Medical Coding Guidelines for Advanced Coders - Week : CPT Integumentary

[@PrettyMoneyLife]

1:03:00 Skin tags 1:06:00 Shaving Lesions 1:08:00 Excision 1:24:00 Repair/Closure 1:29:00 Tissue Transfer & Rearrangement 1:40:00 Skin Replacement Grafts 2:00:00 Skin Flaps 2:19:00 Burns 2:45:00 Destruction 2:56:00 Mohs Micrographic Surgery 3:18:00 Breast

[@La_Buya]

Best CPC videos I have seen so far.. I love how it gives us problems samples as we go along.. Thank you for these videos.

[@DTO3167]

La Buya is your real name or just screen name?

[@sandysandip4428]

Yes

[@rstarr9037]

Hi, Wonderfull Instructors. I just want to tell you that your videos phenomenal. Ive been coding 15+ yrs but I wish you guys were teaching then! I graduated with a degree and I had to do a lot of self-teaching and research to expand myself in the HIT arena.

[@AMCIMedicalCoding]

Wow, thank you! Such a high compliment. Your kind words are inspiring.

[@casseychristian2568]

i am a young or beginner in coding. please i need talk to you and gain insights on coding

[@juliemaciejewski2534]

Mrs. Jay I just love love love the way you teach encourage and instruct. I am so grateful I found you.

[@poojagupta5473]

It's a great help for me to learn coding and love to learn from this video .. complete information in a simple language and best explanation for all learners. For AAPC exam completely helpful for all us

[@AMCIMedicalCoding]

Thank you for watching!

[@sandramall6214]

The best presenters I've seen in medical coding! I'm afraid to take CCS training but now, I can say I'll be in good hands with AMCI. Thank you so much!

[@cecejones7650]

Simply said, Atlanta.....Our hearts are with everyone affected by, And in the path of the Hurricane, whether in Savannah, across Georgia, the Bahamas, Carolina s and Florida...

[@PeliculasOnline2017]

This is just superb, I been tryin to find out about "certification for medical coding and billing" for a while now, and I think this has helped. You ever tried - Lukesey CPC Carnage - (just google it ) ? Ive heard some decent things about it and my neighbour got excellent success with it.✔️

[@donnadavis6190]

Thank you, so much with showing me the difference between each codes and which ones to choose. Great training exercise.

[@patriciaamcclain9678]

A lot of Fabulous Information from another perspective. I love it.

[@charlenemaeteodoro8210]

Thank you so much for your informative videos. I learned a lot and I passed my CPC exam recently :)

[@AMCIMedicalCoding]

Best of luck!

[@HemachandranK-w2l]

Thanks for the explanation I pass my CPC exam thankyou ❤

[@AMCIMedicalCoding]

Outstanding!! We're so glad to have been help ini your journey.

[@Ms.EmilyHCIL]

That is fantastic coder👍🏾👍🏾👍🏾

[@Ms.EmilyHCIL]

We are glad we could be of help on your coding journey😊

[@kaoweichich]

Hi Mrs. jay, I passed my CPC almost twon years ago and has been working as HCC coder for a year. I'm interested in doing outpatient and ED Coding but I feel like i need a refresher on CPT im forgetting a lot of what I learned when prepping the exam. Should I join one of AMCI's courses? Or jusy watching your youtube video is sufficient. Thank you😊

[@ShaKinsey1]

Please reach out to AMCI customer service that's listed in the description box for further assistance.

[@brendawhiteside3785]

I LOVE HOW YOU EXPLAIN THE MOHS PROCEDURE

[@shankarirao5692]

Hello Mrs....Jay and Team......I passed the CPC exam last week with 85%.....in first attempt itself......Thank u for your wonderful and useful tips......They are very very useful

[@AMCIMedicalCoding]

glad to hear that Shankari. glad to know that our lectures were helpful

[@stephanie1310]

Super excited and thank you so much.

[@roshinishoukat7660]

Thank you soooo much, I am learning lot from your videos. Really very helpful.

[@AMCIMedicalCoding]

Thank you Roshini for letting us know.. You are navigating these lectures exactly how you should. You will see CPC success soon.

