Medical Coding Clarified

Medical Coding Clarified

Welcome to Medical Coding Clarified! My name is Claire Riha and I am an Inpatient coding auditor with over 12 years of experience. In my channel I provide ICD 10 coding education that aims to fill the gaps between what you learned in your coding education program and what you need to know in real word coding. Here you will find both in depth tutorials and quick tips and tricks. Whether you are a student just starting to learn medical coding or already working in the field, it is my goal to provide top notch coding education that will help you on your journey to coding with confidence!

Information in this channel is opinion only, and not to be considered legal, medical or professional advice.

Пікірлер

  • @shaikhsaad8460
    @shaikhsaad84603 күн бұрын

    Thanks a lot mam

  • @medicalcodingclarified
    @medicalcodingclarified12 сағат бұрын

    Thank you! 😊

  • @gaurav7196
    @gaurav71966 күн бұрын

    Thank you very much for your very informative and knowledgeable videos! I have a question: If a patient’s past medical history includes heart failure with preserved ejection fraction (HFpEF), which is diastolic, how should it be coded if, in the current visit, they present with a systolic exacerbation?”

  • @medicalcodingclarified
    @medicalcodingclarified12 сағат бұрын

    Hi! I would recommend coding as currently documented. If there is any doubt whether or not the patient currently has combined diastolic/systolic, query is recommended.

  • @gaurav7196
    @gaurav71963 сағат бұрын

    @@medicalcodingclarified Thank you Claire..

  • @rachnic75
    @rachnic7512 күн бұрын

    Thank you. I was having trouble with G89

  • @medicalcodingclarified
    @medicalcodingclarified11 күн бұрын

    Thank you! I am happy to hear that my video helped you. 😊

  • @rachnic75
    @rachnic7512 күн бұрын

    Thank you for these videos. Very concise. I like the examples and you showing the code book for reference.

  • @medicalcodingclarified
    @medicalcodingclarified11 күн бұрын

    Thank you, I appreciate you saying that! 😊

  • @Ann-TomPhantomette
    @Ann-TomPhantomette13 күн бұрын

    when it comes to removal of an intradural spinal tumor, is this excision of extirpation? For some reason I get hung up on the thought that they aren't removing the spinal cord, but rather solid material in, on or surrounding the cord. Am I overthinking here?

  • @medicalcodingclarified
    @medicalcodingclarified11 күн бұрын

    Hi! The location of the tumor being of the spinal cord would not impact root operation selection. The method used to remove the tumor would be the determining factor. If the method to remove the spinal tumor meets the the definition of root operation excision then yes, it would be coded to excision, body part spinal cord. Think of it as you would any debulking of a tumor. The objective is to remove the tumor from the body part that it is attached to and therefore is coded to that body part. I hope that helps!

  • @sivaranjaniselladurai8911
    @sivaranjaniselladurai891118 күн бұрын

    Hi mam this video really solve my problem of coding cardiac arrest, thank u

  • @medicalcodingclarified
    @medicalcodingclarified17 күн бұрын

    That is great, I am happy to hear that! 😊

  • @Nehallotfy396
    @Nehallotfy39620 күн бұрын

    This is an amazing explanation, thank you!!

  • @medicalcodingclarified
    @medicalcodingclarified20 күн бұрын

    Thank you! 😊

  • @melissar518
    @melissar51821 күн бұрын

    Hi im new to ur channel and was wondering if u can give me an auditor perspective on how to code the below plz. If the provider documents ‘dm with ckd stage 2 & dm with microalbinminuria’ would we code E11.22, N18.2, E11.29, R80.9 or because the microalbinminuria is integral to nephropathy which codes to E11.21 would it be accurate to only code the dm with ckd? Appreciate the help in advance 😊

  • @medicalcodingclarified
    @medicalcodingclarified20 күн бұрын

    Hi! You would only code the diabetic ckd. As you said, microalbuminuria is inherent to diabetic nephropathy, and the ckd is the specific type of nephropathy, so no additional code is needed.

