Medical Coding Surgery Case Study - How to Dissect the Operative Report

[@ContempoCoding]

Get 10% OFF a medical coding certification program through OnlineDegree .com! 👇 go.onlinedegree.com/contempo OnlineDegree .com helps students find the best price for online certifications. Through my exclusive link you can get an additional 10% off a program and other free perks. *Disclaimer: Some of the links and other products that appear on this video are from companies which Contempo Coding will earn an affiliate commission. These affiliate commissions add no extra cost to the purchase price and helps support me so I can continue to provide my viewers great content about medical billing and coding.

[@ambersawyers4216]

I'll be taking my CPC exam this month, and am over the moon happy I found your videos!! I'm learned sooo much more from you than I could have imagined and feel very confident now! I want to thank you soooo much for doing what you do!! I'll forever be thankful!! 🙏💜

[@ContempoCoding]

Thanks for taking the time to leave such a nice comment! Lots of luck to you, Amber!! 🥰

[@KK-mc2te]

Please please please...bring on more case studies! Your discussions are always very helpful and informative.

[@ContempoCoding]

Hi there! I don't have access to live cases right now, but if you do and would like me to cover them, you can submit them here: forms.gle/tG3HxB7iNFWJ3HpC9

[@Avidreviewer]

Hi Victoria, I love your channel, you've been a Godsend helping me through the medical billing / coding waters ;-) I would love to see more of these types of videos, with the updated 2023 CPT & ICD-10 & HCPCS books. I find these extremely helpful! Can't thank you enough for having such a wonderful resource!!!!

[@timothyfortner4500]

Your shows are incredible! Even with completion of my college courses for medical coding, and the official CPC study guide book, I still am amazed at how many notes I can make per video of yours. Thank you!

[@40Corgis]

Just wanted to comment to say thank you for what you do! I had an interview at the beginning of the month for a medical coding position, I prepared using your videos and was offered the job and I start this Monday! I am a new graduate with my RHIT and sit to take the CCS exam this December. I thought it would be a nightmare finding a coding position with little to no experience but your vids gave me the confidence to boost myself.

[@stephanieanderson8586]

Yes please more more more!!! This was great! I'm in the curriculum now and have found these intimidating like you said. Thank you so much!!

[@samanthaellazar5664]

I appriciate this content, you are very thorough and informative when explaining the process step by step. I am new to coding and try to learn in preparation for the cpc exam. this is very helpful and hope to see more!

[@alving5626]

This is an amazing detailed description and in lay man terms that everyone can relate to. Thank you so much!

[@evelynreyes8231]

I didn't know that the cpt's were arrange in the book from top body parts to lower body parts, thank you !! I always learn something from each of your videos

[@JMarie-mj8yw]

I work for an ASC/ ortho company as a biller and taking my cpc next month hoping to get a coding position there but i cannot for the life of me dissect what’s important and what isn’t. Especially when There is also anesthesia and implants that sometimes have to be coded as well. so THANK YOU for this video!!! 🙌🏼💕

[@marlenahawkins7098]

Awesome

[@marlenahawkins7098]

More case studies

[@melissaadams8773]

I am at a point where I seriously confused by all the reason for visit and diagnosis codes, as well as cpt and HCPCS codes. More of this type of videos would be helpful. Thank you!!!

[@laurengrippaldi7424]

can you do more videos like this? I love how you explain the process and talk through it

[@eileendougherty4849]

Thank you, I just got my CPC certification and am taking the Practicode to get some more exposure to actual cases. Some have been quite difficult I'm wondering if you would do a more complicated one with multiple codes.

[@garimachouhan6825]

Thank you for this case study. It improved my confidence as I solved it in very little time.

[@alaskabeezy9074]

I love the case studies and find them so helpful! I'm going to be attending school to get my CPC in December. I would love to see how you go through a complex case with multiple ICD-10 or CPT codes! I've found your videos SO helpful and they helped me confirm that medical coding is what I definitely want my career path to be! I also LOVE your ICD-10/CPT review videos! The sit and study with me kind of vibe those videos have are soooo helpful.