[@AMCIInstructorMsTracy]

YAY!! I'm so excited!!!! =)

[@lakshmiaddanki6992]

I am so excited to watch the videos! Thank you all!

[@Nolepiere]

I really needed this to pass this exam. Thank you so much!

[@fidaummer2233]

kindly clarify the hierarchy for biopsy technique- at 54:47, it says punch followed by tangential. but at 57:20, it says tangential followed by punch. thank you

[@molife863]

I am blessed with this video since i am doing self study its blessing for me.thank you so much

[@AMCIMedicalCoding]

Our pleasure!

[@besidestillwaters828]

I am truly thankful for these instructional videos.

[@beglisapa8828]

thank you so much !!! step by step, so clear. how amazing you are!

[@AMCIMedicalCoding]

Thank you! Glad to help.

[@violetapajares542]

Thank you for the explanation of malignant start with 116 and the benign 114

[@harshitpenna3716]

Hi Jay, I think anatomy of skin includes epidermis. dermis. subcutaneous tissue. muscle and/or fascia based on CPT code descriptions.

[@AMCICurriculumDirectorMrsJay]

You are correct the anatomy of skin is Epidermis & Dermis, but for Integumentary coding purposes: Fascia, Muscle and Bone are referenced in chapter 10000 (Integumentary)

[@harshitpenna3716]

@@AMCICurriculumDirectorMrsJay Thank you Jay for your prompt reply.

[@satra270]

thank you, you all are awesome ! best vids hands down !!!

[@AMCIMedicalCoding]

thank you so much

[@violetapajares542]

Mrs. Tracy I love too that explanation. Thank you.

[@ShravanJha-re6ht]

Bestttt video everrrrr......

[@ShaKinsey1]

So glad to hear that you enjoyed the video!

[@WELCOME_CHANNEL339]

I love Mrs. Jay and Ms Tracy

[@AMCIMedicalCoding]

Thanks for joining us!

[@violetapajares542]

Thank you Ladies, you are amazing!

[@Craftsandorigami1]

hello , i have a doubt about a question related to burns 2nd degree burn ( 2:30:32 time duration ) . is option c correct ? i think when code 16035 is used once then the additional code should be used for rest 4 days . whats yr opinion ? TIA for yr early reply

[@gracemartinez853]

Advance E/M please

[@carmenokereafor1163]

I love your videos

[@amciinstructormr.jamesvarg8106]

This is really cool!

[@mayraz7436]

Hello there! I need help understanding in 54:48 you are talking about code sequencing and said that the sequencing order is incisional, punch, and last tangential. I'm looking at the illustration in 57:10 and the order changes. Can you please explain why the order changes? Im chunning my book and want to do it right. Thanks for your help!

[@satyaboppudi7525]

Thank you so much for the video. Please do more videos on Surgery section as well as Radiology codes.

[@karthikeyansubramanian8658]

Excellent presentation.

[@praveendeshpande6182]

for biopsy codes example in answers options have two primary code acc to guide lines only one primary codes is reported additional type of biopsy is coded with add on codes so answer will be 11106 ,11103*2 --no modifier 59 required for add on code

[@AMCIMedicalCoding]

Hi Praveen: Good Forensic effort. The answer is Correct 11106 ( Incisional biopsy), 11102 (Tangential biopsy first lesion), 11103 (Tangential biopsy additional lesion), it is appropriate to add modifier 59 for separate lesions(see CPT appendix A for a full rationale). Remember: Add on codes are exempt from modifier 51 not 59.

[@praveendeshpande6182]

​@@AMCIMedicalCodingAs per guide lines of biopsy no two primary Codes can be reported Ref guidlines in cpt "when multiple biopsy techniques are performed during same encounter only one primary biopsy code 11106,11102,11103 is reported additional codes should be selected on the fallowing conventions" Acc to convention one primary code incisional biopsy11106 with Add on codes for TWO tangenital biopsy11103*2 -59 modifierto be reported------answer11106,11103*2-59

[@mrsjay237]

@@praveendeshpande6182 I have read the guidelines again. I believe you are absolutely correct. I will research more than feature in Next weeks's presentation. Thank you Praveen!

[@praveendeshpande6182]

@@mrsjay237 thanku mrs jay

[@violetapajares542]

Thank you! Love it. You girls are great.

