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CPT® Radiology & Pathology/Lab Coding | Master CPT Guidelines with AMCI

2h 56m 18s16,637 words2,843 segmentsEnglish

FULL TRANSCRIPT

0:01

It's week 15, coders, let's go. We have

0:06

one more week and this week we'll be

0:09

covering CPT radiology and path and lab.

0:13

And you know what? We won't have time to

0:16

get into medicine. So, we've already

0:18

uploaded it in your playlist. And

0:21

because we don't have much time, I'm not

0:24

going to do a lot of talking. I just

0:26

want to tell you, stay sharp, stay

0:29

focused, you're almost at the finish

0:32

line,

0:34

and we can't go anywhere without doing a

0:37

quick shout out to the AMCI team and our

0:40

amazing interns.

0:42

You keep the course running strong and

0:45

we appreciate every single thing you do.

0:48

Okay, coders t coders drop a thank you

0:53

in the chat to the team

0:58

and just want to quickly remind you that

1:00

we do have a disclaimer. If you are new

1:04

to coding, go ahead click on the

1:07

syllabus and locate these beginners

1:11

lectures, these CPT beginners lectures.

1:15

What's going on at AMCI? Well, we have

1:19

one more week. That's what's going on.

1:22

But we're not going to get into how to

1:24

prep for the CCS. We're going to save

1:26

that for next week. But yes, it is time

1:30

to exam prep. And don't forget AMCI

1:36

Friday Night Live. We do Jeopardy,

1:39

Hangman, and Wheel of Fortune. And

1:41

there's a new time. We begin at 700 p.m.

1:44

Eastern, 6:00 p. p.m. Central, and 4:00

1:48

pm Pacific.

1:50

And don't forget about introduction to

1:53

IMTAP also in Discord.

1:57

And it's introduction to medical

1:59

terminology and anatomy and physiology.

2:02

So check it out on Wednesdays. If you're

2:04

a member of Discord, you can come and

2:07

it's lots of fun.

2:10

And the instructions on how to join

2:13

Discord are in your what's on your

2:16

syllabus. Okay? So go to the syllabus

2:19

and follow those instructions.

2:22

Also, these are the books for weeks 19

2:25

through 16. And today, yes, we'll be

2:27

using CPT 2025. You may use your HickPix

2:31

level two um your Bucks stepbystep

2:36

manual. If you can't afford the 2025,

2:38

you can get 2023 or 4, the MCG 2025. If

2:43

you want to save a little money, go

2:45

ahead and purchase the 2024.

2:49

And yes, we are pressed for time. That's

2:52

why I'm kind of moving a little fast at

2:54

the beginning, but I don't want to

2:57

forget to say thank you. Thank you to

3:01

all of you that are sharing this course.

3:04

We see you. Copyright CPT is copyright

3:08

of 2025 AMA. All rights are reserved.

3:13

Keyword concept FTR Chun AMCI FAB 7 AMCI

3:17

ICD10 CM Phillip TAP and MCG are

3:21

registered trademarks of AMCI.

3:25

CPC, CRC, COC, CPMA, CPB, CPPM, CPCO and

3:30

more are owned by AAPC.

3:34

CCA, CCS, CCSP, RHIA, RHIT are owned by

3:39

AHEA and AMCI does not own the rights to

3:44

these credentials.

3:46

Goals of the presentation for week 15.

3:51

Number one, we're going to review CPT

3:54

radiology coding. Number two, CPT

3:57

pathology. Number three, we won't get to

4:01

medicine, but we did provide it for you

4:05

in your playlist. And we're going to

4:08

give you practice exercises to test your

4:11

knowledge and bring you one step closer

4:14

to CPT coding mastery.

4:20

If we haven't said it over and over

4:22

again, guidelines are key. It's what

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distinguishes

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certified coders from others from

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noncertified coders. It is your

4:34

understanding and ultimately the mastery

4:37

of these guidelines. So the MCG manual

4:40

helps you learn them, helps simplify

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them. In fact, we've created these FTRs,

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facts to remember, and they're all

4:49

compiled in MCG manual. So, let's take a

4:54

look at radiology.

