Nervous System (and more) CPT Medical Coding for the CPC and CCS Exams - Re-released

The video begins with an introduction to the AMCI Saturday Study Session (SSS) hosted by Mrs. J, the curriculum director at AMCI. She welcomes lead instructor Ms. Tamika and her guest, and encourages the audience to participate actively. The session focuses on nervous eye and ear topics, with a special guest, Miss Tiffany, joining to share her experiences. The video emphasizes the importance of preparation, engagement, and the use of coding fundamentals.

The discussion shifts to a detailed coding scenario involving a 55-year-old man with uncontrolled tremors. The scenario describes a deep brain stimulation procedure, including the placement of electrodes in the thalamus. The focus is on the correct CPT coding for the procedure, with an emphasis on understanding the specifics of the operation, such as the use of microelectrode recording and the placement of the neural stimulator electrode array.

Another coding scenario is presented, this time involving the implantation of a programmable pump for chemotherapy in a patient with a malignant neoplasm of the spinal meninges. The procedure includes making an incision, placing the reservoir, and suturing the incision. The challenge is to identify the correct CPT and ICD-10 codes for this procedure, with attention to the specifics of the pump implantation and the patient's position during surgery.

The video continues with a scenario about a patient with a herniated cervical disc. The patient undergoes a cervical laminotomy with partial facetectomy and excision of the herniated disc. The task is to determine the correct CPT and ICD-10 codes, with an emphasis on understanding the anatomy of the cervical interspace and the specifics of the surgical procedure, including the approach and the number of interspaces involved.

A coding scenario involving the removal of the thymus gland in a 27-year-old female with myasthenia gravis is discussed. The procedure is performed using a trans-cervical approach, and the thymus is dissected free and removed. The challenge is to identify the correct CPT code for the thymectomy, considering the approach and the completeness of the procedure.

The video presents a complex coding scenario involving the removal of a tumor from the skull base using a trans-petrosal approach. The neurosurgeon performs an intradural removal of the tumor at the base of the skull, followed by a dual repair. The task is to identify the correct CPT codes, with an emphasis on matching the approach and the definitive procedure, and understanding the specifics of the surgery, including the use of modifiers for multiple procedures.

A scenario about a six-year-old female undergoing bilateral autoplasty for prominent ears is discussed. The procedure involves making an incision behind the ear, trimming and shaping the cartilage, and securing the ear with temporary sutures until healing is accomplished. The challenge is to identify the correct CPT code for the procedure, with an emphasis on understanding the specifics of the autoplasty and the bilateral nature of the surgery.

The video presents a scenario involving a patient with severe mixed hearing loss from chronic otitis media who undergoes a round window implant with a floating mass transducer. The challenge is to identify the correct CPT code for this procedure, with an emphasis on understanding the specifics of the implantation and the involvement of the middle ear.

A coding scenario involving a patient who undergoes upper eyelid surgery is discussed. The procedure includes resection of tissue, including conjunctiva, tarsus, Mueller's muscle, and the distal insertion of the levator aponeurosis. The challenge is to identify the correct CPT code for the procedure, with an emphasis on understanding the specifics of the surgery and the anatomy involved.

The video presents a scenario about an infant born at 33 weeks who undergoes five photocoagulation treatments to both eyes due to retinopathy of prematurity. The treatments are performed using an operating microscope over a period of five days. The challenge is to identify the correct CPT codes for these services, with an emphasis on understanding the guidelines for reporting services for a defined treatment period and the use of modifiers for bilateral procedures.

The video discusses a scenario involving a 65-year-old patient with ectropion of the right lower eyelid, which is repaired with a tarsal wedge excision, and ectropion of the left lower eyelid, which is repaired with suture. The challenge is to identify the correct CPT codes for these procedures, with an emphasis on understanding the specifics of the repair techniques and the bilateral nature of the surgery.

The video presents a scenario where a 42-year-old patient returns for a follow-up visit after a lumbar puncture was performed to investigate the cause of headaches. The patient is found to have a CSF leak from the lumbar puncture site, and a blood patch by epidural injection is performed to repair the leak. The challenge is to identify the correct CPT code for the services provided during the visit, with an emphasis on understanding the specifics of the procedure and the context of the follow-up.

The video discusses a scenario involving a patient with cervical stenosis who undergoes bilateral cervical laminotomy at C3 through C6 and fusion. The procedure includes cleaning up the edges of the laminectomy with kerosene and performing foraminotomies at C4, C5, and C6. The challenge is to identify the correct CPT codes for these procedures, with an emphasis on understanding the specifics of the surgery, including the laminectomy, facetectomy, and foraminotomy.

The video concludes with a reminder of the importance of feedback for AMCI to continue delivering quality classes. The host expresses gratitude for the participants' engagement and time, emphasizing the value of the study session and the collective effort to ensure success in coding and examinations.