The March 2016 Q&A Medical Coding Webinar from Certification Coaching Org (CCO), www.cco.us, discussed a variety of topics of interest to outpatient and inpatient medical coders. The topics discussed included “Review of X {EPSU} Modifiers (modifier 59 alternatives)”, “Can a Z code be a Primary/Admitting Dx?”, “Modifier, Global and Bundle”, “E/M Codes 99201-99205”, “Chiropractic versus Medical Coding”, “ICD-10-PCS Code for ALIF”, “E/M during Post-Op Period (GSP)”, and “Path & Lab 80300 - 80304 CPT codes”. Also discussed was the CCO Risk Adjustment Course V2.0 which is coming soon, and the CCO VIP opportunity. Attendees’ questions on various coding topics were answered. Educational topics were presented by Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC; Alicia Scott, CPC, CPC-I, CRC; Jo-Anne Sheehan, CPC, CPC-I, CPPM, and Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM. The host for the webinar was Boyd Staszewski.

1. Certification Coaching
Q & A Webinar
March 2016

2. This Month’s Q & A Webinar Agenda: 90-120 min
II: Q&A from our Instructors
● JoAnne: Review of X {EPSU} Modifiers (modifier 59
alternatives)
● Alicia: Can a Z code be a Primary/Admitting Dx?
● Chandra: Modifier, Global and Bundle
● Laureen: E/M Codes 99201-99205
● JoAnne: Chiropractic versus Medical Coding
● Alicia: ICD-10-PCS Code for ALIF
● Chandra: E/M during Post-Op Period (GSP)
● Laureen: Path & Lab 80300 - 80304 CPT codes
I: Introduction
● Why stay?
● Where is everyone from?
● Any Recent Graduates Out There?
● Announcements and Course Updates
IV: Your Questions in the Chat
III: Close - @ 90 min-’ish’
● Wrapup
● Drawing
● CEU Certificate Download Link
Ask Along the way in the Questions
box.
NOTE: We can’t answer every
question.
If your question isn’t selected,
post it on our forum where
fellow coders can help:
http://www.cco.us/forum/

3. Why Stay To The End?
Giveaway!
Free Drawing of Your Choice of 1 of the following:
Blitz Video Package | 2 CEU Webinars | 1 Hour Session with Laureen or Alicia
and...
Your AAPC CEU link for 1.5 CEUs
(a change tonight)

4. CCO Monthly Q&A Webinar CEU Changes
Webinar Attendees: Accessed within 24 hours
● * $5 - Worth 1 to 1.5 CEU per meeting
● Webinar Attendees: After 24 hours (only available
to Replay Club Members):
* $0 - Included in your membership ($19.95
month)
http://go.cco.us/webinar-replay-club
New Webinar CEU Pricing effective NOVEMBER 2015 *
Don’t need CEU’s?
Continue to attend the CCO webinar for free!

5. CONGRATULATIONS!
Valeria Mirabella 02/14/2016 Completed ICD-10-CM Full Course
Lydia Colon 03/01/2016 Completed CPC Blitz
DeLisa Smith 02/17/2016 Completed CPC Blitz
Francine Donahue 03/19/2016 Completed CPC Blitz
Magnolia T. Reyes 02/27/2016 Completed CPC Blitz, Practice
Exams
Laura Zmolek 02/20/2016 Completed CPC Course (PBC)
Linda LoPrete 02/29/2016 Completed CPC Course (PBC)
Ninfa Webb 03/21/2016 Completed CPC Course (PBC)
Landa Rader 03/07/2016 Completed CPC Course (PBC)

6. CONGRATULATIONS!
Kirk Neal 03/08/2016 Completed CPC Course (PBC)
Durga Shushama 03/12/2016 Completed CPC Course (PBC)
Ella Vanden Lanngenberrg 02/21/2016 Completed CPC Course (PBC)
Anjee Brazelton 02/26/2016 Completed COC Course (FBC)
Jeannine Monagle 03/05/2016 Completed CPMA Course
Trude Xanders 03/15/2016 Completed MTA Course
Magnolia T. Reyes 02/27/2016 Passed ICD-10 Assessment
DeLisa Smith 02/17/2016 Passed CPC Exam
Landa Rader 03/07/2016 Passed CPC Exam
Lydia Colon 03/01/2016 Passed CPC Exam

7. CONGRATULATIONS!
Durga Shushama 03/12/2016 Passed CPC Exam
Ella Vanden Lanngenberrg 02/21/2016 Passed CPC Exam
Kirk Neal 03/12/2016 Passed CPC Exam
Francine Donahue 03/19/2016 Passed CPC Exam
Linda LoPrete 02/29/2016 Passed CPC Exam
NInfa Webb 03/21/2016 Passed CPC Exam
Jeannine Monagle 03/05/2016 Passed CPMA Exam

8. Review of X {EPSU} Modifiers
(modifier 59 alternatives)
Question:
Can you review the X modifiers implemented January 1,
2015?
ANSWER
Jo-Anne Sheehan, CPC, CPC-I, CPPM
CCO Sr. Instructor / Coach

