The March 2015 Q&A Medical Coding Webinar from Certification Coaching Org, also known as www.codingcertification.org, discussed a variety of topics of interest to outpatient, inpatient, and HCC medical coders including J1 Status Indicator; Bilateral, Multiple Surgery; LVAD/RVAD for CV Surgery; ICD9 Sequence for OV; Skin Grafts; Pathology Consultation Coding; Modifier 58, 59; HCC Coding Question 250.xx; and BCCA Excision Advancement Flap. Certification Coaching Org’s product offerings were briefly discussed including an upcoming webinar on “Modifiers – It’s All about the Money” and the Replay Club which allows members to review past monthly webinars and obtain CEUs. Attendees’ questions on various coding topics were answered. Educational topics were presented by Alicia Scott, CPC, CPC-I, Laureen Jandroep, CPC, CPC-H, CPC-I, CMSCS, CHCI, CPPM, and Tammy Lucus, CIC, CPC, COC, CPC-I, CPMA. The host for the webinar was Boyd Staszewski.

1. Coding Certification Q & A
Webinar- March 2015

2. A rose by any other name ...
… a new logo, a new website, our ‘real’ name!

4. With our new website comes a new HelpDesk platform:
helpdesk.codingcertification.org
CCO is growing fast, so we needed a better solution to support the volume of emails,
calls, and online chat requests. Please check it out, bookmark it, and begin using:
helpdesk.codingcertification.org
You can search the knowledge base, create a ticket and check up on existing tickets.

5. Stay to the End
For...
● A giveaway
and your
● AAPC CEU link for 1.5 CEU

6. Announcing: WEBINAR for MODIFIERS
http://go.codingcertification.org/cpt-modifiers-medical-billing-coding

7. Poll
Poll -
How many CCO webinars
have you attended?

8. Congratulations to...
Barb Rogers 1/31/2015 Passed CPC
Patti Bauman 12/28/2015 Completed MTA course
Hina Balapurwala 12/12/2014 Completed PBC course
Hina Balapurwala 2/18/2015 Completed ICD 10 course
Regia Zitting 3/4/2015 Completed PBC course
Jackie Leslie 3/5/2015 Passed CPC
Kathleen Burns 3/6/2015 Passed CPC
Jorynell Sibal 2/1/2015 Passed COC
Lorraine Hayward 2/28/2015 Passed CPC

9. Congratulations to...
Anyone else out there who passed recently?
Bobby Land 3/6/2015 Passed ICD-10 Assessment
Shanna D Wanca 3/2015 Passed ICD-10 Assessment
Marykay Stein 2/23/15 Completed ICD 10 course
Lorrie Holekamp 3/7/2015 Passed CPC
Karie Jarvis-Slayton 2/28/2015 Completed ICD 10 course
Beverly Hibbler 3/15/2015 Completed PBB course
Andrea Otano 3/7/2015 Passed COC

10. COURSESS
★ Medical Terminology & Anatomy Course (MTA)
★ Physician Based Coding Course (PBC)
(CPC course)
★ Facility Based Medical Coding (FBC)
(COC course)
★ ICD-10-CM Course
★ ICD-10-PCS Course
★ Medical Billing Course (PBB)
★ Medical Coding Auditing Course (PBMA)
★ Physician Practice Management Course (PPM)
★ HCC Risk Adjustment Course
★ Medical Coding Practicum (MCP) Course with
Practicode
Quick Lineup of CCO Courses
Reviews & Mock Exams
★ CPC Exam Review Blitz Package
★ CPC Mini-Mock Practice Exams
★ ICD-10-CM Blitz Package
★ ICD-10-CM Mini-Mock Practice Exams
For full listing see:
CodingCertification.Org/Products

11. Poll
Poll - What
region of the
country are you
from?

12. J1 Status Indicator*
Any chance we can learn more about the J1 status indicator?
ANSWER

13. Single claims where a bilateral procedure is secondary to
either another bilateral procedure, or any other higher
valued procedure, and the provider is an ASC.
The issue comes when the provider bills multiple bilateral
procedures...
ANSWER
Bilateral, Multiple Surgery

14. Poll
Poll - What AAPC coding
credential do you HAVE?

15. LVAD/RVAD for CV Surgery
Can you review the LVAD/RVAD insertion codes for CV
surgery?
ANSWER

16. ICD 9 Sequence for OV
What is the correct icd 9 sequence for OV screening
colonoscopy with signs and symptoms?
ie: phys documents screening colonoscopy visit but also
states pt has GERD & abdominal pain.
he wants to code: 530.81, 789.00, v76.51
ANSWER

17. Poll
Poll - What coding credential
do you WANT?

18. Skin Grafts*
If you have a patient that is getting an autologous split
thickened graft, taken from the thigh and attached to the
tip of the nose, it is alright to use one code like 15120 for
the harvesting and attachment? It is ok and you don't need
two codes, how do I know when to use one or two codes
for a procedure?
ANSWER