  • @melissar518
    @melissar51820 күн бұрын

    @@medicalcodingclarified Appreciate your timely response and all your videos 🤍🤍 Grateful I found ur channel! Thank u 🙏

  • @medicalcodingclarified
    @medicalcodingclarified19 күн бұрын

    @@melissar518 Thank you! 😊

  • @semiverticalangle6917
    @semiverticalangle691723 күн бұрын

    What is root operation for closed reduction of rt hip arthroplasty dislocation Revision or Reposition

  • @medicalcodingclarified
    @medicalcodingclarified20 күн бұрын

    This would be root operation revision.

  • @semiverticalangle6917
    @semiverticalangle691720 күн бұрын

    Thanku

  • @semiverticalangle6917
    @semiverticalangle691723 күн бұрын

    So if the patient is of 40 weeks 5 days we cannot assign O48.0 as it is not 40 completed weeks

  • @medicalcodingclarified
    @medicalcodingclarified20 күн бұрын

    40 completed weeks is 40 weeks and zero days. You can assign O48.0 once the patient is 40 weeks and 1 day.

  • @semiverticalangle6917
    @semiverticalangle691720 күн бұрын

    @@medicalcodingclarified thanku

  • @semiverticalangle6917
    @semiverticalangle691720 күн бұрын

    @@medicalcodingclarified and what would be the dx for new born born at 40.5 days or 41.5 days

  • @semiverticalangle6917
    @semiverticalangle691720 күн бұрын

    What would be the dx for new born born at 40.5 weeks of gestation or 41.5 weeks of gestation

  • @medicalcodingclarified
    @medicalcodingclarified19 күн бұрын

    P08.21 Post-term newborn. Just make sure coding is based on gestational age documented in the newborn record. You can not use documentation from maternal record.

  • @JohnnaHerron
    @JohnnaHerron24 күн бұрын

    Do you have one on the combined anterior and posterior spinal fusion?

  • @medicalcodingclarified
    @medicalcodingclarified23 күн бұрын

    Not yet, but it is on my to-do list!

  • @semiverticalangle6917
    @semiverticalangle691725 күн бұрын

    Thank You! pls bring one video on tips and tricks to clear ipdrg interview questions asked and things like that

  • @medicalcodingclarified
    @medicalcodingclarified23 күн бұрын

    I don't really have any advice on job interviews because I have been in my position for ten years, so I concentrate my videos on coding advice only. I know that there are some youtubers that give interview advice. I think coding with Bleu does.

  • @JRsmountainretreat
    @JRsmountainretreat25 күн бұрын

    Thank you for another wonderful video. 😊🥰Have a great day.

  • @medicalcodingclarified
    @medicalcodingclarified25 күн бұрын

    Thank you! 😊

  • @vadiginavenkateswararao8479
    @vadiginavenkateswararao847927 күн бұрын

    Thank you so much for your videos, they are really very helpful to us. Ankle and heel ulcers come under hindfoot location, can we assume these ankle and heel ulcers as diabetic ulcers? Kindly clarify. Thank you.

  • @medicalcodingclarified
    @medicalcodingclarified26 күн бұрын

    Heel ulcers may be automatically linked to diabetes since the heel is part of the foot, but ulcers of the ankle are classified to the lower limb, not specifically the foot so ankle ulcers do not have the same automatic link to diabetes.

  • @carlathode3713
    @carlathode3713Ай бұрын

    Ok what about pt admitted with gi bleed and the egd shows gastritis (or duodenitis, gastric ulcer, esophagitis). Is there a casual link with those and the bleed? (Same with colonoscopy and diverticulosis..so on)? I see the CC 1992 saying yes but 2005, 2007, 2018 CC have put a question for me on this.

  • @carlathode3713
    @carlathode3713Ай бұрын

    Obviously including this 2024 I-10 rule

  • @medicalcodingclarified
    @medicalcodingclarified29 күн бұрын

    Hi Carla, Yes, all of those conditions are automatically linked to bleeding because of the alphabetic index linking each condition to bleeding by the word with. Be careful when reviewing older coding clinics because they were written based on the guidelines, conventions, and instructional notes at the time of publication and may no longer be accurate due to the ongoing yearly updates.

  • @ChandrikaKandukuri
    @ChandrikaKandukuriАй бұрын

    AxilaIF , TLIF, ALIF, DLIF, XLIF, PLIF everything will comes under 360 degree fusion , pleas clarify mam

  • @medicalcodingclarified
    @medicalcodingclarified29 күн бұрын

    Sure, I can add that to my list. Thanks!

