know

that you can hear me how does my sound

how is my sound

how is my sound doesn't matter sounds

good mrs j

okay i wanted to sing

awesome thank you so

much does my mic sound nice

good all right take it away miss josie

and introduce our amazing interns

all right i'm excited to announce these

fabulous interns that are working hard

behind the scenes miss carla

come on out and say hello

hello team hello mrs j hello miss eva

hello miss vivian and mr sandeep and the

rest of the a-team welcome coders i'm

glad you're here

hope you all are having a great week so

far so let's get it let's call coders

all right miss carla

thank you for being here tonight miss

courtney

come on out and say hello

good evening coders we're excited for

you to be here with another awesome

group study we've got a lot of great

scenarios so let's get to

coding we're off to a great start with

miss courtney

miss vivian

good evening coders um i hope you have

an awesome study group today i think

we'll learn a lot today with our awesome

instructors so let's have fun

thank you for being here miss vivian and

miss dolly come out and say hello to the

coders

hi team hi coders i'm excited to dig

into some scenarios with you guys and

i'll see you in the chat

yes i think it'll be a lot of fun miss

anu

come on say hello

hi everyone

uh good evening all

um i'm very glad to be here

uh let's see you all in the chat

yes

we're all ready to get started

we're going to turn it over to mrs j

alrighty thank you so much and welcome

welcome welcome we have eight men we

have some amazing interns some great

voices i love it i love it i love it all

right goals of the presentation tonight

we're going to review one respiratory

scenario we didn't get a chance to get

to it last week we're going to get it

done tonight

cardiovascular scenarios digestive

system urinary male system scenarios

and before we get started let's review

how to solve a multiple choice case

study scenario for the board exam

typically these will be

operative reports

first things that you need to do

highlight your key terms remember our

key yellow for diagnoses green for

procedures and pink if it's inclusive or

bundled number two document your

inventory your procedures diagnoses and

select the primary number three review

guidelines and four

select the code that best matches your

inventory list

all right

since we've been doing this we've been

noticing

that when you're highlighting there are

some things that you don't have to

highlight you just don't because you're

never gonna code them number one things

observed by the physician

number two

closures such as sutures and staples etc

for

non-integumentary i have to stipulate

that because if it's an integumentary

procedure

you're often going to have to code the

sutures or the closures however

who has a huge operative report for

integumentary i'm talking about like um

repairs honestly and lesions all right

number three hemostasis such as bleed

control drains

irrigation of the surgical site

installation and removal of clamps and

or trocars

dressings

surgical wrist

uh i would like to invite uh miss eva uh

to read out this scenario ms eva would

you like to

read this scenario for me

sure thing

let's start coders what are the cpt and

icd-10-cm codes reported

a

44204 k 63.5

b

44205 k 63.5

c

44202

44203 k 63.5 d

44206

k 63.5

preoperative diagnosis right-sided

colonic polyps post-op

operative diagnosis

the same

procedure laparoscopic right

hemicolectomy with ileocolic anastomosis

description of procedure after induction

of adequate general general endotracheal

anesthesia the patient was carefully

positioned in the supine modified

lithotomy position and allen syrups

great care was taken to carefully pat

and protect all areas of potentially

bodily injury the abdomen was prepped

and draped in the usual sterile manner

using a super umbilical vertical

incision a handsome technique was

employed to carefully place a 10

millimeter cannula carbon dioxide pneumo

peritoneum of 15 milli millimeters hg

was achieved after after which

which a 30 degree telescope was

carefully introduced under direct vision

two left-sided ports were placed one in

the left lower quadrant

one in the left upper quadrant each

lateral to the epigastric vessels

through horizontal step wounds

with a combination of head up head down

and right side up the entire right

column was mobilized from the duodenum

pancreas and right uter uterus

using 10 millimeter diameter bobcock

grasping forceps and 5 millimeter

diameter harmonic scalpel after complete

mobilization and copious irrigation and