Hi El Chingon. Wow. Congratulations. This is a big exam and for those of you who don't know, you have to have a bachelor's degree from an accredited college or university and a certificate of the degree from AHIMA accredited HIM program in order to sit for this exam. You are trained to be a manager or director so I am really happy for you. Thank you kindly for sharing this good news with me and all of our viewers. Whatever idea you have in order to help our coder community, I will fully support it. I wish you the best in your future endeavors.
@@codingwithhoang I have an idea for a FB page that lists Hospital compare, leap frog, CMS Health Statistical Information, National Practitioner Data base info
Hi Nadine. Many people are new to coding so I have to explain it this way. I hope that you don't mind. Thank you so much for your comment. All the best.
So happy I found your channel! My online course is starting to get confusing and I’m only on the integumentary system part of the CPT book. I really appreciate how you break everything down for us!! THANK YOU SO MUCH
Hi, I wanted to start my journey as a coder, so I came across your videos. Your "how to code videos"and "skeleton system"video was very helpful. I want you to make a "how to code"videos for every system and chapter in the book. Thanks for doing this.
Thank you for all your hard work to put these videos together. They are very helpful and easy to understand. I love your coding exercises. It helps me to see if i am on the right track.
Thank you so much for this. Determining the size was my biggest hurdle. This has helped tremendously. I don't have a doubt I will pass my CPC exam with the help of your videos. I learned more in this 1 video than I did from school in the few months we went over surgery. You're awesome.
Hi Lamontica. I am really glad that you got it eventually. I have no doubt in my mind that you will pass the exam for sure simply because you are studying hard and and wanting to get to the bottom of it; that's all you need to be a successful coder. I wish you the best of luck for your exam and thank you so much for your support.
Superb I'm having a hard time understanding this chapter buy with your video you nailed it. My heart warming thank you. Will have my CPC exam next week.
Thank you so much for sharing your time and training. This was very helpful. I took notes and put in my book. I am now confident in coding for lesions.
Good video. My comment would be at 12:56 when you are talking about the adjacent skin transfer your note says "include lesion incision code" and I know you mean that the transfer code includes the lesion code and you don't need to add a separate code for the lesion but it might be misread as "you should include" the lesion incision code. Maybe it's just the way I read it. Luckily you explain it in the narration so anybody who is paying attention should understand what you mean.
Hi Charles, thank you so much for your comment. Sorry If I confuse you, the good thing is that on the slide "CPT coding guidelines" at 8:46 I also mention " Do not report codes(s) for lesion excision" and highlight the text in red so I hope that they will get it. Thanks again for pointing it out, I will be more careful next time. Have a good day!
Hi Sandra. You can do it. 70% is not unobtainable score. Don't spend too much time on those questions related to A&P and medical terminology, either you know or you don't so just circle one answer and move on. Good luck with your exam.
Thank you so much and I really really appreciate your awesome work to help all of us to understand lessons better. I am always looking forward to seeing more videos from your channel
Thank you so much for all your teaching videos Mr. Hoang. I am very pleased to say that I passed my CPC exam in Feb 2021. Your training videos of all the chapters helped me a lot in understanding all the different topics and their guidelines much better.
Hi Tina. Congratulations on passing the CPC exam and thank you so much for sharing this good news with me and our viewer. I hope that you will keep up the good work in the future. Very well done. All the best for your career ahead!
I'm SO glad you did that last case study! I would have been lost and gotten hung up looking for the margins or how to figure them out. I am still getting hung on layer vs layered closure? The first question was closed in a 'layer fashion' and it was intermediate. But the next question it was closed in' one layer' so it's a simple repair? It's like the word layer is used for both? What am I missing?
Hi Leslyn, please keep watching my videos and even you just learn one new thing on each video, it will add up and one day it just clicks and you feel so much confidence about coding. Happy Learning.
Great info, thanks! The best part for me is "I hope you get it!" 😁 Question about coding soft tissue lesions, are CPT code selection for size the same? Example: soft tissue lesion of leg 3.5 × 4.0 × 1.5 cm excised from fascia, no margins layered closure would be coded to 27632?
