Medical Coding Case Study - Emergency Department E&M

[@ContempoCoding]

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[@beatrizbuford4665]

Hi Victoria! This case study breakdown was amazing! Not only do you give us the resources to follow along with you, but you model the critical thinking process you go through to get to the answer - this is the most important part of identifying the correct code - the critical thinking that cannot be duplicated by a machine or a look-up system - thank you for showing this to the coding community - your contributions are very valuable and relevant!

[@lieslbecker3925]

While I absolutely love your videos and have my AAPC CPC Exam scheduled for November 6, it is a little difficult to see the page your filling out because you keep shuffling both pages and moving them in front of each other as you read one and write on the other! But, still you're awesome and helping me out soooo much! Thank you, Victoria!

[@ContempoCoding]

Hmm... I see what you mean. I may have to brainstorm that a bit. I've done some before where I split the screen, so maybe if I can split half the screen with the note and half the screen the pdf and I THiNK there's a way I can draw on the pdf version...

[@ZoZ972]

Hi Victoria do you know when is the last day we allowed to use the 2021 books in the CPC exam.and could you please consider going through the accident transport section in external cause index the indenting terms is sooo confusing, I am struggling find the correct code for them.

[@ContempoCoding]

You can still use them in 2022, you'll just be at a bit of a disadvantage if they happen to ask any questions pertaining to the codes that have changed from 2021 to 2022.

[@Romi_Officiall]

Love these case studies..could we do e/m for office visits for MDM?

[@marloann4]

Would love that too!

[@peggyseeling7622]

Yesssss!

[@its.Lora.]

I took my 1st attempt of the CPC exam this morning! 😁 now the wait! I have to say, I thought the real exam was more challenging than any of the practices exams I've taken.

[@vivian318]

How many anatomy questions did you have? Did you pass!!

[@SuthrnBella1980]

If you were actually coding this information from and EHR would you look for the CT Scan order in the EHR to confirm your assumption?

[@marissab.7636]

Hi Victoria . Where may I find the score sheet for the E/M codes please?

[@marloann4]

Yes please !! Inpatient would be awesome

[@ContempoCoding]

I was able to get together an admit, subsequent, and discharge for a future video!!

[@marloann4]

@@ContempoCoding yay can’t wait!

[@peggyseeling7622]

Thank you so much for this & for us to be able to print and go along with you while you were doing report. I took a condensed course in medical billing & coding at my local community college and it went so fast there was hardly time to absorb one chapter before going on to the next. I am now going through my book on my own because I feel far from comfortable taking cpc exam. I have spent so much time trying to understand E/M and Im so confused still. I loved this video and learned several things that I think will stick and hope you do more! When doing office e/m do you still use the worksheet to help you determine level?

[@Crashedmoose]

Hi Victoria! I want to say how helpful your videos are. You've helped me study with my online course to pass my CPC. The one area I still struggle with is E/M, which seems straight forward but I always seem to code a level higher or lower during practice cases. With the new E/M updates, does the checklist you use in the video still hold up if I'm doing cases in 2024?

[@Aya-cw3zs]

Hi Victoria , can you please send me another link for the score sheet? I can''t access the link for the website posted in your description box. Thank you.

[@clara7920]

Can you please do a video on CDEI and the differences between ICD 10-cm and ICD 10-pcs

[@ContempoCoding]

Oh man, there is so much going on with the CDEI right now and it is toooo much drama for me. 🙈 I've never done inpatient coding, and I'm trying to not get distracted by the shiny new certification, which is really for advanced inpatient coding. So maybe eventually, but right now it's not something I can focus on because it's not in my scope of current or immediate need.

[@clara7920]

@@ContempoCoding oh Thank you but I would love to know the difference between inpatient and outpatient coding

[@kimberlysturgis4822]

Hello Victoria! I really appreciate your videos. I am scheduled to take the cpc exam on 2/19/22 so I am studying...a lot. My main hang up is E/M....(and icd 10 cm external cause codes, lol). My concern is how in the world will I be able to find the codes WITHOUT my work sheets! I find the tables in the cpt..SO CONFUSING.

[@ohhfudgex5]

Are these score cards something I would need to worry about having while studying for my CCS exam? Also would e/m coding be on my CCS exam?

[@ContempoCoding]

I've never taken the CCS exam so I'm not certain what's on it, but I don't believe they are on the list of permitted materials on the AHIMA website. www.ahima.org/certification-careers/certification-exams/ccs/

[@lynettewilliamson9809]

@@ContempoCoding No score cards can be used when taking CCS exam. CCS exam is focused on inpatient coding and typically would not have E/M coding.

[@kcdama5039]

Thank you for this video. Currently coding ED. Question though, if for an example a pt was seen in the ED for shoulder pain but rx given, but injection of 15mg toradol was administered. How will the toradol injection affect the leveling of e/m? TIA ❤

[@kcdama5039]

I meant no rx was given. Thank you.

[@ContempoCoding]

Depends on what the note looks like.

[@beadingbunnie9475]

Hi Victoria, I have a question please. In this scenario if you were coding the actual chart you would also code for the dx codes, labs, and ekg as well as the E/M code correct? TYIA

[@stephaniewilliams2034]

You are such a lifesaver! So thorough and full of knowledge. Thanks

[@ValerieWilliams9]

Is there no icd 10 dx"s in ER coding?

[@ContempoCoding]

Yes, but in this example we were only coding for the E&M level.

[@CWdudeyo]

I wish we had that much time at work to process these 😬 I would rather be accurate than have high productivity.

[@molife863]

Hi Victoria Thank You for Free CEUs but in certificate their is name is not printed,

[@ContempoCoding]

H there -- if you're referring to the ones on my website, you need to add them in yourself by either printing and writing it in or using Adobe Acrobat to fill it in. They do not auto-fill.

[@molife863]

@@ContempoCoding thank you so much for your help and support i really appreciate it.

[@lesbiasalazar8856]

Hi I’m a OBGYN coder and I would like to see E/M case scenarios for this clinic .

[@leslyngraham6678]

Awesome as usual.

[@ContempoCoding]

Thank you, Leslyn!

[@leslyngraham6678]

@@ContempoCoding you’re most welcome. You’re someone I admire and I love coding you so I keep coding on. Lol

[@jdmaine919]

No acute distress doesn't count as psych, does it? Isn't it referring to whether or not the patient is in obvious cardiac or respiratory distress?

[@salinriya6404]

Hello Victoria, Can you please provide CPT & HCPCS e-books manual pdf?

[@ContempoCoding]

You need to purchase them, they are not public domain.

[@tonniecondon9070]

Excellent video and explanations. Thank you! Please do more :)

[@ContempoCoding]

Thanks, will do!

[@cindyrose1961]

How do you do this when you’re taking the board exam?

[@ContempoCoding]

Either with the information in the book or supplied score sheet materials.

[@sebastianrex6697]

Hey vic thank you for this I just love your work 🖤

[@laurelvanderhoof1841]

Thank you, this was so helpful!! :)

[@clara7920]

Love your videos and a subscriber

[@brendawhiteside3785]

GREATBJOB

[@MsG55580]

I'm new here and also a subscriber, Hi Molly! I would like to discuss the "elephant in the room" (and maybe a video about it...) ... the problem in today's environment is the federal COVID mandates. What are your thoughts, especially for HIM junior college graduates and those to graduates in the future?