New Specialty? Expand Your References
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April 2012 New Specialty? Expand Your References Pam Brooks, CPC Plus: Surgical Preps • 2012 AAPCCA Board • Pain Management • 317-319 • Self Referrals Gain an advanced understanding of anatomy, body systems and disease processes to increase your knowledge on ICD-10! Endocrine System Advanced Anatomy and Physiology for ICD-10-CM/PCS Ovaries/Testes Pancreas Gonadocorticoids are secreted by the ovaries and testes. In females, Head Neck Body Tail there are two types of hormones secreted by the ovaries, estrogens and progesterone. In males, androgens are the principle hormone Endocrine portion type secreted by the testes. Pancreas Islets of Langerhans Bile duct Gall Hormone levels during Menstrual cycle bladder Hypothalamus GnRH Anterior pituitary Pancreatic duct FSH LH Midcycle peak of LH (triggers ovulation) Sphincter of Oddi Blood levels of FSH LH levels Interior of Acinar cells duodenum secrete digestive enzymes Duct cells FSH LH LH secrete aqueous Ovary Follicle growth Ovulation Corpus NaHCO, solution luteum Glucagon Estrogen Progesterone, The primary function of glucagon is to increase blood glucose estrogen Blood levels level by accelerating the conversion of liver glycogen into glucose. of estrogen Glucagon secretion is directly controlled by blood sugar level and Endometrium Progesterone, levels the process of regulating blood sugar is as follows: of uterus Estrogen Progesterone, estrogen 1. When blood sugar level falls below normal, chemical sensors Menstruation in the alpha cells stimulate them to secrete glucagon. 2. Glucagon is taken up by the blood and travels to target cells in the liver. 3. The liver releases glucagon stores and converts the glucagon Days 4 14 28 2. Endocrine System Endocrine 2. to glucose. Follicular phase of Luteal phase of menstrual cycle 4. Glucose is released into the blood and blood sugar level rises. menstrual cycle 5. When blood sugar level reaches normal, the chemical sensors Ovaries in the alpha cells stop stimulating them and glucagon secretion stops. Estrogens and progesterone are steroids that are responsible for the development and maintenance of female sexual characteristics. Insulin Hormones produced by the ovary work with the gonadotropic The primary function of insulin is to decrease blood sugar. Insulin hormones of the pituitary. Primary functions of estrogen and secretion is directly controlled by blood sugar level, but other progesterone include: hormones including human growth hormone, adrenocorticotropic • Growth and development of female reproductive organs hormone, and epinephrine can indirectly affect insulin production. and breasts Insulin secretion, like glucogaon secretion, is directly controlled by • Distribution of fat in the hips, legs, and breasts blood sugar level and works as follows: • Regulation of the menstrual cycle 1. When blood sugar level rises above normal, chemical sensors • Preparation of the uterus for pregnancy in the beta cells stimulate them to secrete insulin. • Maintenance of pregnancy 2. Insulin is taken up by the blood and target cells located primarily in the liver and muscles are then stimulated to • Preparation of the mammary glands for lactation take up glucose. Testes 3. Glucose is transported by the blood to the target cells. Androgens are steroids that are responsible for the development 4. Insulin accelerates the conversion of glucose into glycogen and maintenance of male sexual characteristics. The principle in the target cells. male androgen is testosterone which is secreted primarily by 38 The level of speci city in the ICD-10 code set will require more accuracy and understanding New of human anatomy and physiology to code appropriately. Advanced Anatomy and Physiology for ICD-10-CM/PCS guides you through all body systems associated with ICD-10 and provides detailed information on ICD-10-CM and PCS utilization for appropriate diagnosis and condition identi cation. Helpful features include: • Detailed color, full-page anatomy illustrations — learn visually for improved coding accuracy • Chapter quizzes — test your knowledge of key topics covered • Detailed review of each body system — better understand information on cells, tissues and organs that comprise each body system • Extensive table of contents — locate important information quickly Order today! Visit amabookstore.com or call (800) 621-8335 to speak with an AMA customer service agent. Contents 12 32 36 April 2012 [contents] In Every Issue 7 Letter from the Chairman and CEO 9 Letter from Member Leadership 10 Letters to the Editor 10 Coding News Special Features 28 Online Test Yourself – Earn 1 CEU Go to: www.aapc.com/resources/ Features publications/coding-edge/archive.aspx 12 Manage and Share Data Across Countries 25 Quick Tip: New ICD-9 Language Rhonda Buckholtz, CPC, CPMA, CPC-I 40 Quick Tip: Save Your Eyes 14 Diagnosis Code Overload Jeremy Reimer, CPC 42 2012-2013 Chapter Leadership 16 Physician Self Referrals and Compliance: What You Should Know 50 Minute with a Member Julie E. Chicoine, Esq., RN, CPC 18 Move Over Obsolete Pain Management Coding Education Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO 10 AAPCCA Handbook Corner 22 Spine Reimbursement Sees a Major Impact 25 A&P Quiz Barbara Cataletto, MBA, CPC 46 Newly Credentialed Members 28 Seek Specialty Opportunities and Overcome Their Challenges Pam Brooks, CPC Coming Up 32 Surgical Preps: When Do You Code Them? Ken Camilleis, CPC, CPC-I, CMRS • GERD • E/M Bell Curve 36 Finding a Job When You’re Newly Certified Brandi Tadlock, CPC, CPC-P, CPMA, CPCO • Member of the Year On the Cover: One way that Pam Brooks, CPC, at Wentworth-Douglass Hospital in Dover, • Behavioral Health N.H. tackles a new specialty is by expanding her specialty-specific anatomy references. Cover photo by Brylye Collins Photography (http://brylyecollinsphotography.com) with photo • Modifier 33 enhancement by Michelle A. Dick. www.aapc.com April 2012 3 Serving 114,000 Members – Including You! Be Green! April 2012 Why should you sign up to receive Coding Edge in digital format? Chairman and CEO Here are some great reasons: Reed E. Pew [email protected] • You will save a few trees. Vice President of Finance and Strategic Planning • You won’t have to wait for issues to come in the mail. Korb Matosich • You can read Coding Edge on your computer, tablet, or [email protected] other mobile device-anywhere, anytime. Vice President of Marketing • You will always know where your issues are. Bevan Erickson [email protected] • Digital issues take up a lot less room in your house or Vice President of ICD-10 Education and Training office than paper issues. Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC Go into your Profile on www.aapc.com and make the change! [email protected] Directors, Pre-Certification Education and Exams Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC [email protected] Katherine Abel, CPC, CPMA, CPC-I, CMRS [email protected] American Medical Association .......................2 www.amabookstore.com Director of Member Services Danielle Montgomery [email protected] CaseCoder, LLC ............................................21 Director of Publishing www.casecoder.com Brad Ericson, MPC, CPC, COSC [email protected] Coding Institute, LLC ....................................30 Managing Editor www.SuperCoder.com John Verhovshek, MA, CPC [email protected] CodingWebU.com ..........................................35 Executive Editors Michelle A. Dick, BS Renee Dustman, BS advertising index www.CodingWebU.com [email protected] [email protected] Contexo Media ..............................................38 Production Artists Tina M. 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