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Sample Coded report for Closed Fracture CPT code

PREOPERATIVE DIAGNOSIS: 1. Closed Left Tibial Plateau Fracture POSTOPERATIVE DIAGNOSIS: 1. Same PROCEDURES PERFORMED: 1. Closed Reduction with placement of external fixator: Left tibial plateau ANESTHESIA: General endotracheal ESTIMATED BLOOD…

Jitendra M.Sc CPC January 15, 2024

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Sample Coded report for Knee Arthroplasty CPT code

Pre-op Diagnosis: Primary osteoarthritis of left knee [M17.12] Post-op Diagnosis: Same as Pre-op Procedure(s): Left - TOTAL KNEE REPLACEMENT ROBOTIC ASSISTED - Wound Class: Clean Proc. Description(s) & CPT Code(s): TOTAL KNEE REPLACEMENT ROBOTIC…

Jitendra M.Sc CPC January 14, 2024

IR procedure Can you code this

Sample Nephroureteral Catheter Placement Report for Medical coders

Report 1 BILATERAL NEPHROSTOGRAMS PLACEMENT OF NEPHROURETERAL CATHETERS MODERATE CONSCIOUS SEDATION, FLUOROSCOPY CAN ULTRASOUND GUIDANCE AND UTILIZATION OF A STERILE SURGICAL TRAY.: INDICATION: Bilateral nephrolithiasis TECHNIQUE: Ultrasound and fluoroscopy guidance,…

Jitendra M.Sc CPC September 18, 2023

Can you code this Medical coding

2023 August CPT Assistant Question and Answers

Below are the Question and Answers for the released August 2023 CPT assistant edition. Questions and Answers Evaluation and Management (E/M) Guidelines Question: When is the conversation between an emergency…

Jitendra M.Sc CPC September 13, 2023

Medical coding Can you code this

New Practice Surgery Medical Coding Charts

Surgery Medical coding Chart 1 PREOPERATIVE DIAGNOSIS: Adenocarcinoma in situ of cervix. POSTOPERATIVE DIAGNOSIS: Awaiting pathology report. PROCEDURE: Cold conization of cervix. SURGEON: ASSISTANT: None. ANESTHESIA: Dr. PACKS: Vaginal pack…

Jitendra M.Sc CPC August 8, 2023

Can you code this Emergency Department (ED)

Sample coded chart for CPT code 99284 (emergency department)

Chief Complaint & History of Present Illness : 87 year old female presents with right posterior thigh pain of gradual onset this morning. Pain is sharp/stabbing, sometimes radiates down to her…

Jitendra M.Sc CPC July 9, 2023

Can you code this Emergency Department (ED)

Sample Coded Report for CPT code 99283

Chief Complaint & History of Present Illness : Chief complaint: Right hand/wrist pain History of present illness: The patient is a 29 year old female presenting with right hand/wrist…

Jitendra M.Sc CPC June 14, 2023

Sample Medical coding reports for Coders for 2019

Can you code this

Sample coded Medical coding reports for Coders

Sample Medical Coding Report 1 PREOPERATIVE DIAGNOSIS: Right trimalleolar ankle fracture. POSTOPERATIVE DIAGNOSIS: Right ankle fracture in light of osteoporosis and subacute presentation. PROCEDURE: Open reduction and internal fixation…

Jitendra M.Sc CPC May 22, 2023

Can you code this Emergency Department (ED)

Sample Coded Report for CPT code 99282

Chief Complaint & History of Present Illness : cc: I have something in my eye HPI: this is a 67 yo female who has the sensation that something is in…

Jitendra M.Sc CPC April 9, 2023

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Sample IVR or Interventional radiology coding charts

Medical coding Sample coded Report - 1 US BREAST BIOPSY RIGHT HISTORY: Suspicious 11 mm solid palpable lesion 5:00 6 cm from the nipple. PROCEDURE: Risks and procedure were discussed…

Jitendra M.Sc CPC February 27, 2023