Learn How to Code an Operative Report: Part I Integumentary and Musculoskeletal Systems

good evening and welcome to session one

of our tuesday group studies session

for cpt

we're going to introduce the steps to

solve a cpc exam

case study for the cpc exam

and introducing

our wonderful assistant mr sandy

good evening uh miss josie good evening

mrs j miss eva

uh and to our fabulous internet and good

evening to you all coders

welcome you all to the first session of

the group study by mci myself sandeep

joining you from abu dhabi uh please

forgive me for my voice i was down with

a fever for last two days

uh but you know what uh there was no way

i was going to allow it from stopping me

attending this class so happy coding

everyone

yes happy coding and thank you mr sandy

for being here we appreciate you

and

also we appreciate the coders

we're going to go on now to miss eva

please come and say hello to the coders

hey coders welcome to week one

of the study group for the cpc course

and i'm so happy to be here with you

guys and i will be in the chat

thank you miss eva

and last but not least our curriculum

director and lead instructor mrs j

hello how are you

everybody good we have a

we have a very large class today so i'm

excited you're gonna learn a lot

so

let's get started but not without

introducing the interns take it away

miss josie

thank you

and we're gonna present our new interns

i'm happy to announce this very excited

for all of you

miss anubaba

you can come out and say hello

hi codas

warm welcome you all

and hi mrs jay

uh mr sandeep miss josie

and

all the interns

i'm very glad to be here

i will see you in the chat

we're bye to have you

thank you

miss carla

you can take yourself out

oh

excuse me i'm sorry miss jesse welcome

welcome

all the interns

to missy eva miss mr sandy miss j

we all ready to get ready to cold

let's get it let's call

thank you miss carla

miss courtney

hello coders welcome to group study we

are super excited to have you here group

study is awesome and i think you're all

going to have a lot of aha moments

tonight and learn and we will talk with

you in the chat

glad to have you too miss courtney

miss dolly

hi coders i'm looking forward to going

through some fun scenarios and practice

with you all

and i'll see you guys in the chat

and i believe our other coders will join

us next week

so we'll go ahead and move on

and we'll get started thank you

all right thank you team miss jonesy

miss eva mr sandeep thank you so much

for that dedication and thank you new

interns welcome welcome welcome i love

the energy i love you guys i really do i

have never worked with so many interns

so i'm excited thank you so much for

coming all right the goals of the

presentation number one we're going to

discuss

integumentary scenarios number two

musculoskeletal and number three

respiratory yes in this

class in this group study we are going

to learn how to solve multiple choice

case studies for the cpc exam case

studies in fact at the same time we're

going to show you how to break down

these

large scenarios we are going to help you

not be intimidated no way i promise by

the end of this four week session you

will be

amazing i know it all right so here are

the steps step one you have to highlight

your key terms

in

this class we use

this method

if it's yellow

you'll use that for your diagnoses your

highlight in yellow

you'll use green for all procedures and

pink for anything inclusive so if you

don't want to be redundant so pink if

it's already said put it in pink if it's

bundled put it in pink

number two

document your inventory your procedures

diagnoses signs and symptoms then you

select your principal principal

diagnosis or first listed diagnosis

principle procedure

step three review review all guidelines

in step four select the code the best

matches your inventory list

let me let that marinade

highlight your key terms yellow green

pink

number two you're going to inventory

we've been doing this in class write

down your diagnosis signs and symptoms

and procedures then select which are

principal

or

first listed in this case i think first

listed is more appropriate

number three review guidelines four

select the code that best matches your

inventory now as we've gone through this

group study we've kind of

nailed or identified some things that

you don't need to highlight at all the

reason you don't need to

it's because you're not going to code

for it and that means that's time

saved so number one don't highlight

things observed by the physician

number two don't highlight closures such

as sutures staples etc and i'm saying

closures now you will encode a suture if

that is the treatment but if you're just

closing the surgical site you don't

highlight it unless it's for an

integumentary procedure number three

hemostasis or bleed control number four

drain surgical drains

five don't highlight irrigation of the

surgical site

number six

don't highlight installation and removal

of clamps and trocars these items

actually open up or help the surgical

site stay in place or they help retain

you know

or keep it open so that the

surgeon can see the surgical site number

seven dressings don't highlight don't

highlight those and don't highlight

surgical risks

okay

we're going to begin with the

integumentary system

and here is our scenario so miss josie

will you read for me

and don't forget oh also too just want

to remind everybody we now read the last

sentence

then

the um

procedures and diagnosis then we read

the scenario all right miss josie take

it away

thank you mrs j

okay

i'm gonna read the answers first what

cpt and icd-10-cm codes are reported

a

17311

c 44.311

b

one 17311 c forty four point three two

one

c

seventeen three