9. Can a Z code be a Primary/Admitting Dx?
Question:
Can I use a Z code as a primary/first listed diagnosis? I am
struggling with coding aftercare especially.
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director

10. Modifier, Global and Bundle
Question:
Can you explain a little about the Modifier, Global and
Bundle?
ANSWER
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director

11. Chiropractic versus Medical Coding
Question:
I recently switched from coding & billing with a 97.5%
collection rate to a Chiropractic Group.
Now 50% of my claims are being denied- particularly with
Medicare and I am not doing anything differently than I did at
my prior job.
ANSWER
Jo-Anne Sheehan, CPC, CPC-I, CPPM
CCO Sr. Instructor / Coach

12. E/M Codes 99201-99205
Question:
What E/M code should I use when a new patient comes in to
the physician office and the doctor documents the 99201-
99205 codes along with the preventive codes or well visit
codes? I believe the 99201-99205 would be appropriate even
though the physician states he did the well visit too.
ANSWER
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CEO

13. ICD-10-PCS Code for ALIF
Question:
I am getting confused trying to code for ALIF in ICD-10-
PCS.
It seems so different from ICD-9-CM vol 3 codes.
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director

14. E/M during Post-Op Period (GSP)
Question:
Provider billed with modifier 24 with a diagnosis code for
trigger thumb only.
Does this justify the 24? Is this significant enough to warrant
payment of E/M within global?
ANSWER
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director

15. Path & Lab 80300 - 80304 CPT codes
Question: Can you go over Path & Lab coding for
Presumptive Drug Class Screening (80300-80304)?
ANSWER
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CEO

16. Coming Soon!
Risk Adjustment Course V 2.0
Early Notification: http://www.cco.us/ra-early
(go there now!)

17. Case Study: Did the CCO Blitz Videos help you?
Q: What was your biggest concern before buying the course?
A: Was this course going to provide the method of learning I
need, hands-on? Yes that concern went away after the first
video.
Q: What superpower did this course help you achieve in your medical
coding career?
A: Confidence!!!
Q: Would you recommend the CPC Exam Preparation Videos to
someone else? Why?
A: In a heartbeat! I was holding myself back looking at coding
with a "clinician" brain as a nurse rather than a "coding brain.
Q: Anything else you've achieved with the help of our product?
A: I landed the best job I have ever had.
Karen Thomas, RN, CMT, CPC-A

18. It’s FREE!
Join Now! Limited Seats Available!
Details & Register Now:
http://www.cco.us/webinarvip

19. ANSWERS
Questions In The Chat- March 2016
Your Webinar Chat Team

20. Preventive and Problem Visit
Question: Would you be able to bill 2 separate
CPTs? Comprehensive preventive medicine and
a problem visit? In situations when patient
comes in for wellness visit and problem is
identified.

21. Global Surgical Package
Question: Global surgical package; what would
neuroplasty median nerve be considered; minor
or major? Also, can provider bill for application
of short arm splint?

22. 25 Modifier
Question: Must the 25 modifier be linked to a
different diagnosis than the procedure?

23. 57 Modifier and Surgery
Question: Question on 57 modifier, an auditor
told me that if the decision for surgery was made
4 days prior to the actual surgery we must put
the 57 on that E/M. I have not found anything
regarding this, only that it is for the day before or
day of surgery. Do you have any information on
this? Thanks!

24. E/M Discharge Do’s and Dont’s
Question: Can you explain E/M Discharge do's
and dont's ..example DC note written on a day
OTHER than the actual DC date. What is
acceptable and what isn't.

25. Orthopedic Coding
Question: I've recently been assigned to code for
an orthopedic office. Can you tell me how I can
find out more information on orthopedic coding?
Thank you

26. Override Pull
Question: What is "override pull" in nursing note
when giving patient medicine?

27. Pathology Coroner
Question: Off the wall question about pathology
coding- does the coroner office bill for post
mortum testing?? just wondering...

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

29. Links Referenced in the Webinar
Forum - http://www.cco.us/forum/
Testimonial - http://www.cco.us/testimonials/
BookStore - http://store.cco.us/
Swag Store - http://www.cafepress.com/CCOSwag
MAUD Webinar Link - http://www.cco.us/medical-coding-auditor
ICD-10 Blitz - http://go.cco.us/icd10-blitz
ICD-10 Full - http://go.cco.us/icd-10-cm-full-course
RA HCC - http://cco.pe/10qGz8g
MCB - http://go.cco.us/medical-coding-billing-course-bundle
Course List - www.cco.us.com
Replay Club - http://go.cco.us/webinar-replay-club
Facebook - http://facebook.com/cco.us
YouTube - www.YouTube.com/MedicalCodingCert
CEU Link - http://go.cco.us/ceu-freezing
CCO VIP Program - http://www.cco.us/webinarvip
Medicare Physician Fee Schedule Look Up Tool -
https://www.cms.gov/apps/physician-fee-schedule/overview.aspx

30. Thanks For Coming!
Got Value?
http://www.cco.us/webinarvip

31. Happy Coding!