UPDATE: CCO no longer offers Practicode. Please visit the AAPC for access [ Ссылка ]

"From the September 2014 Q and A Full Webinar Transcript": Free for all! Get CEU's!"

Q: What does Practicode case look like and how do you abstract from it?

A: I’m not taking you to Practicode, what we do on a Thursday night student webinar support calls is that one portion of that we do Practicode cases because we have Practicode students. This is a particular case that we pulled out, that I went ahead and put in this document so that we could practice abstracting and pulling the information from the document that was pertinent so that they could see the divisions of a report. Usually when you get a report – and this is all redacted, this is a real case but it’s not the real person.

You have this patient, it tells you the date of service and then the doctor, the insurance. The insurance is important because if they’re Medicare patient you might have HCPCS code or something that needs to be used. Then, you’re going to have HPI (History of Present Illness) that is given. This is usually what the patient is telling the doctor, like, “Yeah, look, see I have GERD and I have some thoracic pain.”

Then, they’re going to start breaking down the information after that as problems, allergies (no allergies reviewed). Then you’re going to see a list of medications the patient is on, which would corroborate any type of illness that the patient had. Then, vaccines and stuff. Then you’re going to start getting into the history; you’ve got a Social History, a Past Medical History, and a Family History that’s reviewed. All of this information is pertinent when you go to pick your CPT code.

Surgical History – there might be hidden codes in here, if the person maybe had a below-the-knee amputation in 2010, then that would be an additional code that you might be able to add to that if something is going on with that stump. Or they had PVD. Then, he’s looking into some of the medications. The Physical Examination – now everything is changing, this is what the doctor is actually looking, touching, feeling, seeing with the patient. This is divided up into different body systems.

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