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This is going to be the Supplemental lecture for chapter 6 which is the general coding guidelines for procedures in icd-9-cm so the only things that you really need to remember about the format of volume 3 is that it is very similar to the format and the conventions that you find in the volumes 1 camp; 2 of the coding manual which cover the diagnosis codes there are 17 chapters and what you do need to remember is that these procedure codes are used for inpatient hospital inpatient encounters we don't use them in an outpatient setting such as a physician's office okay you can find them under a common if you have a procedure you can find it under the common name of that procedure, but you are going to have to kind of flip your you're thinking to understanding that when we are looking for a diagnosis code our main term is going to be a noun when we are looking for a procedure code your main term is going to be a verb most likely such as insertion incision exigent clipping those are all verbs those are all things that you do all right now you could find them under an eponym and remember we said an eponym was when something was named after a person you may find things such as a Whipple procedure etc okay, so that would be the common name of a procedure if you don't know that then you can look for that verb ok alright so in the alphabetic index we do have a few things we have something called oh mic code that you will see it's an instructional note it's used to code approaches so if you are coding an approach that it could be a standalone procedure it could be a standalone procedure, but it's the only way to perform another procedure they need to get to that particular area using a scope of some kind or whatnot, and it's considered an integral part of the procedure you will see the note that says omit code you don't code for that procedure as you would if it were standalone so for instance if you had let's see if you had a procedure that was typically done through Oh use of a scope it was typically done through use of an endoscope, but you were going to perform something called a rose procedure on a bariatric patient that rose procedure is done using a scope you don't code the scope you do not code that however if you were doing a scope on its own you would code it all right that's when you'll see your Mick code code also is just that code an additional procedure that's just like the diagnosis instructional note to code also an adjunct code is one that you have to add on to a procedure to provide more information about what you were actually doing and what that primary procedure is those codes cannot stand alone and if you look in your book on page 121 there is a there is an example at the bottom of the page and what it says is percutaneous transluminal coronary angioplasty or PTC is performed with a drug-eluting stent placement into the lad for coronary a thorough sclerosis now all of those little codes that you c0 0.66 36.0 700 point 450 0.4 oh...
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