Hi Renee. You got it. 27632 is the right code to use for an excision of soft tissue lesion of leg >3cm. Please note that these soft tissue excision codes already include the wound closure unless it is closed by rotational flap or other tissue transfer techniques. I hope it helps.
Thanks for your help, I was coding the excision lesions wrong, I couldn't understand I was getting the answers wrong on my practice test. Thank you for your explanation. Do we still sequence the most complex code first when coding excision lesions?
Please watch the "coding steps" slide starting from 20:09. The simple repair included in the lesion excision codes so you do not code them separately. I hope it helps.
Can you explain when and which modifiers must be used?. As per my knowledge in your last example modifier 51 should be used, i guess. You are doing a great work.
Mr. Nguyen, please clarify the following for 2021 regulations - when choosing the code for the excision, it is based on the area, size + margin +margin, and whether it is benign or malignant. A Simple repair is included therefore not coded. When an intermediate or complex repair is required, what are the parameters to choose the measurement? For example, BSC L Chin 3cm, margin 0.3cm = 3+0.3+0.3=3.6cm (11644), 4 cm layered closure. Do I use the 3 cm, 3.6 cm or 7.6cm for the intermediate repair? In advance, thank you.
Hi Bibi. if the excited lesion is 3.6cm after you add the margins then you need to cover this wound at least 3.6cm or larger. That said, in your CPT book, under intermediate repair for face, ears, eyelids, 12051 only covers 2.5cm; therefore, you have to use 12052 for 2.6-.0cm and this will be larger enough to cover the wound. I hope it helps.
Thank you again. For the second case, I have a couple of questions. First, would the modifier 59 be used for this example since there were two lesions. Second, the operative report mentioned that the wound was closed in one layer. What is the reason for not including a repair code? Is it because there was only one layer of closure?
The code descriptor itself already indicates the difference one is for benign lesion and the other for malignant lesion so there is no need for modifier 59. Yes, simple closure in bundled into the lesion excision code. I hope it helps.
Hello Mr. Nuyegn, you have great exclamation, how can find CPT cardio, special in pacemakers, in easy and shortcut, it usually takes time for me to pick the right code
Hi Bhawana, in the next few weeks, I will cover the cardiovascular system 30,000 series CPT, then I will cover the cardiac devices including pacemaker, defibrillator, CRT-P, CRT-P and loop event recorder so stay tuned. Don't forget to subscribe and share my lessons to other students. Thank you and have a good day!
Hello Sir..your channel is really helpful..im from india..totally new in this medical coding field..i want ur full course..how i can join it,plz help me..i want cpc exam help..thank u so much..plz help
Hi Dr. Sheetal Kadu. Thank you so much for interest in taking my course. Please visit my personal website: codingwithhoang.com, click the "Sign Up" tab and then fill out the short form. As soon as I have your full name and email address, I will add you to the course and email you your login ID. It's a free course, you don't have to pay and inside the course, you will have access to homework, quizzes and learning materials. Since you are new to this field, please make sure that you watch all of my videos including those that I posted 8 year because those videos are for new learning. I hope it help and good luck with your studies. Thank you so much for your support.
Hi Sir awesome video. For the sequence of benign and malignant excision of lesions, which is the first listed code? Should it be malignant first then benign? 19:40 As per the case, both excisions of malignant and benign lesions were performed, is the sequence important for this case.
I think you may have some wrong information on your slide for Coding steps under step 4 in relation to adjacent tissue transfer. Your slide says you include the lesion excision code but you say that you ONLY report the adjacent tissue transfer code.
This is what I mean "When adjacent tissue transfer or rearrangement is performed in conjunction with excision of a lesion, the lesion excision is not reported separately"
Hi Georgina. Look under Excision then Skin you should find them; however, in my video, I suggest that you should tab this page so that you don't have to spend time to search for it, you will end up here anyway. I hope it helps.
The intermediate repair is another term for the layered closure. In other words, the would is closed with more than one layered suture. I hope it helps.
I passed my RHIA exam today and your videos helped....I have an idea for a facebook page.