[@johndarm1]

I'm just now finding your content. This kind of practice case is very helpful!

[@lamorgansmith360]

You don't know how much I needed this. I started Practicode yesterday.

[@arlenetoves2542]

I'M ON MY LAST PART OF MBIC CODING. I WILL LOOK INTO THAT LINK WHEN IM READY

[@Adri-mr1xz]

Thank you so much for this! I have been struggling with finding the right CPT codes for surgeries. You were a lot of help! 😊

[@soniahill9435]

Please do more of these types of videos. Very helpful!

[@ellenverbsky345]

love the case studies! I would have totally missed that this one was just two, not three, different fractures.....I re-watched the video and looked up symphysis fx and i get it now! yay! thanks Victoria!

[@neferpitou8967]

Awesome video Victoria. I was wondering if you have a video on how and when to code Z codes?

[@karenquinn7638]

I would love to continue practicing the codes. Please more cases!! Thanks Karen

[@cherienickles9869]

this was very helpful in trying to dissect reports as I am new to surgery coding.

[@antoinetteclark4089]

Hi Victoria. Yes please please do more of these vids. I'm learning a lot.

[@TurabMir]

Victoria case staudy are really needed, please make more video about it .Thank you

[@suzanneporter5353]

Loved this tutorial. Yes please, more case studies like this!

[@jessicasimmons6713]

Hello! Thank you so much for your videos! They’ve been really helpful! The way you break things down and even read the words is easy to understand. I was wondering if you could do a video for a surgery case study when the procedure(s) done isn’t clearly stated in the “Procedure” section of the Operative Report but you have to decipher what type of surgery was done in the body or description of procedure. Please? :) Again, thank you so so much. I’m currently in school and determined!

[@andreatatesutherlin5123]

Thank you for doing this video. I am in school right now and actually going over how to code case studies. This video helped me so much especially with the place holder x being used. It makes much more sense now!

[@loric1909]

I love your delivery of this case study. Wonderful. Thank you for explaining coding for exams vs coding in the real world as I'm headed into Practicode and still in that rush and find the answer mode. It didn't feel right and I was worried about spending too much time. I hope the speed comes with time and repetition! Thanks so much.

[@boredjessi]

Thank You :) I love the case studies. Just bought some merch from your website. I'm really excited to get it in. So cute.

[@josephcuevas436]

Love love the case studies real world scenarios. Keep ‘em coming. Can you do one with colonoscopies please ? Big fan of yours. Thanks for all you do

[@spongebob8445]

Well this was helpful, i paused the video and tried to code it before going through it with you. I got the two icd-10 codes correct even though i didn't yet verify the incident report. I admit the bilateral part threw me off so i wrote something extra i didn't need because i figured one of the answers would be right. Unfortunately the CPT code was completely wrong after I searched it up from the index and getting entirely confused. It's kind of embarrassing how bad i am at cpt coding, yet I'm able to code icd-10 decently even though i haven't used it since 2019. I think this really reflects the fact that i had a good instructor for icd-10 and somebody who didn't teach me anything in cpt. 😵 i feel depressed, but hopeful since Victoria uploads these videos. I feel extremely slow when it comes to cpt coding.

[@rmardon407]

Thank you for the break down and your smooth explanation. No rushing. Very Clear. Almost feeling confident that I can do this. You have yourself a new subscriber.

[@ContempoCoding]

Glad it was helpful!

[@GatoandShiva]

This is great! More like this please

[@SimmingWithSkeeter]

Thank you!!! These case studies are so helpful!!!

[@tracypartin3987]

I really got a lot out of this, thank you for doing the whole case!

[@laurengindele4691]

Thank you so much Victoria! I have a question - would you have to code the external cause code for how the injury occurred too? Thanks

[@franchiseplaya75]

Yes please do more. Thanks

[@Awakenthemasses2016_thetruth]

Yes please code more cases.

[@honeybee6674]

Hello! Victoria, can you do a case study on the Mohs Micrographic Surgery? Thanks, Annie

[@cherienickles9869]

I am currently learning surgeries in coding in my current position, but the other problem I have is trying to figure out the hcpcs codes to code with the procedures as needed.

