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Never mind he was dictating an ICD9 code

Posted By: Conn MT on 2008-03-19
In Reply to: type of pneumonia - Conn MT

Subject: Never mind he was dictating an ICD9 code




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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.
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. 


 


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 . . .
S/L code gray protocol
Subject: S/L code gray protocol

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


TIA again.


 


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

http://www.floridahospitalmedicalnews.com/news-Neurology-Neurosurgery-id31.html
white code syndrome?
Subject: white code syndrome?

Is that correct and what is it?  I can't find it on internet. 
CPT code and the number you typed...
Subject: CPT code and the number you typed...

many docs dictate the codes in diagnoses to make things easier for the coders...


CPT code #xxxxxxx (whatever number they dictate).....


Kyphoplasty ICD code - 22523
Subject: Kyphoplasty ICD code - 22523

Doctor dictated, "put a 62 modifier after each code."  This is a kyphoplasty procedure.  How do I put in the 62 modifier, should I just put a dash and then put the 62 at the end?  please help.  Thanks!


He was dictating it in the
Subject: He was dictating it in the

medication section of an H&P.  That is all he said, no dosage, nothing to indicate what it was for.  Very strong accent and one of my hardest dictators.  I sent it in with a blank to QA, but am wondering.
Now he's dictating what s/l
Subject: Now he's dictating what s/l

Lowlins: As she lies supine...

Does anyone know of a good resource for infant exam terminology? Thanks!


s/l "camico code blue status" TIA! -nm
Subject: s/l "camico code blue status" TIA! -nm

nm
Is Code Blue supposed to be capitalized?
Subject: Is Code Blue supposed to be capitalized?

TIA,
Ammoxican s/l salt used during code blue
Subject: Ammoxican s/l salt used during code blue


yeah, in ER full code definitely not telemetry
Subject: yeah, in ER full code definitely not telemetry


pharmacy code for sliding scale??
Subject: pharmacy code for sliding scale??

how would one transcribe "novolog sliding scale greater than 150 3 6 9.  Also dictated earlier was sliding scale +1 +2 +3.  must be some sort of pharmacy code.  TIA!! 
Found it. I located a lab form and code and value
Subject: Found it. I located a lab form and code and value


I'm trying to think of a DO dictating joke, but I can't sm
Subject: I'm trying to think of a DO dictating joke, but I can't sm

think of one. I was hoping you had one! "Osteopathic disease" just struck me funny. :)

Student dictating.
Subject: Student dictating.

This is John Doe [s/l PSM or PSU] dictating for Dr. John Doe, M.D.


Does anybody have any ideas what the initials are.  What are the initials for someone dictating for the doctor?


 


Thanks for your help!


MD is dictating the ABG values. sm
Subject: MD is dictating the ABG values. sm
























listen carefully for these:


 


Normal Arterial Values

Range
pH 7.35-7.45
pCO2 35-45
pO2 80-100
O2 Sat. 95-100%
HCO3 22-26
BE +or-2

 




maybe it's 0.5 mg - doctor not dictating the 0
Subject: maybe it's 0.5 mg - doctor not dictating the 0

nm
dictating hospital course says...
Subject: dictating hospital course says...

the patient was admitted to the medical floor, s/l med MPO????? with appropriate studies obtained. 
student dictating
Subject: student dictating

it is a student dictating but she is fairly clear - it sounds just like Vario but I can't find anything like that anywhere.
she was just dictating the height of *157-3/8 cm*
Subject: she was just dictating the height of *157-3/8 cm*

I flagged it and sent it in - let QA figure that one out. but thanks for trying!
dictating warfarin 7.5 mg qiw - - ?
Subject: dictating warfarin 7.5 mg qiw - - ?


I'm going with push-gut; it's what he is dictating.
Subject: I'm going with push-gut; it's what he is dictating.


Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*
Subject: Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*


Are they dictating "a TSH too is normal? nm
Subject: Are they dictating "a TSH too is normal? nm


He is dictating it as the technique for the MRI.
Subject: He is dictating it as the technique for the MRI.

TECHNIQUE: T2 axial SPUR, T1 sagittal, proton density sagittal SPUR, T2 coronal SPUR, T1 coronal sequences of the left knee without contrast in a 1.5 Tesla magnet.
V code in psychiatry are listed as nonmental diagnoses.
Subject: V code in psychiatry are listed as nonmental diagnoses.

x
s/l Copy of code to the heart function is steady??
Subject: s/l Copy of code to the heart function is steady??


my thought would be "discharged home full code" (I.e. not DNR) nm
Subject: my thought would be "discharged home full code" (I.e. not DNR) nm


"no code" ?? (meaning do not resuscitate, intubate)
Subject: "no code" ?? (meaning do not resuscitate, intubate)