  • @anusophiakarthikeyan2155
    @anusophiakarthikeyan2155Ай бұрын

    What is 46 INPT code? Is it for sleep guidelines....if yes, how can we find those guideline code.please help in this Mam.

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    That is not an ICD-10-CM code. It looks like maybe it is a billing code? Sorry, I am a coder, I don't know about billing.

  • @Wayoflifewithgodspath
    @WayoflifewithgodspathАй бұрын

    Please explain VP shunt placement PCS briefly

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Sure, I can add that to my list. Thanks 😊

  • @stacibolden42
    @stacibolden42Ай бұрын

    Can you do some PCS explanations?

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Yes, I plan on doing some more in the future. 😊

  • @Wayoflifewithgodspath
    @WayoflifewithgodspathАй бұрын

    Please explain 360 degree fusion with one scenario

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Sure, I can add that to my list. Thanks! 😊

  • @ChandrikaKandukuri
    @ChandrikaKandukuriАй бұрын

    Please explain 360 degree fusion

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Sure, I can add that to my list. Thanks! 😊

  • @sahilpandita8049
    @sahilpandita8049Ай бұрын

    Thanks for the clarity.

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Thank you! ☺️

  • @Kariston
    @KaristonАй бұрын

    Just took my Trauma ICD-10 coding course. Thanks for sharing this!

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    That is awesome! Thanks for watching. 😊

  • @JRsmountainretreat
    @JRsmountainretreatАй бұрын

    Your hair looks nice. Thank you for loading this.

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Thank you! 😊

  • @rohitraj8508
    @rohitraj8508Ай бұрын

    Hello

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Hello

  • @akshayachals5008
    @akshayachals5008Ай бұрын

    Hi Claire, Can you suggest which ICD code would be appropriate for Asthma-COPD Overlap Syndrome??? Either J44.9 or J44.89.

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Yes, it is J44.89. New Coding Clinic 2nd Quarter 2024 confirms asthma with COPD is assigned to J44.89. Additional code assigned for asthma only if it adds further specificity such as type or exacerbation.

  • @nguyenhenry3781
    @nguyenhenry3781Ай бұрын

    Mrs. Claire, please help me with this. Patient is admitted with epistaxis due to anticoagulation. In the coding clinic states "the sequencing of code D68.32 and other codes describing the type or site of bleeding, (e.g., hemoptysis or hematuria), would be dependent on the circumstances of the admission". So in what circumstances, D68.32 will be PDX, and when D68.32 will be 2DX. Thank you

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Hi, D68.32 would be PDx if the patient was admitted specifically to address the anticoagulant induced coagulopathy. For example say the associated bleeding was already stopped in the ED but they decide to admit the patient to give medication to reverse the coagulation and monitor the patient's coagulation labs.

  • @JackiePollard-rp3bq
    @JackiePollard-rp3bqАй бұрын

    God send. Thank you

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Thank you! 😊

  • @JackiePollard-rp3bq
    @JackiePollard-rp3bqАй бұрын

    Can you cover coding cancer active v. history

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Sure, I can add that to my list. Thanks for the idea!

  • @JackiePollard-rp3bq
    @JackiePollard-rp3bqАй бұрын

    Thank you

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Thanks for watching! 😊

  • @dhaneshpansare4902
    @dhaneshpansare4902Ай бұрын

    Luv ur look, nd nice info also

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Thank you! 😊

  • @ziellanesstoriestv5276
    @ziellanesstoriestv5276Ай бұрын

    Looking forward for more PCS videos ❤

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    I am planning on doing some more in the future! ☺️

  • @olgagron
    @olgagronАй бұрын

    Will you please share your knowledge on coding newborn charts. Thank you! Love you!

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Sure, I can add that to my list. Thank you! 😊

  • @gajendrasinghrathore6542
    @gajendrasinghrathore6542Ай бұрын

    Im on my training and its really helping me a lot with your help i managed my 90% score

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    I am happy to hear that! Congratulations! 😊

  • @olgagron
    @olgagronАй бұрын

    Love your teachings. Thank you!