[@molife863]

Incredible experiences with you thanks

[@AMCIMedicalCoding]

Our pleasure!

[@violetapajares542]

A because is malignant and c and d are benign. The size of the lesion excised

[@sabr4life1]

Thank you so much!!! This was very helpful indeed!! I'm so grateful to you both:)

[@amciinstructor-ms.rochell1481]

Hello 🙂

[@SyedShoaib97]

Please make a updated video for 2024/2025 on integumentary. Thankyou so much and please consider the request

[@nithinthatikonda7009]

thank you so much AMCI .

[@AMCIMedicalCoding]

You are very welcome

[@violetapajares542]

Thank you for this video, it’s very helpful.

[@alok2010able]

Great session. Thank you.

[@tamarahcope8757]

Wonderful explanation of the guidelines.

[@AMCIMedicalCoding]

Thank you for watching our videos Tamarah. There are more of this in our playlist. Enjoy and Happy coding! =)

[@tamarahcope8757]

@@AMCIMedicalCoding .... I’m scheduled to take my CPC exam on 12/12. Sometime next year I plan on studying for the CCS exam. I do have my RHIA certification and I have 2.5 years of inpatient coding experience.

[@AMCICurriculumDirectorMrsJay]

@@tamarahcope8757 OUTSTANDING Tamarah.... Wishing you the Absolute Best on your CPC exam!

[@brendawhiteside3785]

I loved the video lots of AHA MOMENTS

[@sariyasubbuh6846]

Thanks

[@rupandas7238]

Awsome. I love u both .

[@annieeuniceg4370]

Thank you very much for this video, its very helpful to us

[@AMCIMedicalCoding]

You are most welcome!

[@lubnaabbasi8499]

Thanks for the video. I have 1 question about the sequence of biopsy cause u said 2 different sequence like incision then punch and teng... later u said incision then teng then punch so what will be the correct order

[@AMCIMedicalCoding]

The correct order is punch - tangential - incisional.

[@danielvicky8514]

thank you mam

[@cherrySK123]

One mistake in first question that 1) only one primary biopsy code should be reported, if more then one biopsy is performed at same visit.. Am I right r wrong??

[@Ms.EmilyHCIL]

That’s a great question I’m not particularly sure, but please feel free to contact us on our website with that question. Our staff there would be able to help you.

[@Ms.EmilyHCIL]

Also, thank you for taking the time to watch our videos!

[@sandysandip4428]

God bless you 🎉🎉🎉❤️❤️❤️❤️

[@francisjuderomero8184]

Hi Ms. Jay how are you? I have a question about the hierarchy of biopsies. You have a sample question that makes me confuse if the correct answer has an add on code no need to apply modifiers am I right? Thank you very much.

[@AMCIMedicalCoding]

Thank you so much. You are correct. I think we correct this in a subsequent lecture.

[@francisjuderomero8184]

@@AMCIMedicalCoding Thank you so much

[@shanzayraja5014]

Ms Jay you are just fantastic mentor... I like the way you teach, but I found that FTR are missing this year... Kindly update

[@cutie09597]

Thank you amci

[@vanesazavalaluna5068]

hi do YOU HAVE video abouth integumentary for mastectomy and repair, reconctruction thanks

[@Ms.EmilyHCIL]

👍🏾

[@sandysandip4428]

Awesome 👏

[@violetapajares542]

B it’s in the lip so is a number of digestive system

[@John_Lena]

Thank you for this!!!!!

[@violetapajares542]

B for the delay of the flap

[@violetapajares542]

Please we need to see the scenario and the codes

[@violetapajares542]

D because is the incision biopsy first

[@amirayoussef4699]

Thank you so much

[@Rama-z7r]

Nice

[@ansarruby22]

Is it right to use modifier 59 with add on code .as in question tangential biopsy code 11103-59? Please clarify.

[@AMCIMedicalCoding]

Modifier 59 on an add-on code is not necessary, because an add-on code implies that the procedure is distinct. Great question.

[@iffatshaikh60]

In biopsy guidelines explanation scenario I’m also confused 11103-59😁 plzz clear the confusion

[@karthikeyansubramanian8658]

for skin flap, is Answer B is correct?. 15570(Trunk) vs 15574 (cheeks).59 Modifiers not require to code?

