Today we're going to talk about Chapter
4, the Endocrine System. This is a very
small chapter and so therefore a very
short lecture. You probably noticed when
you were putting your tabs in your
new CPT code book that there were no
tabs for the endocrine system. All I
can figure is because it is a very small section
so what I suggest doing is just using
some of those blank tabs that are with
your packet of codes and writing
Endocrine and it is (located) just
after the Female Genital System. I
have it between the Female Genital
System and the Nervous System. Just a
little code there and it's referring to
these few codes in the Endocrine System.
Starting here in green font, it tells you it's
a new body system. The red font is the parts
or subsections of the body within this
system and then the blue font is the procedures
on this part of the body within this
body system. Okay so just keep that in
mind. Here are the parts of the
Endocrine System. I thought this was a
pretty good diagramm again Google images,
that shows where the various glands are.
You notice that not all of these
glands are included in the endocrine
system. The male and female body parts, the ovaries and
the testicles, they are within the
male and female genital system chapters.
So within this chapter we
have the thyroid gland, the parathyroid,
the thymus ,the adrenals,the pancreas, and
the carotid body. Okay
I'm just going to go through some
exercises. The first is the
parathyroidectomy and there's your index
and code. Pretty straightforward. A
laparoscopic adrenalectomy complete and
there's your codes and you note i have
here that there's a misleading index
entry for this example, that takes you 50545.
When you go to 50545, that is a
nephrectomy, removal of the kidney where
you're taking the adrenals with the
kidney when you have that procedure. So
this particular example is not the
nephrectomy. It is just removing the
adrenals so be very careful when you are
reading your code descriptions like I've
told you over and over. Be sure you're
not taking more than you want to take
in a given procedure . A percutaneous
needle biopsy of the thyroid gland. I've
included a few examples here from the
Clinical Coding Workout. This is a text
book that you can buy from AHIMA that
gives you more examples of coding both
inpatient and outpatient, both ICD-10 and
CPT. It's a good way of practicing if you
want to pursue coding as a career. I
think I've talked about in my syllabus
and possibly in some lectures, the goal
of the coding classes in this program is
to give you a foundation and then you'll
have to get more knowledge and/or
experience on your own post graduation.
There's just there's not enough credits
that are focusing on coding to get you
through all this but I do think you get
from my lectures, at least, is that I'm
just giving you a foundation and
teaching you how to use the code book.
That's the best I can do in the time
I've been given. So here's the example of
this particular question in the Clinical
Coding Workout.
Here's another question in the
Clinical Coding Workout and its answer.
You see that you have to read the code
descriptions here and you find that 60540
is appropriate because there's no
documentation of any excision of a tumor.
in this diagnostic statement, just the
exploration and the biopsy of the
adrenals. That's all I have for this
short section. It will however be game on
an exam,so don't forget about it. Post
any questions you have in Discussion
Board along with the index path you used
to try and find the code and I will
address them there. Thank you very much.