You are training a new coder, Elizabeth.

You are training a new coder, Elizabeth. She is a new graduate of the local health information management (HIM) program and just passed her registered health information technician (RHIT) exam last month. Elizabeth is a delight to work with and is anxious to learn everything she can. One of the things you have noticed in working with her is that she is having trouble using the coding references. Specifically, she does not understand how to use Coding Clinic for ICD-10-CM/PCS, Coding Clinic for Healthcare Common Procedure Coding System (HCPCS), the Current Procedural Terminology (CPT) Assistant, and the official coding guidelines. The encoder has these resources built into the system, so the resources are readily available. She does know how to access and use the encoder but does not understand how Coding Clinic for ICD-10-CM/PCS, Coding Clinic for HCPCS, CPT Assistant, and other resources tie into the coding software. 1. What is Coding Clinic and CPT Assistant? Who publishes these resources? What are the differences between these two coding resources? How does one gain access to these resources? When would you use CPT Assistant? When would you use the Coding Clinic? Coding Resources for Diagnosis and/or Procedure Diagnosis and/or Procedure Proper Code According to Official Coding Resources Carpal tunnel release with balloon dilator CPT Assistant, July 2015, page 10 29848 Endoscopy, wrist, surgical, with release of transverse carpal ligament and 64721 Neuroplasty and/or transposition, median nerve Endoscopic medial maxillectomy CPT Assistant, 2/2015, page 10 31299 unlisted procedure, accessory sinuses Gastric emptying scintigraphy with small bowel and colon transit imaging CPT Assistant, 2005, December 2015, pages 10-13 Code choices are 78264, 78265, and 78266 Biopsy of neobladder malignancy ICD-10-CM/PCS Coding Clinic, 2016, 1st quarter, page 19 Code: 0TBB8ZX Placement of dual-lumen PICC line ICD-10-CM/PCS Coding Clinic, 2015, 4th quarter, page 29 Code: 02HV33Z Cranial vault reconstruction for craniosynostosis ICD-10-CM/PCS Coding Clinic, 2015, 3rd quarter, pages 17-18 Code: 0NS00ZZ Nursemaid’s elbow, initial encounter ICD-10-CM/PCS Coding Clinic, 2015, 1st quarter, pages 7-8 Code: S53.031A Diabetic foot ulcer (type 2) ICD-10-CM/PCS Coding Clinic, 2016, 1st quarter, pages 12-13 Code: E11.621 Transluminal atherectomy performed by laser technique Coding Clinic for HCPCS, 2016, 1st quarter, page 5 Code: C1885 Debridement of open and closed fractures Coding Clinic for HCPCS, 2015, 4th quarter, page 7 Code: 11010-11012 2. What other training issues should you address with Elizabeth? Note: Discuss a minimum of three training issues that should be discussed with a new coder. Be sure to include references.

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