Hi El Chingon. Wow. Congratulations. This is a big exam and for those of you who don't know, you have to have a bachelor's degree from an accredited college or university and a certificate of the degree from AHIMA accredited HIM program in order to sit for this exam. You are trained to be a manager or director so I am really happy for you. Thank you kindly for sharing this good news with me and all of our viewers. Whatever idea you have in order to help our coder community, I will fully support it. I wish you the best in your future endeavors.
@@codingwithhoang I have an idea for a FB page that lists Hospital compare, leap frog, CMS Health Statistical Information, National Practitioner Data base info
@jwc4226 I will be taking my RHIA exam after the CPC. Can you provide me some information and what videos helped? Thank you.
Great teacher! He breaks down coding into steps that are easy to follow and he's very thorough.
I understand much better now,And I appreciate the energy and hard work you put into your thoughtful explanations....Thank you so muuuuch
This video has added so much clarity to an area I have struggled in for years. Thank you for explaining it like a elementary school teacher.
Hi Nadine. Many people are new to coding so I have to explain it this way. I hope that you don't mind. Thank you so much for your comment. All the best.
@@codingwithhoang I am so glad you explain it this way! I use your videos all the time.
So happy I found your channel! My online course is starting to get confusing and I’m only on the integumentary system part of the CPT book. I really appreciate how you break everything down for us!! THANK YOU SO MUCH
I am glad you find it helpful. Happy Learning and thank you so much for your support.
Hi, I wanted to start my journey as a coder, so I came across your videos.
Your "how to code videos"and "skeleton system"video was very helpful.
I want you to make a "how to code"videos for every system and chapter in the book.
Thanks for doing this.
This section has always given me the blues! Your simplistic tools just helped me to get what I had been missing! You are amazing!!!
Hi Johnren. Thank you so much for your compliment. I really appreciate it. All the best.
Hi Hoang, Thank you so much for this video. your explanation make it easy to understandable.
Thank you for all your hard work to put these videos together. They are very helpful and easy to understand. I love your coding exercises. It helps me to see if i am on the right track.
Thank you so much for this. Determining the size was my biggest hurdle. This has helped tremendously. I don't have a doubt I will pass my CPC exam with the help of your videos. I learned more in this 1 video than I did from school in the few months we went over surgery. You're awesome.
Hi Lamontica. I am really glad that you got it eventually. I have no doubt in my mind that you will pass the exam for sure simply because you are studying hard and and wanting to get to the bottom of it; that's all you need to be a successful coder. I wish you the best of luck for your exam and thank you so much for your support.
So thankful to have found your channel! I am studying to take my CCA exam, a few test takers have mentioned about studying lesion size.
Superb I'm having a hard time understanding this chapter buy with your video you nailed it. My heart warming thank you. Will have my CPC exam next week.
🎉loved this lessure, made it so simple to learn super helpful! Thank you for your video!!!
Thank you. This was extremely helpful to me as this has always been confusing. Great way to break it down. Look forward to more videos
Hi Liz, I am glad it was helpful! Thank you for your comment!
Thank you Hoang! You have the ability to break it down in concepts that make it easier to understand. You have empowered me!
Hi Panthera. I am so happy to hear that! You got it. Thanks so much for your support.
Love this, super self explanatory and much easier to understand! Thank you Mr. Nguyen!
You're very welcome Nikki ! Thank you so much for your support.
Where have you been your examples & explanations are exactly what I needed- Thank you!
Thank you so much for sharing your time and training. This was very helpful. I took notes and put in my book. I am now confident in coding for lesions.
Hi Kaniece. When you understand then you can code them with confidence. Thank you so much for your comment. Happy Learning.
Good video. My comment would be at 12:56 when you are talking about the adjacent skin transfer your note says "include lesion incision code" and I know you mean that the transfer code includes the lesion code and you don't need to add a separate code for the lesion but it might be misread as "you should include" the lesion incision code. Maybe it's just the way I read it. Luckily you explain it in the narration so anybody who is paying attention should understand what you mean.
Hi Charles, thank you so much for your comment. Sorry If I confuse you, the good thing is that on the slide "CPT coding guidelines" at 8:46 I also mention " Do not report codes(s) for lesion excision" and highlight the text in red so I hope that they will get it. Thanks again for pointing it out, I will be more careful next time. Have a good day!