[@hankap.4009]

Can you please do a video on e/m-25 visit with Injection?? Pleassse

[@nategarland81]

New to coding. Your channel is the best I've found for coding. Thank you. I recently received a scholarship for a course at a tech college. This college pays for the CBCS exam. We use Bucks Step by Step 2021. Workbook and text book Bucks ICD and Bucks HCPCS. If I can pass the CBCS would I be able to pass the CPC? Have you heard of a comparison of exams? Thanks my new coding family. Oh, I'm scheduled for CPC exam in December. 🤞

[@spongebob8445]

Fun fact: on my instructor's KZbin videos she was saying that she usually go straight to the tabular for CPT codes we should be doing that because the index will waste alot of time on the exam, and we should get familiar with the tabular. So during the test she would post i would look up all of my codes by headlines in that specific chapter of what I'm dealing with which was okay sometimes, but sometimes more challenging. When i emailed her for help she claimed that even though the exam is short on time she was only saying to do that for the E/M chapter, and we should be using our index. 😢😭

[@anjeneenmitchem5998]

Please do more operative reports!

[@ContempoCoding]

Thank you for the suggestion -- I will add it on to my list of video ideas.

[@anjeneenmitchem5998]

@ContempoCoding Do you have suggestions on anatomy and physiology?

[@wendywilkinson5027]

Thank you so much this really helped. Please do more!

[@zrayneofchaosz]

Do you have any advice or suggestions on how to pass the CPC exam? Thank you! I just found your videos! Hoping they give me a better understanding of coding.

[@katoyawinston2973]

To clarify, you didn't code the bilateral mandible fracture because the displaced left angle fracture is one side and the symphysis fracture is on the other side which is technically not the right side because of where the symphysis fracture is which is more like the middle of the jaw. I hope I'm making sense. I was confused at first, but wanted to clarify why you didn't code the bilateral mandible fracture

[@CK-ot1dn]

Love it! Thank you!

[@MKMKDream]

God bless you. I am in this course on chapter 7 and struggling with modifiers and surgical cases as well. I have to take the test after my course in December for CPT certification. So how to get practice to icd10 cm and CPT codes

[@Awakenthemasses2016_thetruth]

I just passed that this morning after falling flat on my face on the first try. You already scheduled your exam? It would be nice if they had more PA's to practice And you can't start practicode until you finish the exam.

[@spongebob8445]

@@Awakenthemasses2016_thetruth is there a limited to how many times we can fail it? Do we get as many attempts as we pay for per year? I'm not even going to attempt the exam because my instructor was so bad that i feel like i didn't recieve an education and I'm not smart enough to figure it out on my own. So i just practice with these videos until i atleast become decent

[@Awakenthemasses2016_thetruth]

@@spongebob8445 As far as I know you take it as many times as you pay for. I honestly thought this was going to be 'easier' and the good Lord humbled me real quick! I'm not going to attempt it either until I feel very confident. Maybe look into purchasing PractiCode from AAPC before going and taking the test. I don't feel smart enough to figure it out on my own either! I'm watching the same videos as you are! Be comforted in that; we are all struggling. Be patient with yourself.

[@spongebob8445]

@@Awakenthemasses2016_thetruth okay thank you, I have purchased 3 practice test from the AAPC a couple of months ago and failed so far. I thought you had said that you already passed the exam the other morning? Sorry I'm a little confused whether or not you already did or if you are still practicing to be able to.

[@Dksupa94]

How would we code, if the body of the OP report says something different from the procedures performed section?

