Health Information Management

Pay-per-view: Coders need to learn to read an operative report

APCs Insider, July 20, 2012

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To correctly assign codes for any surgical procedure, coders need to have an operative (OP) report. But simply having the OP report isn't enough. Coders also must be able to read the report and pick out the important information.

In addition, coders need access to the NCCI edits as well as a diagram of surgical positions, said Lynn ­Pegram, CPC, CEMC, CPC-I, CGSC, lead coder and coding manager for a surgical practice in Richmond, Va., and principal consultant at Pegram's Coding4U. She discussed general surgical coding during the AAPC National Conference in Las Vegas April 2-4.
 
Continue reading “Coders need to learn to read an operative report” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the June issue.



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