This section was so very helpful!! Thank you, I am no longer scared of the Surgery/Integumentary System Coding Section :)
Marcie. You got this! the more you practice the more confidence you will gain so you will be good at it. Happy Learning !
these views are awesome thank you so much I just finished AAPC ..getting ready for my CPC exam this month ...so excited
Good luck Keyshia!! Thank you for your comment.
I take my exam this weekend - I am so confident because of your videos (as a review) will help me pass.
Hi Sandra. You can do it. 70% is not unobtainable score. Don't spend too much time on those questions related to A&P and medical terminology, either you know or you don't so just circle one answer and move on. Good luck with your exam.
@@codingwithhoang what do you mean 70%? What's the passing % that you need?
Thank you so much for taking the time to share your knowledge!!!!!!! Do you have any CPC prep for 2023?
You have given me the confidence to go further for another certification ! I can’t say thank you enough for tríese videos your are amazing ❤
Thank you so much and I really really appreciate your awesome work to help all of us to understand lessons better. I am always looking forward to seeing more videos from your channel
Hi Phung, You're very welcome and I just wanted to let you know that I always appreciate your comments and feedback. Have a good weekend!
Thanks so much. Very helpful. I’m preparing to take my test after graduation.
Thank you so much for all your teaching videos Mr. Hoang. I am very pleased to say that I passed my CPC exam in Feb 2021. Your training videos of all the chapters helped me a lot in understanding all the different topics and their guidelines much better.
Hi Tina. Congratulations on passing the CPC exam and thank you so much for sharing this good news with me and our viewer. I hope that you will keep up the good work in the future. Very well done. All the best for your career ahead!
Thank you for sharing, I can understand it now the way you broke it down. You are a blessing here on this channel.
Hi Twila. You are so welcome and I appreciate that.
Thank you!!! I am becoming more confident of passing my exam.
Beautiful works Sir. Thank you for your time, your kindness to share your knowledge. Have a wonderful night.
It's very nice of you to leave the comment for me very often. I really appreciate it. Have a great day!
Thank you very much for very simple way of explaining the topic.
You made it so easy to understand.... Thanks!!!!
Because of this video I can answer now correctly for my next next interviews . Thank you so much
Thank you for uploading this. It's a huge help. I finally understand! :D
This is so amazing….I totally understand it now!
Thank you soooo much, you explained it so simple.
You're very welcome Dominque. Thanks so much for your support.
I am soooo glad I found your channel. The videos are a great teaching tool and are explained so well. keep up the good work. thank you.
Clear explanation thank you....
I honestly can't repay you enough for making these videos.
You are very welcome Abigail. Thank you so much for your support.
@@codingwithhoang you are most welcome
Thank you Mr. Nguyen. This very helpful.😊
This was very helpful and made it more clear how to code excisions. Thank you!
Hi Terry. I am glad it was helpful! Thank you for your comment.
Your presentation is so easy to follow. Really thankful
You are most welcome. Thank you.
I'm SO glad you did that last case study! I would have been lost and gotten hung up looking for the margins or how to figure them out. I am still getting hung on layer vs layered closure? The first question was closed in a 'layer fashion' and it was intermediate. But the next question it was closed in' one layer' so it's a simple repair? It's like the word layer is used for both? What am I missing?
One layer = simple repair. 2 layers or more = intermediate repair. I hope it helps.
Very helpful thank you sir
lots of good wishes to you sir. thank you so much sir.
I am continually watching your videos. They are very enlightening. Leslyn
Hi Leslyn, please keep watching my videos and even you just learn one new thing on each video, it will add up and one day it just clicks and you feel so much confidence about coding. Happy Learning.
Sir,thanks from bottom of my heart
I got many informations from this video
Hi Rukkus. The more your learn, the more confident you will be as a coder. Happy Learning.
super clear way of teaching! thanks.
Thank you for your comment; I really appreciate it. Have a great day!
Thank you. This is very helpful and you made it easy to understand.
Please make another video about E/M codes. Really need help
Thank you brother
Thank you!!