[@angiecasaday4843]

so if it says displaced, its not coded? and also i was wondering about fdif something is traumatic or non-traumatic

[@Renee302976]

May I ask why you didn’t go to the Index first when finding the CPT code? I’m currently taking a course through AAPC and my instructor is constantly emphasizing the importance of using the Index first 🤦🏽‍♀️🤦🏽‍♀️🤦🏽‍♀️

[@arlenetoves2542]

MAY I PLEASE TAKE A LOOK AT THE TEXT ON WHAT BOOK IS THAT? MY ICD-10-CM ISNT LIKE THAT.????PLEASE

[@shumyanishi4493]

Do you have a course for practicode help

[@brendawhiteside3785]

MORE CASE STUDIES

[@FiveandCook]

thanks for this video very helpful

[@ContempoCoding]

You're welcome

[@Yochanna1979]

Yay 😀 thank you for your videos

[@maryzimmerman5068]

AND HOW TO GET TO CODE SETS AND INDEX TO FIGURE OUT THE CODES.

[@valeriewoodley7806]

Thank you🙂

[@MsSamStudent]

In school for my associates degree in medical c&b! What is the average salary?

[@sharilyn0501]

do you have to code for the anesthesia?

[@ContempoCoding]

In this case we are coding and billing for the surgeon's services, not the anesthesiologist services.

[@venkateshkaleri2894]

helpful, loved it

[@ContempoCoding]

Glad it was helpful!

[@msbananas4333]

Also. I get told all the time at work to make a ST guide for residents and students because it's inside surgical knowledge you get from only experience.. I see in the comments here, most people are struggling with understanding what's important and what's not in surgery, would it be beneficial to write down some key points from a Surgical Techs view? (Trust me. We genuinely know more experience situational knowledge than a lot of surgeons outside their comfort zones.. we see it all)

[@msbananas4333]

I'm a surgical technologist at a level 1 trauma hospital, im trained in honestly every kind of speciality, including robotics, trauma, and organ harvesting.. needless to say, we are being overworked and severely underpaid. I want to continue with this career but THIS IS SO HELPFUL. Coding surgical procedures would be quite easy since my main job now, im in the OR listening to the surgeons say all these reports. It might seems small but I want to say thank you. I've been panicking on how im going to survive these awful times at my hospital and you pretty much single handedly gave me the inspiration and hope that I have a solid path now. Quick question though, I watched your previous video on this but still kind of struggling.. I could very easily teach myself to code given educational videos like yours, am I able to just simply take a test and start working right away?? Or career wise. Should I still get a college education for this.( I personally don't feel I need it).. with surgical tech, if you don't go to school you are significantly lacking with qualifications so wondering if it's as severe as it is for us. Interested in the fastest cheapest way with the best qualifications 😊 Thanks a ton girl!

[@biancamickles2258]

Wheeeew that was a lot... This is a case I would have had trouble with 🙄

[@juliethompson3699]

I'm doing the practice test on AAPC and the cases do not look like this at all.

[@maryzimmerman5068]

COULD YOU CODE MORE WITH 7TH CHARACTER

[@shivamadhu5421]

Hi,this is babbly please let me about ccs scenarios..... I'm not getting how to code scenarios

[@ContempoCoding]

I don't do PCS coding and can't educate on the CCS.

[@brendawhiteside3785]

more op reports

[@ContempoCoding]

Sure thing!

[@arlenetoves2542]

.i SEE YOUR BOOK BREAKS EVERYTHING TO A POINT WHERE IT'S COLOR CODED, WHAT BOOK ARE YOU USING? I HAVE ICD-10-CM 2024

[@arlenetoves2542]

NEVERMIND...IT'S THE PCS BOOK

[@Opal-po3qn]

I’m Lost on how you found the diagnosis, you just went straight to the word Mandible. Would be helpful to know the process on how to get there, instead of assuming you went to Fracture in the ICD book

[@ContempoCoding]

I completely understand where you're coming from, and I apologize for any confusion. This particular video doesn't delve into the very basic process of looking up an ICD-10-CM code. However, I have other videos where I cover that foundational process from the absolute beginner level. Please check those out for a thorough walkthrough. Thanks for your feedback, and I'll ensure to provide clearer guidance in the future.

[@Opal-po3qn]

@@ContempoCoding Thank you and I will refer to those basic or foundational videos to gain more insight into the thought process of where to begin when looking for codes. 😊

[@Kodak_Ke]

This is so hard , i want to quit