19. From one of our CCO Practice Exams:
During surgery to remove a malignant neoplasm of laryngeal
cartilages, one frozen section is sent for pathological
consultation to confirm the adequacy of the surgical margins.
A second specimen required frozen sections on two tissue
blocks. What CPT® code(s) are reported by the pathologist?
ANSWER
Pathology Consultation Coding

20. Modifiers (58 & 59)
Can you give me examples of situations that need
modifiers for CPT … especially 58 and 59?
ANSWER

21. ● ICD-10-CM Blitz - new!
○ 16 hour course equivalent
● ICD-10-CM Full Course **Payment Plan Now Available**
○ 80 hour course equivalent
○ using “Understanding ICD-10-CM” text by Bowie
● ICD-10-CM Practice Exams
○ Free 50 Question Exam
○ Paid 50 Question Exam - $29.95
The Future of Coding >> ICD-10 Prep - CCO Style

22. ● When is the deadline date to pass the ICD-10-CM proficiency exam?
12/31/2015
● Is it true we have one year to take the proficiency exam after ICD-10
goes into effect?
No, 12/31/15 is the deadline to obtain your proficiency and retain your certification.
● So anyone who intends to, or already codes, will they need to take
this proficiency exam? Can it be taken later by those who are still
schooling?
If you are taking the CPC exam in 2015, you will need to take the assessment before
12/31/15. If you plan to test in 2016, the CPC exam will include ICD-10-CM, so you will
no longer need to take a proficiency exam too.
ICD-10-CM Proficiency FAQs
(more info: www.aapc.com)

23. ● Where do I take the proficiency exam?
You sign up on the AAPC website (www.aapc.com) and can take it anywhere online.
● Are they going to be doing a Certification in ICD-10 or just the
proficiency assessment?
In 2016, the CPC exam will include ICD-10 if there is no delay in implementation.
● If I have just passed my CPC exam and have a CPC-A credential, will
I still have to complete the proficiency exam by December 31?
Yes you will. Plan to take it prior to the deadline of 12/31/15
● How soon can you take the ICD 10 test?
It is ready to go now. Sign up on the AAPC website - www.aapc.com
ICD-10-CM Proficiency FAQs
(more info: www.aapc.com)

24. HCC Coding Question 250.xx
If you have 2 HCC codes in the same category such as
250.40 and 250.50 what is the trumping rule?
ANSWER

25. BCCA excision advancement flap includes cartilage
excision too?
ANSWER
BCCA Excision Advancement Flap

26. WEBINAR CEU's - REPLAY CLUB
Monthly CCO Webinars:
● * Worth 1 to 1.5 CEU per meeting
Replay Club:
● * up to 12 free CEUs (or more) per year
● (for indicated Webinars)
- Regular Attendees
- Replay Club Members
http://go.codingcertification.org/webinar-replay-club

27. Blitz Video
Package
or
2 CEU
Webinars
or
1 Hour
Session with
Laureen
Free Drawing! Your Choice of:
Pick Winner

28. LIKE us on Facebook
http://facebook.com/CodingCertification
Help Us Get The Word Out

29. www.YouTube.com/MedicalCodingCert

30. ”CCO Swag - Pay it Forward” Program
CCO Specialty Item Store !!
CCO has many students who come to us as a second (even third) career
opportunity after life-changing events. For too many, affording further education
is a struggle, and sometimes just a little help can make all the difference.
Here is where CCO wants to partner with YOU so all of us can “Pay it Forward”.
The profit from all CCO Swag purchases will go into a scholarship fund for worthy
students trying to afford CCO courses in their quest to enter the profession.
Announcing: CCO-BRAND SPECIALTY STORE

31. Chat Q & A
Webinar- March 2015

32. Time Management
I'm struggling with Time Management too ... thanks
great question Good Luck I'm sitting too first try in
July 25 -Evelyn

33. CPC Course
If someone takes the CPC course which has the
ICD 9 CM module will they be trained on ICD 10 or
they will need to take that course separately? -
Zane

34. CMC Certification
I have a Certified Medical Coding with PMI. Now
when I am a member with AAPC and CCO I never
see a CMC. Is this going to hurt me , I compare it
to a CPC. -Sandy

35. Length of Laceration
If the physician doesn't give the length of a
laceration in ER should you query him or can you
use what the ER nurse documented in her
flowsheet?

36. We’ve had questions from students wanting to
copy AAPC testing material to use in their study process …
SPECIAL NOTE: AAPC educational material is copyrighted.
ALL AAPC material is protected by copyright laws unless noted differently. Just as
with CCO course material, students are not authorized to copy information for use
without permission of the distributor.
CCO fully respects copyright laws and asks that all students taking CCO courses
also adhere to copyright guidelines.
Attention: Use of Materials

37. Thanks For Being With Us!