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So, if you go to the radiology

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from your table of context, click on

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radiology FTRs, and boom, here you are.

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There are only three classifications, so

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there aren't a a lot of guidelines, but

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let's go ahead and review. So, if you

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are coding anywhere in the radiology

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section, you're going to need to know

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these items. They may or may not apply,

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but you need to know them. Also, too, I

5:26

want to draw your attention to this

5:27

hyperlink. Don't forget this is an

5:29

instructional video. We call it a Chun

5:32

video. It's extra it. They are older,

5:35

but they're very valuable. So, if the

5:37

codes aren't in there, don't blame us.

5:41

We just gave it to you because we wanted

5:43

you to have this instruction. It is

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good. It's better than this instruction

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that I'm giving you. Especially if

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you're new to medical coding or if you

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want to study the guidelines. All right.

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So, when radiology coding, here are the

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facts to remember. Number one,

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pay attention to technique and location.

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If we're saying technique, we're talking

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about the type of imaging. What type? Is

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it a chest X-ray? Is it a CT scan? Is it

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an MRI? Etc. Location, location on the

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body of the beam, etc. Also, you'll need

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to know the planes, right? So, and we're

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going to discuss these planes.

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You have frontal, sagittal, transverse,

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superior, and inferior.

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These are radiologic planes.

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Well, we're going to call it radiologic

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planes. Also understand radiographic

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beam positions. What's a PA and lat

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oblique? Also, you got to know the body

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positions.

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Subpine, prone, lateral. You'll need to

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know the radiology.

6:56

um modifiers or those components, right?

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They have two modifiers. Also,

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supervision and interpretation, how to

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apply it. Also,

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you got to watch with and without

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contrast. And remember contrast, if they

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insert it orally or rectally, you do not

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use the with contrast codes. Also um

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there are just some reminders that CT

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scan CT and CTA are different right MRI

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and MRA are different also spine imaging

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um they use with contrast and that does

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include intratheal or intravascular

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injections. So, just make sure you know

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it. And you know what? I'm going to help

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you because we're going to review some

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of these.

7:57

So, let's go ahead and begin our

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discussion of radiology.

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Now, let's go ahead and talk about

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anatomical positions.

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In fact, I want to teach you about the

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three Ps. What are the three Ps? Planes.

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This is how the body is divided.

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Position. How the patient is placed

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right for that projection. And the

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projection is the path of the X-ray

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beam, the three Ps. All right. So we'll

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begin with

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planes, right? So this is basically how

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the body is divided. In number one, this

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is your transverse plane. It's a

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horizontal plane that divides the body

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top and half. So in half that way.

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Number two, frontal plane divides the

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body in half but front to back. And

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number three, midsagittal plane divides

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the body in half, but right and left.

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Got it? Next, let's talk about

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positions. You're going to need to know

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these position positions, not just for

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X-rays, but for procedures, surgical

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procedures. The first one is prone

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position. The patient is lying face down

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on the front of the body. Number two,

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this is supine, right? Lying down on the

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back with the face up.

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Number three, this is lateral. The

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patient is lying on the side.

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And number four, oblique position. The

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patient is lying down at an angle.

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Got it? I know you do. Now, projections.

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The final P. The projection is how

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the

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ray or the beam enters the body. Right?

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So this patient is lying supine the

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first one and the projection goes in.

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It's going from front to back. Right?

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And we call this antrop

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posterior. An antroposterior.

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Woo a. So front to back. Now in the

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second the beam is going through the

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back to the front right. So if it's back

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to the front it's postural anterior or

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PA.

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And the third one the the beam is going

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on the side. This may not be a good

10:47

example but trust me this is in front of

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the patient. this this bean thing is in

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