June 2013 Medical Coding Q & A Webinar covered many topics including ICD9 vs. ICD10, Coding books for 2014, Tips for answering ICD-9-CM exam questions, Bilateral Myocutaneous Pectoralis Flap, HCPCS after ICD-10-CM/PCS.

1. Coding Certification Q & A
Webinar - June 2013
http://tweetchat.com/room/ccochat
Laureen Jandroep, CPC
Sr. Instructor, CodingCertification.Org

2. Twitter Chat
● http://tweetchat.com/room/ccochat
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4. Who is Laureen?
●Graduated with a Bachelors in
Occupational Therapy
●Owned and Managed Rehab
Agency
●Owned and Managed Medical
Billing Company
●Owned and Managed Billing and
Coding School - brick and mortar
as well as online
●Started National Coding
Discussion List "Coding &
Reimbursement Network" - now
the CCO-L
●Sold Online School which is now operated
by AAPC
●Currently works full time for 3M
HIS/CodeRyte as a Clinical Development
Specialist
●Teaches Coding Certification Review Blitz
as well as other coding seminars.
●Has taken and passed the CPC, CPC-H,
CCS-P, CCS, RCC and currently maintains
her CPC, CPC-I and new CPPM credentials
●Married since 1989 with 5 kids (1 grown
step-son and 4 little ones
age 7 and under.

5. Who is Laureen?

6. Who is Alicia?
● Held several jobs in the medical field from, CNA, EMT, Pharmacy technician
and Medical Records Abstractor, Analyst and Nursing.
● Joined the AAPC and became certified as a CPC in 2011
● Working towards Masters in Healthcare Administration with an emphasis on
education.
● Former Instructor at a private college teaching medical coding and billing
and medical law and ethics.
● Working now as a remote Medicare Advantage Coder for Optum.
● Alicia will tell you that not only does she love medical
coding but she has a passion for teaching it.
● Presently Alicia lives in West Texas and is married
with six children (no that is not a typo!)

7. Who is Alicia?

8. ●Master of Ceremonies for CCO Q&A
Webinars
●Web Administrator for
CodingCertification.Org
●Business coach
Who is Boyd?

9. And the rest of the CCO Webinar Team?
Lisa Perez – Marketing Director
Ruth Sheets, CPC-A, Administrative Specialist
Sylvia Ann Wiegand, Administrative Assistant – Helpdesk
Read More http://www.codingcertification.org/about-us/

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12. Alexandra Berlet (passed CPC 5/21/13)
Michelle West (passed CPC 5/22/13)
Kathleen Donoghue (passed CPC 5/23/13)
Sandra Foltz (passed CPC 5/18/13)
Kathleen Reeb (passed CPC 5/18/13)
Ashley Enciso (passed CPC 6/13/13)
Dorsey Taylor (passed CPC 6/15/13)
Mary Ann Teal (passed CPC 6/15/13)
Natalie Sweat (passed CCA 6/15/13)
Anyone else out there who passed recently?
Congratulations to...

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14. Student Case Studies
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16. Medical Terminology & Anatomy Course (MTA)
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ICD-10-CM MiniCourse
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17. Poll
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18. Medical Terminology & Anatomy Course (MTA) 40 CEUs!
Review Blitz Video Package 15 CEUs!
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ICD-10-CM MiniCourse
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19. Coding Difficult Op Reports
Bilateral Myocutaneous Pectoralis Muscle Flap
ANSWER

20. HCPCS after ICD-10-CM/PCS
Hi, would HCPCS be terminated after ICD-10-CM/PCS
implementation comes into effect next year? I would
highly appreciate some guidance. Thanks! - Kevin
ANSWER

21. ICD-9 vs ICD-10 (2013 or 2014 Certification)
If I am planning on taking the CPC or CPC-H exam this year. Will I still have
to be recertified again next year for ICD-10? I have heard several members
state that it is mandatory for everyone and is offered online without being
proctored. Would you advise that I just wait and take the exam next year
with all of the upcoming changes. Some members are saying that it might
not occur in 2014, due to the expense of the software for providers. Any
advice would greatly be appreciated! Sincerely, Sally
ANSWER

22. Books for 2014
I went to the AAPC website to see what books they were offering for 2014 and it just left me with more
questions! I see that AAPC has special reduced prices until June 30th, but what books should I be
ordering? It would be great it Laureen covered this in the webinar so we could make an informed
decision by June 30th.
a) Last year there was a freeze on ICD-9 code changes and really there was no great reason to buy the
ICD-9-CM book for 2013. Maybe, they had some typos corrected, but the codes did not change. (Of
course, I did not figure this out until I had the 2013 book.) Is that freeze still on? Should I just keep the
2013 ICD-9-CM book to use for the first part of 2014?
b) Should I purchase the ICD-10-CM Draft book? Or wait for the ICD-10-CM "Real" version?
c) When will the ICD-10-CM "Real" manual be available?
I guess these questions may have different answers for those people taking the CPC exam in 2014,
before and after Oct 2014, and those who are already certified and have access to an
encoder, such as Supercoder. ANSWER

23. Process of Elimination for ICD9
Hello, do you have a blitz process of elimination for ICD-9
questions? Seems there is a process for this I hear. Thank
you -Leticia
ANSWER

24. Amanda - Please help me understand how to properly code for a
routine well-woman exam (preventative yearly check-up) for an
established pt under 39 yrs, AND a separate issue, like
depression. (the primary reason for the visit is the preventative
care, but during the visit the 2nd reason, depression, is
discussed and pt issued rx for meds and/or counseling).
Wouldn't it be 99395, 99213-25? I'm SO confused with
modifiers. Thanks for helping.
ANSWER
Preventative Code + E/M w/modifier?

25. In E/M , in Medical Decision Making , Number
of Diagnoses ( New Problem ) Maximum 1.What
does this mean ? Can someone explain this to
me .Thanks .
ANSWER
Medical Decision Making

26. Hi, I code cpt 36415 along with labs and have
noticed that Medicare and most other carries,
deny as global (considered routine & is not
covered) except when billed with "Physicals", I
have also noticed 36415 is not anywhere on cci
edits however 36410 is. Is 36410 the preferred
venipuncture code for lab draws now? - Teresa
ANSWER
CPT 36415 replaced with 36410?

27. TiffanyM- Hello, I am very interested in learning about providers
billing a patient as new and established at the same time.
I work in the medical field. I came across a claim where the
provider billed three lines of service. A 99386 - For the
preventative visit - dx - Well GYN exam. On the next line they
billed the Q code which is ok, and let me add, they also attached a
25 modifier to the 99386. On the 3rd line they billed a 99213 -
Established Patient - Office or other outpatient visit, attached a
modifier 25 to this code as well. ANSWER
Billing a Patient as New & Established

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31. Our Facility Based Coding (FBC) Course is built and
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