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S/L code gray protocol

Posted By: MTR on 2006-02-10
In Reply to:

Subject: S/L code gray protocol

Doc says:  He was given TPA for an acute stroke under the ?CODE GRAY? protocol.


TIA again.


 




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info on Code Gray. sm
Subject: info on Code Gray. sm

http://www.floridahospitalmedicalnews.com/news-Neurology-Neurosurgery-id31.html
Or even just their "color" for when a code is called. Sometimes you hear code red, code blue,
Subject: Or even just their "color" for when a code is called. Sometimes you hear code red, code blue, or

s
Maybe giving you the ICD code or diagnostic code for medical records coding?
Subject: Maybe giving you the ICD code or diagnostic code for medical records coding?


That sounds like it should be CODE status: FULL CODE. nm
Subject: That sounds like it should be CODE status: FULL CODE. nm

I think you're both wrong.
I've only seen Gy, never gray or Gray in a report...
Subject: I've only seen Gy, never gray or Gray in a report...


guessing "two more dose" protocol, or even "tumor dose" protocol. sm
Subject: guessing "two more dose" protocol, or even "tumor dose" protocol. sm

If either one ties in with the patient's history, etc.


It's someone's name - i.e,, Gray, and it should be SM
Subject: It's someone's name - i.e,, Gray, and it should be SM

treatment fractions - no slash. 
gray? nm
Subject: gray? nm

x
Gray bad?
Just wondering, has the rule changed in that gray must by abbreviated to Gy?  Nothing in the BOS2.  Nothing in CP.  Account is verbatum.  Doc says clearly gray, and since I have been typing him for 3 years, it has never been changed.  QA had changed gray to Gy in an otherwise flawless report that I don't know why was sent to QA to begin with (this dictator isn't under 100% review and neither am I).  Am I missing something, or is this QA on a power trip.  I love QA and they do wonderful stuff, but, there are some who...well...may need to remove their heads from their bum.
gray/grey
Subject: gray/grey

gray or grey


i have a gal in my office now that i actually have to train for transcription, why my boss hired someone with no experience is beyond me, but she likes to use 'grey'


Grey/gray
Subject: Grey/gray

Your point?  Obviously you have never looked the words up. They are interchangeable.  In other words, they both mean the same thing, according to Websters Universal Dictionary. 


 


 


gray/grey
Subject: gray/grey

yes, i know they mean the same thing, there is no point i was just curious as to what others thought.
gray/grey
Subject: gray/grey

Transcription for Pathology so there are a lot of colors we use.
And I know grey is not wrong I was just curious and wondered if there was a preference here in the US. Thank you
Gy for gray or cGy for centigray.....nm
Subject: Gy for gray or cGy for centigray.....nm


Might be saying 'pearly gray' (NM)
Subject: Might be saying 'pearly gray' (NM)


Gy for gray or cGy - centigray
Subject: Gy for gray or cGy - centigray

x
According to Gray's Anatomy...sm
Subject: According to Gray's Anatomy...sm

The "fourchette" is the anterior edge of the perineum. Hope that helps.
Yes, gray was named in honor of....
Subject: Yes, gray was named in honor of....

scientist, but it is not capitalized -- like you do for most eponynms. There are lots of sites on the internet defining radiation terms if you really want to read up on them.

I have seen it both ways, but I prefer gray. SM
Subject: I have seen it both ways, but I prefer gray. SM

BTW, when I worked in house that happened to me also, I had to train 2 people. I quit.
Have you asked her to type it as gray?
Subject: Have you asked her to type it as gray?

Could be as simple as telling her that your accounts/office prefer it that way.
Gray per fraction. See refs.
Subject: Gray per fraction. See refs.


Accelerated radiation therapy, seven fractions per week, for ...





Accelerated radiation therapy, seven fractions per week, for advanced head and neck cancer--a ... Large volumes were treated to 46 Gy, 2 Gy per fraction, ...
www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12109829 - Similar pages


eMedicine - Radiation Therapy, General Principles : Article by ...





Since that time, radiation therapy has developed into a recognized medical specialty .... In the accelerated fractionation schemes, the dose per fraction is ...
www.emedicine.com/ent/topic247.htm - 92k - Cached - Similar pages

cGy (centi-Gray units )
Subject: cGy (centi-Gray units )


bluish-gray cyst
Subject: bluish-gray cyst


anon: It's about gray, not gram...nm
Subject: anon: It's about gray, not gram...nm

nm
D code or V code?
Subject: D code or V code?

