Wow your videos are great! Im taking my first medial coding class and your videos are helping me learn the content better! I've watched a few videos already and you got a new sub out of me! :)
Finally started my course but sticking with you inconjunction, especially when my book isn't clear. However, are there areas they may not be revelate given the age of this video?
I’m taking the HCS-D exam and have a couple of clarification questions. If someone has probable diabetes do you code it? Or if they take insulin but no dx of diabetes in the H&P do you code it? Or do you always query the physician for more information? Also if you have a supervisor that attempts to coerce you to upcode, who you be your next chain of command to talk to?
Shayna Porter, we code diagnoses that the physician confirms. We don't code suspected or probably conditions. If a patient takes insulin, you can query the physician but you cannot code diabetes unless the physician states diabetes. As for upcoding, it depends on where you work, who you report a supervisor to.
Thank you for your videos coach! They are so informative. Can you PLEASE so a video on varifying patients insurance? Also explain deductibles, coinsurance, out-of-pocket-max, etc. The whole paying process in billing confuses me so much.
Secondary diabetes is always caused by another condition or event. Secondary diabetes may be due to an underlying condition (E08), drug or chemically induced (E09), due to an infection, or the result of therapy. Or it may be some other specified type of diabetes (E13). It can also be the result of an adverse effect of correctly administered medications, the result of poisoning, or a late effect of using certain medications.
I just registered to take ICD-10-PCS class in January 2017 but I noticed that there is very little information about the PCS on your channel. I would greatly appreciate if you would make a video about the PCS and how to study it. Thank you in advance and have a wonderful day :)
Thank you Brenda Grizzle. There is a video on my UA-cam channel, titled "Links To Lesson Plans" that has the link to each of the lesson plans in it. Be sure to look for it.
Will you explain the Z code? Under the guidelines it says secondary diabetes mellitus who routinely use insulin OR hypoglycemic drugs, an additional code from category Z79 should be used. I thought that you stated if they're using pills do NOT use that code at all. I'm confused lol please help.
If a patient is diabetic and is on insulin, then assign the insulin code. However, if the insulin is ORAL, then use the oral insulin code Z79.84. But if the patient takes insulin subcutaneously, then assign the Z79.4. And, if the patient takes both, only assign the Z79.4. Hope that helps.
Very informative video. My question is: if a baby is born to a mother who previously never had diabetes, but developed it during the pregnancy, and the diabetes then went away after the baby was born, do we still code the family history of diabetes for the infant?
I absolutely love your videos they are VERY informative, I am taking my test for C. O. C this weekend and I'm FREAKING out is there anyway you can help me on what maybe on the test? Especially ASC, sequencing, and pregnancy. I was told that when you are coding pregnancy you would use the Z code first is this correct?
Wow your videos are great! Im taking my first medial coding class and your videos are helping me learn the content better! I've watched a few videos already and you got a new sub out of me! :)
So glad to hear that JR Signe. Welcome Aboard!!!
@@codemastercoach6636 Glad to be aboard!
Finally started my course but sticking with you inconjunction, especially when my book isn't clear. However, are there areas they may not be revelate given the age of this video?
Great video! Thank you. Can you also have video about how to code about myocardial infarction.
Will do Marial Alvarez.
Yes please do I'm currently coding that right mow
I’m taking the HCS-D exam and have a couple of clarification questions. If someone has probable diabetes do you code it? Or if they take insulin but no dx of diabetes in the H&P do you code it? Or do you always query the physician for more information? Also if you have a supervisor that attempts to coerce you to upcode, who you be your next chain of command to talk to?
Shayna Porter, we code diagnoses that the physician confirms. We don't code suspected or probably conditions. If a patient takes insulin, you can query the physician but you cannot code diabetes unless the physician states diabetes. As for upcoding, it depends on where you work, who you report a supervisor to.
Thank you for your videos coach! They are so informative. Can you PLEASE so a video on varifying patients insurance? Also explain deductibles, coinsurance, out-of-pocket-max, etc. The whole paying process in billing confuses me so much.
Thank you Tammy Mitchell. I will be doing a Billing and Reimbursement course soon.
That would be lovely! Can't wait to watch & learn. God bless!
CodeMaster Coach I have so many questions for you, especially regarding how to rank dx codes in a assisted living facility setting.
How do you code a malfunction pump which may caused a patient to have hypoglycemic with coma or hyperglycemic.
Loving Life, look under Main Term, "Complication of".
Im trying to figure out how to look up secondary DM in the alphabetic index
Secondary diabetes is always caused by another condition or event. Secondary diabetes may be due to an underlying condition (E08), drug or chemically induced (E09), due to an infection, or the result of therapy. Or it may be some other specified type of diabetes (E13). It can also be the result of an adverse effect of correctly administered medications, the result of poisoning, or a late effect of using certain medications.
I just registered to take ICD-10-PCS class in January 2017 but I noticed that there is very little information about the PCS on your channel. I would greatly appreciate if you would make a video about the PCS and how to study it. Thank you in advance and have a wonderful day :)
I started from the beginning with my UA-cam channel and I feel you should know ICD-10-CM before learning ICD-10-PCS. But, it will be coming soon.
Will you code diabetes even if is not the cause of the ER visit?
If it has a bearing on the reason for the admission. Diabetes usually does.
Thank you for teaching us alot of things we don't understand
You're welcome Nichol Jones.
This is very helpful. How can I get a copy of the transcript and exercises and answer key?
Thank you Brenda Grizzle. There is a video on my UA-cam channel, titled "Links To Lesson Plans" that has the link to each of the lesson plans in it. Be sure to look for it.
Will you explain the Z code? Under the guidelines it says secondary diabetes mellitus who routinely use insulin OR hypoglycemic drugs, an additional code from category Z79 should be used. I thought that you stated if they're using pills do NOT use that code at all. I'm confused lol please help.
If a patient is diabetic and is on insulin, then assign the insulin code. However, if the insulin is ORAL, then use the oral insulin code Z79.84. But if the patient takes insulin subcutaneously, then assign the Z79.4. And, if the patient takes both, only assign the Z79.4. Hope that helps.
Very informative video. My question is: if a baby is born to a mother who previously never had diabetes, but developed it during the pregnancy, and the diabetes then went away after the baby was born, do we still code the family history of diabetes for the infant?
No, because it never was an infant condition to start with.
Hi. Thank you for doing these videos. When a physician states uncontrolled dm2, is this considered hypoglycemic or hyperglycemic? Thanks!
stuartevan, it can be either hypoglycemia or hyperglycemia. You must view the physician diagnosis and the lab values.
Thank you , nice breakdown of information
Im confused on how to code Graves disease...can u help me?
When you look up main term "Graves", it says look up main term "Hyperthyroidism" with subterm "with" "goiter" and it leads you to code E05.00.
Do you help with coding for home health?
I have never done Home Health coding NovelsatNight. I would imagine they still have diagnosis to code?
Are these codes coming from the icd-10 book?
Yes Ma'am.
When you say Sub category what do you mean?
I'm saying that the code has expanded from the category (3 digit) to the subcategory (4th digit). The code expanded to give greater specificity.
I absolutely love your videos they are VERY informative, I am taking my test for C. O. C this weekend and I'm FREAKING out is there anyway you can help me on what maybe on the test? Especially ASC, sequencing, and pregnancy. I was told that when you are coding pregnancy you would use the Z code first is this correct?
No, that is incorrect. You would start with the pregnancy complication code and assign a code for the weeks of gestation (Z-code).
What is the best drug book I could get?
Good question. I used to use the PDR but now I just Google the medication.