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    Wiki CPC employment

    I am having a similar problem. I finished Practicode to go from CPC-A to CPC, submitted 18 CEUs, and started listening to the AAPC podcast. (I even added these to the education section of my resume.) I've been seeking jobs since the beginning of this month, but I haven't been invited to any...
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7390)

    Thanks for the links. I found the relevant info in the second one. :)
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7390)

    The documentation: How am I supposed to know that the code for the operating microscope (69990) is bundled into codes 63051 and 63001? I didn't see this specified in the guidelines for either of these codes, or in the guidelines at the beginning of the section.
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7188)

    The documentation: How do I know that I should report 63020 instead of 63045?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7085)

    Thanks. I just bookmarked it.
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7419)

    I just tried another case (OPD7278) and looked carefully this time at the "code also" notes, in both Codify and the code books. Apparently I was expected to code Z95.1 (presence of aortocoronary bypass graft) and Z95.5 (presence of coronary angioplasty implant and graft), despite neither of...
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7085)

    The documentation: Why is the MDM low? There was prescription drug management, combined with discussion with another provider.
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7419)

    The only diagnosis code was R55, syncope and collapse. In almost all the previous cases, whenever hypertension and smoking were reported in the current problems list (even if not in the diagnoses), I was expected to code them. But, I will pay more attention to the "code also" notes from now...
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7419)

    But the social history says that the patient is a current smoker. Also, there were other Practicode cases in which I was supposed to code nicotine dependence (cigarettes) when the case didn't specify what substance was being smoked, or even that there was a dependence.
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7287)

    The documentation: Why are I49.3, I25.10, and Z95.5 reported but not the Plavix and aspirin? Are the former relevant to the patient's Metroprolol increase and the need for an echo, but not the latter?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7419)

    The documentation: Why aren't the hypertension and smoking reported?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7512)

    The documentation: Why aren't the risk factors of "hypertension, oral hypoglycemic-treated diabetes, alcohol abuse, and a history of current cigarette use (within the last month)" reported?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7420)

    Thanks. It seems that the reporting physician is different from the one who signed the radiology report. I was not expecting that.
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7420)

    The relevant documentation: Why isn't the CT scan reported?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7424)

    The relevant documentation: Why isn't the chest X-ray coded? Shouldn't "The X-rays were interpreted by the radiologist and contemporaneously by me" indicate that it should also be coded for the physician reporting it here?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7382)

    The documentation: Why aren't the atrophic vagina and large cystocele reported?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7224)

    The documentation: Why should the diabetes be reported as a diagnosis when it was only mentioned in the past history?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7203)

    The documentation: How do we know that the MCV4 0.5 mL IM vaccine refers to 90619 specifically? Also, why should we report 90461 (two units)?
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    Wiki Coding for different insurance types?

    What do beginning CPC medical coders need to know about coding for different insurance types (Medicare, private payer, etc.)? I feel that the CPC course and textbook didn't go over this enough, and I didn't find good resources explaining this online.
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    Wiki Which code book bundle is right for me?

    I'm a beginning CPC coder just finishing Practicode. I know I want to get the e-books this time, but there are so many bundles that it's confusing. Is this the ideal bundle for someone like me? https://www.aapc.com/medical-coding-books/physician-bundle-1/ebook/
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7478)

    What confuses me is that sometimes I'm expected to code info such as obesity, hypertension, sleep apnea, CPAP, long term use of aspirin, long term use of anticoagulants, etc. when they are provided in the problem list but not in the diagnosis or clinical impression (whether or not the condition...
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    Wiki Is the CODIFY + EBOOKS bundle worth getting?

    I'm a beginning CPC coder just finishing Practicode. I've been using the hard copy books in combination with the free version of Codify, but I want to buy the e-books for next year. Would a coder like me gain any benefit from Codify that I can't already obtain from the e-books and free resources?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7478)

    The BMI was provided in the vitals as 37.7. Isn't that sufficient to code for obesity?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7478)

    The documentation: Why aren't the obesity and BMI coded?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7450)

    I see about the M-mode recording now. But, I was supposed to report both 93350 and 93325 (global codes) in addition to the MDM code, but I didn't see how the documentation showed that the reporting physician provided either the interpretation or equipment for either test. Was I supposed to...
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7339)

    The documentation: Why is the abscess not coded?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7450)

    The documentation: Why should 93350 be reported? The documentation doesn't seem to specify everything that the code requires; it doesn't mention M-mode. It also doesn't seem to indicate that the reporting physician provided the interpretation for either this or the resting echo.
  28. E

    Wiki Why was I marked wrong? (Practicode Case ID: OPD7411)

    OK I think I just misinterpreted the guideline then. Thanks for your help!
  29. E

    Wiki Why was I marked wrong? (Practicode Case ID: OPD7411)

    Isn't that what makes it independent though? According to the guidelines, it has to be performed by another physician/other qualified health care professional.
  30. E

    Wiki Why was I marked wrong? (Practicode Case ID: OPD7411)

    The documentation: Doesn't the X-Ray (interpreted by the radiologist) count as independent interpretation of tests? Also, the guidelines say that fulfilling just one of the three categories in that MDM element is enough for that element to be moderate. Then combined with the prescription drug...
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7183)

    Thanks for your help, both of you. :) The CPT code was 59120. I was confused because the guidelines for that section (and beneath the individual codes) didn't specify anything about laterality modifiers.
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7183)

    The documentation: Why isn't the RT modifier listed for the right salpingectomy?
  33. E

    Wiki Why was I marked wrong? (Practicode Case ID: OPD7289)

    Ah, so those would be required. (I thought I just had to code them first if they happened to be reported also.) Thanks for your help.
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7289)

    The only other pregnancy-related code that I used was Z33.1 (pregnant state, incidental).
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7289)

    I have often submitted tickets to the Practicode help desk whenever the answer key seemed wrong or I didn't understand why I was marked wrong. Since the migration though, they've never gotten back to me. (And before the migration, they would often take many days to reply, and even sometimes give...
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7289)

    I always read the rationale when I don't understand an answer, but it often doesn't give any explanation, or at least any explanation that answers my question. I had also already checked the general Z-code guidelines again, as well as the Z3A guidelines before asking here. I just now checked...
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7289)

    The documentation: Why shouldn't I report the weeks of gestation?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7205)

    The documentation: Why is 96372 reported in addition to J0696, which already specifies that the drug was injected?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7259)

    Thanks.
  40. E

    Wiki Why was I marked wrong? (Practicode Case ID: OPD7259)

    So do I only bill facility things when the E/M category says "inpatient" or "facility"?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7259)

    The procedure code is 27840, so it doesn't seem that the sedation was bundled in with it. Isn't there always a reporting physician? In some cases I needed to report the drug code. Does it depend on the department? For example, do ER physicians never report drug codes?
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    Wiki Why was I marked wrong? (Practicode Case ID: OPD7259)

    The documentation: Why aren't the external cause codes reported here? Why isn't the 80 mg propofol (Diprivan) injection reported? And why isn't the X-ray reported? There's no mention of it being provided by anyone other than the reporting physician.
  43. E

    Wiki When do I report tests?

    Thanks!
  44. E

    Wiki When do I report tests?

    I'm working on Practicode for CPC right now. For E/M encounters, I've noticed that the answer key often does not report the tests (such as labs, X-rays, CT scans, or EKGs), even when there seems to be enough info provided in the documentation to select codes for them. Why is this?
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    • Replies: 3
    • Forum: E/M
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