How to do medical coding from an op report? Any ideas?
Okay so what I did is I went out and I just Googled sample op reports. I’ve had a lot of feedback after these webinars and rather a few of you commented how you really liked me showing how I look up things and figure things out.
Here, I discovered a pdf example of an op report so there’s lots of them out there and you can utilize them to you understand, practice coding. Undoubtedly, you do not have coding answers however I state that in this first one, I discovered actually did.
It’s created to assist transcriptionist understand how to design op reports and how to format them and things like them. And there’s all of this long, long, long op report. If it didn’t say bilateral and it just stated blepharoplasty and there’s a number of codes for upper lid, lower cover, you would have to go abstract that information from the body of the report.
And this is an excellent concern due to the fact that for those that have not taken the board examination yet, that’s how you truly must attack surgery questions is you want to look the responses first. Don’t read the whole op report. You don’t have time or simply not have sufficient time you understand, there’s 5 hours and 40 minutes for 150 questions. You can’t read the op report then go look up the code and then wind up reading the op report once again. You require to understand the differences in between the responses you understand what to pull out from the report. Are you searching for unilateral versus bilateral? Are you trying to find upper versus lower? Okay so that’s how I assault an op report.
And then of course, you do the exact same with the medical diagnoses. What you’re coding for is a post-operative medical diagnosis. And you want to beware often since often, the pre-operative medical diagnosis simply sounds the like the post-operative however you desire a code whatever they state that the post-operative one is. In this case, it happens to be the exact same thing.
So that is how I would attack an op report.
https://medicalbillingcertificationprograms.org/how-to-do-medical-coding-from-an-op-report/
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