Ingenix Coding Lab: Coding from the Operative Report 2006This inexpensive manual provides instruction on gleaning the proper information from physicians? documentation. Beginning with a discussion of operative reports and their importance to the coding process, the book includes examples of operative reports and operative notes, information needed to successfully and accurately code, specialty specific scenarios, and the CPT® chapter in which each service falls. |
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abdominal addition to code ambulatory surgery center and/or anesthesia Approach and Surgical arthrodesis Arthroscopy biopsy Blood Loss bone catheter cavity CCI Edits Version closure coder CODING POINTS Complications coronary artery CPT code CPT PROCEDURES cyst debridement diagnosis coding dissection distal documentation Edits Version 11.3 elected to proceed endoscopic endotracheal esophagus excision fascia foreign body fracture hemostasis hernia hospital ICD-9-CM OPERATIONS/PROCEDURES incision Informed Consent Ingenix injection inserted integumentary system irrigated Laparoscopic lesion Lidocaine lymph nodes mastectomy medical record Medicare Modifier 51 muscle needle nephrostomy nerve operating room operative report outpatient patient elected payers physician pilonidal cyst placed POINTS 1 CPT posterior Postoperative Diagnosis Preoperative Diagnosis prepped and draped procedure were explained procedure(s procedures performed proximal removal repair REPORT ICD-9-CM DIAGNOSES reported separately risks and benefits soft tissue stent subcutaneous tissue surgery Surgical Procedure sutures tendon tolerated the procedure treatment tube tumor venous Vicryl wound