Cardiovascular CPT Coding: Long Case & Scenario Review | AMCI Medical Coding Instruction Part ONE

[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 wrists so you're not going to

code those

now

let's get started

let's go ahead and review

our respiratory system scenario all

right mr sandeep

thank you mrs jay

so quarters uh we will kick off with a

respiratory system scenario we have just

got one

and let's do it

uh miss courtney i would like to invite

you to read out this first scenario for

us

all right so i'll read the question

first for everyone

what cpt and icd-10 cm codes are

reported

a 32669

and

c34.11

b

32662

c34.11 c32663

and

c34.11

d

32666 and c34.11

pre-operative diagnosis mass right upper

lobe post-operative diagnosis carcinoma

right upper lobe procedure performed

that's right superior lobectomy

description of procedure under general

anesthesia after a double lumen tube

intubation the right lung was collapsed

and the right side up is oriented so the

patient is in the left lateral decubitus

position we prepped and draped the

patient in the usual manner and gave

antibiotics then two one centimeter

incisions were made along the posterior

and mid axillary line at the ninth and

seventh intercostal spaces the lung was

deflated and the camera was inserted a

longer six centimeter incision was made

along the fourth intercostal space

anteriorly we then freed up some

adhesions at the top of the lung both in

the superior area away from the tumor

and in the anterior mediastinal area the

tumor seemed to be in the right upper

lobe the dissection began by ligating