[@dominiccoppola2305]

Is this course good for studying for CPC Certification?

[@AMCIMedicalCoding]

Absolutely! Check out amcicoding.com

[@myleishadavis7141]

Is there a video explaining the breast repair and/or reconstruction?

[@AMCIMedicalCoding]

Thank you for your question. I will check....

[@violetapajares542]

B because has the 58 modifier for delay

[@eileenaboytes9027]

I am pretty comfortable coding Integ system

[@rainesnchz-hbm]

Thank you for these.. Btw, i got 10/10 (matching)

[@amciinstructor-ms.rochell1481]

Hi, if you are here on premiere, please join us in the LIVE chat so you can send in your answers to the scenarios and interact with the AMCI instructors 🙂

[@violetapajares542]

B the delay modifier 58

[@casseychristian2568]

i am a young or beginner in coding. please i need talk to you and gain insights on coding and billing. i am confused if am choosing the right thing. what future do i have with this.. please help

[@AMCIMedicalCoding]

You've come to the right place! Check us out at amcicoding.com

[@arabyeid4458]

will this course enable me to work as a medical coder ?

[@AMCIMedicalCoding]

Absolutely! When you train with AMCI we offer you the opportunity to earn two years of medical coding experience.

[@arabyeid4458]

@@AMCIMedicalCoding Thanks for your reply 💙 But, do you mean this free videos or there is another paid course?

[@AMCIMedicalCoding]

@@arabyeid4458 my apologies, our paid course offers medical coding experience and yes you will be able to work as a medical coder. It reference to these free videos, they should aid you in obtaining your medical certification. Most employers require that you have one to two years medical coding experience.

[@prakashramgiri7721]

Hi i have a question Is it ok to append modifier on add on code

[@eatmyshorts7973]

Yes

[@Ms.EmilyHCIL]

Thanks for watching our videos!

[@Ms.EmilyHCIL]

👍🏾👍🏾

[@violetapajares542]

With modifier 58

[@violetapajares542]

I got it

[@violetapajares542]

We eliminate B and c because they are from pathology

[@ansarruby22]

What code should be used for full thickness graft free for FACE ? Please help.

[@AMCIMedicalCoding]

It should be 15240 or 15240/15241 code according to the size of the graft

[@ansarruby22]

Thank you so much.

[@violetapajares542]

Formation is creation

[@violetapajares542]

Modifier 58

[@tugbask9227]

Hello, i would like to say thank you first for this very helpful videos i appreciate with bottom of my heart. i like to add something as well one of the sample question for destruction you said correct is D, i got so confused how can we multiply the add on code also add a modifier on it? 17003 is an add on code and covers for 14 lesions and we have only 13 on the scenario why are we add an add on code? thank you in advance..

[@AMCIMedicalCoding]

Thank you! Glad you enjoy our videos. Please provide the timestamp of the scenario you are asking about please.. We'll get back to you. =)

[@tugbask9227]

@@AMCIMedicalCoding sure , please look 2:52.35

[@AMCIMedicalCoding]

@@tugbask9227 the key word each directs us to code each lesion separately. I agree that you do not have to use a modifier on an add on code, because it is implied. It is not technically wrong, but not needed.

[@violetapajares542]

Please change the escenario

[@shandarichardson7299]

I need something for beginners

[@AMCIMedicalCoding]

Check out our beginners playlist!

[@gracemartinez853]

Thank you for your vidoes on coding can you have one on e/m

[@AMCIMedicalCoding]

Hi Grace, unfortunately E/M will not be covered. We do have a really good, but limited e/m video : kzbin.info/www/bejne/qWG6q6Sqf9ysacU

[@violetapajares542]

B the deepest wound to the bone.

[@violetapajares542]

B because is the deepest to the bone.

[@gayatriadnala2472]

Hi I need homework please

[@violetapajares542]

B and c

[@violetapajares542]

I’m sorry but you need to move the codes

[@violetapajares542]

C

[@violetapajares542]

B

[@violetapajares542]

It’s because is the lip

[@rebeccaturner6494]

hello

[@violetapajares542]

D

[@violetapajares542]

The escenario