In the assessment, doc dictates "D or V code" then the numbers "61.20 Parent/child relational problems"

TIA!
per fee code? nm
Subject: per fee code? nm


No code.
Subject: No code.


Code
Subject: Code

I had never heard of this myself so I looked it up on the Internet, and it is really interesting how they do all that work ahead of time and get things rolling, and then are ready for the patient coming in. 


My thought would be Code STEMI as long as it was not in the diagnosis, and if that is the way the doctor dictated it.  If he dictated that whole thing out, then it would have to be expanded, but Code STEMI sounds good to me. 


 


Exam of ear: s/l *Tiam* is gray, not retracted.
Subject: Exam of ear: s/l *Tiam* is gray, not retracted.

Is this an abbreviation for tympatic membrane?  Haven't run across this particular one before.


Chemo/radiation: Gray s/l per fraction
Subject: Chemo/radiation: Gray s/l per fraction

x
radiation therapy... Gy for Gray per fraction
Subject: radiation therapy... Gy for Gray per fraction


Nevermind, I got it. It's Gray ramus communicans
Subject: Nevermind, I got it. It's Gray ramus communicans


Code Black
Subject: Code Black

What does "code black"  mean? 
chemical? code
Subject: chemical? code

x
I just tried googling the code itself
Subject: I just tried googling the code itself

I'm not sure this will help but here's the link(s):


Coding for Depression Without Getting Depressed




Code 300.4, "Neurotic depression," also referred to as "reactional depression ... However, if you provided medical evaluation and management in addition to ...
doctor.medscape.com/viewarticle/472592


code blue
Subject: code blue

Used to be capitalized, but no longer according to Stedman's. Just "code blue".
CPT code 11012
Subject: CPT code 11012

Is this how it should be typed?   In all my years, I have never had this before.  I have had ICD code but not this one.  Thanks


i would just do cpt code 14041
Subject: i would just do cpt code 14041


CPT code modifers
Subject: CPT code modifers

I am not sure how to transcribe CPT codes with modifiers. Doctor dictates "CPT code 15734 with a modifier of 51." Do I transcribe it as above, or is there a standard format for adding modifiers?

Thank you in advance.
s/l profee code?
Subject: s/l profee code?

Anybody know the correct way to type this?  It's a billing code dictated in the progress notes, which is done sometimes on one of my accounts.  I've searched the web and found it spelled every way imaginable, the billers and coders board here looks abandoned, and search of boards turned up nothing. 


I'm hoping someone out there in MT Land has the answer.  Thanks!


Could he be saying the diagnosis code? NM
Subject: Could he be saying the diagnosis code? NM


Code status
Subject: Code status

Anyone know if code status is addressed in the AAMT BOS?  I cannot find it but am not certain what to look under either.  Wondering if this should always be set apart with all caps or separate line?
Code STEMI
Subject: Code STEMI

I got dinged on this on a audit, just wanted to get it right.. would it be Code-STEMI or Code ST-elevation myocardial infarction (STEMI) in an HPI?

L
I think A01 is a diagnosis code sm
Subject: I think A01 is a diagnosis code sm

Check internet seach: RMG diagnosis codes (Rehab Management Group.
Lab, s/l "d-code" or "d-cote," done for see msg.
Subject: Lab, s/l "d-code" or "d-cote," done for see msg.

done periodically for a patient who is on chronic pain medications??? Anyone know?
Thanks!
ICD code for this is 780.56 - see message
Subject: ICD code for this is 780.56 - see message

Go to www.findacode.com and type the code in and expand the ICD 9 section.  You can also type the names of diseases in the search. 
Code call?
Subject: Code call?

He was admitted to the ICU with acute hypoxia after an s/l MSENT was called . . .
Leasa - Go to bartleby.com and use Gray's Anatomy reference
Subject: Leasa - Go to bartleby.com and use Gray's Anatomy reference

It's a great reference and it's free.

rads; do not make the conversion (Gy) gray unless dictated.
Subject: rads; do not make the conversion (Gy) gray unless dictated.

x
Correct for chemoradiation dosing gray per fraction
Subject: Correct for chemoradiation dosing gray per fraction


Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.
Subject: Maybe sclerae-gray test, that would be more for neurological, but maybe a possibility.