ICD-10-CM and ICD-10-PCS coding for operative reports can be overwhelming. You need to select diagnosis codes, maybe external cause codes, and procedure codes. The coder must pick out the important information from a lot of unnecessary wording in a report that may go on for pages and pages.
This video provides step by step coding for operative reports. This operative report is for a fracture due to osteoporosis, but the basic steps apply to any report.
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Contents of This Video
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0:00 - Introduction
3:16 - The operative report
5:36 - Diagnoses
15:55 - External Cause codes
21:41 - Procedure code
25:57 - Notes to make in your books!