It was easy to understand. Just started my course.
Hi Skanda. Good luck with your study. Happy Learning!
Hi Hoang can you elaborate more on adjacent tissue transfer please? Love your videos.
Thank u very much sir for making videos, which helps us to understand lessons better.
Hi Nafeesa, it's my pleasure and I am really glad to hear that. Thanks so much.
Once again you've made something quite confusing to be so much easier to comprehend. THANK YOU!
You are so welcome! Thank you for your comment.
Thank you sir .....
Thank you, very well explained.
Very helpful and detailed explanation! I subscribed and love your videos. Thank you Sir!
Awesome, thank you Catherine! Good luck with your studies.
Very helpful
Another great video! Thank you--your explanations are very understandable.
Hi Diane. Thanks so much for your feedback. Have a great day!
This was very concise information, so appreciated!
Super helpful! Thank you!
Great info, thanks! The best part for me is "I hope you get it!" 😁 Question about coding soft tissue lesions, are CPT code selection for size the same? Example: soft tissue lesion of leg 3.5 × 4.0 × 1.5 cm excised from fascia, no margins layered closure would be coded to 27632?
Hi Renee. You got it. 27632 is the right code to use for an excision of soft tissue lesion of leg >3cm. Please note that these soft tissue excision codes already include the wound closure unless it is closed by rotational flap or other tissue transfer techniques. I hope it helps.
Very helpful..I always get confused in these types of questions
Glad it was helpful! Thank you for your support.
Good information...thank you
Thank you for your support.
Thank you, I got it👏🏼👏🏼👏🏼👏🏼
Thank you, very helpful!
Thank you ! this was so easy to understand !
Hi Mizba, you're very welcome!
more videos on lesions
Really it is useful to understand the concepts... Thank you Hoang,,,
Hi Shanmuga, thank you kindly for your comment. Have a great day!
Thanks for your help, I was coding the excision lesions wrong, I couldn't understand I was getting the answers wrong on my practice test. Thank you for your explanation. Do we still sequence the most complex code first when coding excision lesions?
Yes Sonia as long as they all treated on the same encounter and this rule applies to all conditions.
@@codingwithhoang Thank you so much, your videos are helping me very much. I wish I knew about your channel much earlier.
Great! class, Mr Hoang
thank u for this video it helped so much
Sir ,I need more IP-Drg Scenarios please with simple frequent concepts
Mr. Nguyen, I am not sure but do we actually code the simple repair in the last scenario or not? I am still in learning mode, pls advise.
Please watch the "coding steps" slide starting from 20:09. The simple repair included in the lesion excision codes so you do not code them separately. I hope it helps.
Hi. Your videos are great!!How to code debridement to solve the measurement !! If you could make videos
Can you explain when and which modifiers must be used?. As per my knowledge in your last example modifier 51 should be used, i guess.
You are doing a great work.
Hospital does not use modifier 51. Please review the list of modifiers approved for Hospital Outpatient Use in your CPT book. I hope it helps.
@@codingwithhoang Thankyou so much for the explanation. But what code should be used in CPC EXAM if this type of scenario is given?.
Please do more questions.
I am working on it so stay tuned. Thank you.
Very well explained! Thank you
You are welcome!
Thank you sir
You are so welcome. Thank you.
You sir, are awesome!
Thank you kindly!
Thank you sooooo much sir.....
Thank you so much
💛💛💛
Hi Hoang Nguyen, I have question? When do we use cpt code? Is it dose outpatient and Icd 0cs is for inpatient? Thank you for your time.
Hi Jackie. Yes CPT code for outpatient and PCS for inpatient.
THANK YOU
Mr. Nguyen, please clarify the following for 2021 regulations - when choosing the code for the excision, it is based on the area, size + margin +margin, and whether it is benign or malignant. A Simple repair is included therefore not coded. When an intermediate or complex repair is required, what are the parameters to choose the measurement? For example, BSC L Chin 3cm, margin 0.3cm = 3+0.3+0.3=3.6cm (11644), 4 cm layered closure. Do I use the 3 cm, 3.6 cm or 7.6cm for the intermediate repair? In advance, thank you.