  • @medicalcodingclarified
    @medicalcodingclarifiedАй бұрын

    Thank you! 😊

  • @chasejones2193
    @chasejones21932 ай бұрын

    Strong guide, straight to the point and concise

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Thank you, I appreciate you saying that! 😊

  • @sheredabiggins673
    @sheredabiggins6732 ай бұрын

    Thank you !

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    You're welcome. Thanks for watching! 😊

  • @vinodchandran100
    @vinodchandran1002 ай бұрын

    Pneumonia and sputum culture results

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Sure, I can add that to my list. Thanks! 😊

  • @LouiseFigueroa-ux6uc
    @LouiseFigueroa-ux6uc2 ай бұрын

    Patient admit with ABLA and chronic ulcers , tv with EGD- PRBC ; can we use ABLA as Pdx and chronic ulcer as secondary

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Sequencing of ABLA and GI bleed depends on the circumstances of admission/treatment/evaluation. If equal, either may be sequenced as the principal diagnosis. There are several coding clinics on this subject that you can refer to.

  • @SundarS-vh6vi
    @SundarS-vh6vi2 ай бұрын

    Tqs mam❤

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    😊

  • @talruiz7030
    @talruiz70302 ай бұрын

    This is really helpful! Thank you, Claire ❤

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    You're welcome 😊 Thanks for watching!

  • @windgoblin
    @windgoblin2 ай бұрын

    Neurology and cardiovascular coding are the hardest. I hope you can touch more on these subjects in the future. Thank you

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Sure, I will plan on covering more on this subject in the future. Thanks!😊

  • @cyndiclifton4063
    @cyndiclifton40632 ай бұрын

    This video clarified so much for me, Claire! Thank you for taking the time to put this together.

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    I am happy to hear that! 😊

  • @kristyhunter1981
    @kristyhunter19812 ай бұрын

    This is an area I struggling in. Thank you for the content!

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    You're welcome! 😊

  • @JRsmountainretreat
    @JRsmountainretreat2 ай бұрын

    This video was very informative and thank you for taking the time to load it. Your hair looks nice and I hope you have a great memorial Day weekend.

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Thank you, and you too! 😊

  • @MrRamonm718
    @MrRamonm7182 ай бұрын

    your videos are very educational

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Thank you! 😊

  • @khalilkaticha4257
    @khalilkaticha42572 ай бұрын

    Hi Claire, you have a very good and precise way of explaining coding.

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Thank you so much, I appreciate your saying that! 😊

  • @khalilkaticha4257
    @khalilkaticha42572 ай бұрын

    @@medicalcodingclarified I must say, no one in my coding experience has ever explained the "Excludes 1" notes so well.

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Thank you! 😊

  • @semiverticalangle6917
    @semiverticalangle69172 ай бұрын

    Please enter more inpatient cases with ICD 10 PCS

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Sure, I will add that to my to-do list. Thanks! 😊

  • @pmgpntyb1806
    @pmgpntyb18062 ай бұрын

    I encountered a question on how should we code MRSA bacteremia. Do we code for Sepsis and a code from a specific causative organism?

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Did the physician document sepsis? Bacteremia is not the same thing as sepsis so if the physician only documented bacteremia, do not code sepsis. If the physician DID document sepsis with MRSA bacteremia then you would just code the sepsis, and you would code it to the bacteremia organism. So a diagnosis of sepsis with MRSA bacteremia would just be coded as A41.02 Sepsis due to Methicillin resistant Staphylococcus aureus. Only the one code is needed to completely capture the diagnosis.

  • @agamm55
    @agamm552 ай бұрын

    Would you please consider covering dementia coding? If a patient has a dx of dementia and a dx of depression, are we to assume they are linked and code F03.93? Thank you.

  • @medicalcodingclarified
    @medicalcodingclarified2 ай бұрын

    Sure, I can add that to me list. I would not recommend presuming a link between dementia and depression because there is no entry for the specific term "depression" linked to dementia by the word "with". Instead there is a category for mood disturbance (F03.93). This is where you will code dementia with depression IF the physician has linked the conditions but you can not presume the relationship. This is different than anxiety and agitation which you CAN assume a link because each of those specific terms are linked to dementia by the word "with".