Measuring for Skin Lesions in Medical Coding - Guidelines and Examples
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- čas přidán 5. 08. 2024
- When coding for skin lesion excisions for ranges 11400 - 11646, there's a few steps to follow. The excision must be through the dermis. The code size is based on the widest diameter of the lesion plus the narrowest margins. Simple closure is included. You can then select the code based off the size, location, and if the lesion is benign or malignant.
Want to learn more about lesions and earn 1.0 AAPC CEU? Check out Let's Talk Lesions and use code LESiON20 for 20% off!
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00:00 - Beginning
01:08 - Measuring Lesions
03:14 - Visual Examples
06:43 - Documentation samples
09:02 - Case Study
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Something is confusing me with trying to follow this op report... I get how to measure, multiply and add to find the code. The deciphering of what the physician did is what got me. I'll try more practice questions.
I just went for an interview today for becoming a Medical Coder, and I start training (and getting payed for it) in less than a week.
I'm stressed af, but these videos definitely help me cool down a bit, because you don't sugar-coat it, but you also aren't overly pessimistic, just realistic :D
Great video as always.
Do get to work from home?
@@spongebob8445 No, I have to go to the company's building.
Is this is your frist job in coding
@@molife863 Yep, haven't started working yet, we study for 2-3 months then we take the CPC exam, and if we pass it we get hired, all payed for by the company :)
@@jd7634 oh wow that's pretty cool. Personally when coding with CPT do you search through the index first, or do you tend to go straight to the tabular chapters?
Thank you for explaining the way to do the math for the correct codes. I hate math, LoL. You're better at explaining it than the dry CPT book. I really like your y.t. videos. So Thank you & keep up the great work!
You are a GOD send, thank you!!
Thank you for this video! 😊
Thank you! I learned so much!
Thanks!
GREAT JOB I HAVE A QUESTION DOES ALL MEDICAL CODERS DO OP REPORTS IS NOT WHICH ONE DO
Does this strategy for finding the measurement also apply to codes 21011-21014? (Excison of a subcutaneous tumor). Example: excision of subcutaneous cysts 1.5cm x 1cm.
How do you classify the suspicious lesion? Is it benign or malignant? :)
Random question because I am just curious with everything going on lately. Are you being required to be vaccinated?
Does the provider sign the note or nurse?
I would like to take your CRC program. Can you send me the link. What is your school passing raye
Can you use a 2021 Hcpcs book for your cpc state certified exam
You are still permitted to use the 2021 book but may be at a disadvantage due to code changes. The exam will be based on 2022 codes starting January 1. I would direct you to the guidance provided by the AAPC:
www.aapc.com/certification/faq.aspx
" What year's books should I use?
Since the code sets for each coding book are updated every year, it’s essential for coders to have the current year’s books/manuals to ensure accurate performance. Reporting wrong codes can lead to denied claim submissions and substantial penalization. It’s clearly very important to get an education on the annual code set updates and to obtain new code books every year.
All AAPC exams are based on the current calendar year’s code sets, so we strongly suggest you use the current year’s books. The previous calendar year’s books may be used on an exam, but you would be at obvious disadvantage doing so. The upcoming year’s books are not allowed for exam use. The exams are updated every January for the new code sets. Examinees using their second attempt in the next calendar year will not be permitted to take the previous year's exam.
Note: Please make sure you are now using ICD-10 CM or ICD-10 PCS when needed."
Where to buy the webinar for lesion ! Please advice !!
No longer available, sorry.
I’m new to dermatology. I am looking at a chart note for an excision that reads
Pre op size 1.5 x 2 cm
Margin 0.2
Total excised diameter 1.9 x 2.4
What size do I code? My manager says 1.9 (take the first number)
Can you help me out on this please. Maybe write it out for me. Thank you
2.4 u have to go with
Can you put metric conversions in your books?
You can.
Hi Victoria, at 10:53 margins were 0.5cm x 0.3cm is 0.3cm the sum of 2 margins on each side? Is that why only one 0.3cm was added to 1.5cm?
Yeah!! I have the same doubt.
1st case cheek widest dia 1.5 and narrow margin 0.3, we have to double the margin and add to the dia rie??
ie; 1.5+0.3+0.3 = 2.1cm
But you took code based on 1.8cm. How????
Any answer for this?
In the first example, I thought you multiply the margins and add that to the lesion size which is 3.5 instead of 4.5. Now I’m really confused.
I think you are getting confused with Adjacent tissue
Hi thanks for your help and support I passed my cpc exam can you tell me about free ceus
I cover free CEUs in this video - czcams.com/video/47w0umwrEU8/video.html
@Relax Into Calm it was short but only 5 ,6 question were long operative reports
@@molife863, thank goodness. I'm worried about the accident reporting