Hi Bibi. if the excited lesion is 3.6cm after you add the margins then you need to cover this wound at least 3.6cm or larger. That said, in your CPT book, under intermediate repair for face, ears, eyelids, 12051 only covers 2.5cm; therefore, you have to use 12052 for 2.6-.0cm and this will be larger enough to cover the wound. I hope it helps.
Thank you again. For the second case, I have a couple of questions. First, would the modifier 59 be used for this example since there were two lesions. Second, the operative report mentioned that the wound was closed in one layer. What is the reason for not including a repair code? Is it because there was only one layer of closure?
The code descriptor itself already indicates the difference one is for benign lesion and the other for malignant lesion so there is no need for modifier 59. Yes, simple closure in bundled into the lesion excision code. I hope it helps.
@@codingwithhoang - It does, thank you.
Hello Mr. Nuyegn, you have great exclamation, how can find CPT cardio, special in pacemakers, in easy and shortcut, it usually takes time for me to pick the right code
Hi Bhawana, in the next few weeks, I will cover the cardiovascular system 30,000 series CPT, then I will cover the cardiac devices including pacemaker, defibrillator, CRT-P, CRT-P and loop event recorder so stay tuned. Don't forget to subscribe and share my lessons to other students. Thank you and have a good day!
Mr Hoang Nguyen still waiting for the 30,000 series hope will be soon posted. Thank you for everything for us to understand in the best way.
Very very helpful video Mr Hoang..... Actually a confusing chapter you took it easily.... Really you are a good coding expert... Thanks a lot
Hey Hoang. Do you have a section where you teach just E/M coding?
Hello Sir..your channel is really helpful..im from india..totally new in this medical coding field..i want ur full course..how i can join it,plz help me..i want cpc exam help..thank u so much..plz help
Hi Dr. Sheetal Kadu. Thank you so much for interest in taking my course. Please visit my personal website: codingwithhoang.com, click the "Sign Up" tab and then fill out the short form. As soon as I have your full name and email address, I will add you to the course and email you your login ID. It's a free course, you don't have to pay and inside the course, you will have access to homework, quizzes and learning materials. Since you are new to this field, please make sure that you watch all of my videos including those that I posted 8 year because those videos are for new learning. I hope it help and good luck with your studies. Thank you so much for your support.
@@codingwithhoang Thanks a lot Sir🙏☺
Hi Sir awesome video. For the sequence of benign and malignant excision of lesions, which is the first listed code? Should it be malignant first then benign?
19:40 As per the case, both excisions of malignant and benign lesions were performed, is the sequence important for this case.
I saw your reply from one of the comments, you said to list the excision of the malignant lesion first. Thank you. :)
Hello sir...can I learn coding course from this videos.... I want to learn coding course..plz suggest me
Did you register for my free course yet? Please visit my website: codingwithhoang.com
Hoang would you code 1st the malignant or benign lesion which is coded first...do we list the most intense code?
if both lesion are excised and it turns out one malignant and one benign then I will list the malignant first.
Thanks
In the second quiz, there were two codes. Which one gets sequenced first?
You list the malignant lesion FIRST.
I can't understand 2d step calculation 3.0cm+0.5cm+0.5cm=4.0 cm how ?
I think you may have some wrong information on your slide for Coding steps under step 4 in relation to adjacent tissue transfer. Your slide says you include the lesion excision code but you say that you ONLY report the adjacent tissue transfer code.
This is what I mean "When adjacent tissue transfer or rearrangement is performed in conjunction with excision of a lesion, the lesion excision is not reported separately"
Could you please advise on the keywords you used in the index to come up with codes 11420 and 11604?
Hi Georgina. Look under Excision then Skin you should find them; however, in my video, I suggest that you should tab this page so that you don't have to spend time to search for it, you will end up here anyway. I hope it helps.
sir. how it is intermediate repair? I dont understand
The intermediate repair is another term for the layered closure. In other words, the would is closed with more than one layered suture. I hope it helps.
Thank you very much sir, Got it.
so if lesion is 5×2 cm, you only choose 5 right? i didnt know this
Yes, you are correct!