Coding a Watchman Procedure | Full Inpatient Chart + ICD-10-PCS Build | Inpatient Medical Coding 💎

All patient information in this video is fictional and created for educational purposes. No real patient records, protected health information, or identifiable data appear in this walkthrough. In this walkthrough I open the whole chart and code it with you, start to finish. Face sheet, H and P, labs, the operative report, three progress notes, the MAR, and the discharge summary. Then we build the procedure code one character at a time and finish with the coding attestation. WHAT WE COVER Why persistent atrial fibrillation is the principal diagnosis on a scheduled admission How to index each diagnosis in the Alphabetic Index before you verify in the Tabular Why a resolved pulmonary embolism gets a history code even though the patient is still on a blood thinner Why long-term anticoagulant use gets its own separate code Which codes are POA exempt, and why three of them report a 1 instead of a Y Building the ICD-10-PCS code character by character, and why the root operation is Occlusion and not Restriction or Insertion The coding attestation, what a coder actually produces at the end of a chart WHAT IS A WATCHMAN PROCEDURE In atrial fibrillation, blood pools in the left atrial appendage, a small pouch off the left atrium. Clots form there and can travel to the brain. Instead of lifelong blood thinners, a device is placed through the femoral vein to seal the appendage closed. Understanding what the procedure actually does is how you pick the right root operation. WHO THIS IS FOR Anyone studying for the CCS or working toward inpatient coding. Anyone who has looked at a PCS table and closed the book. And anyone who has ever been handed a chart and not known where to start. ABOUT ME I'm Coach Tash. Twenty-eight years in inpatient medical coding. CCS credentialed. I have coded and audited in Level 1 and Level 2 Trauma Centers, served as a Federal RAC Audit Contractor for Region A, consulted in 33 of the 50 states, and trained coding teams internationally. I started with a GED and three kids. If I can do this, so can you. FREE LIVE CLASS Thursday, October 1 at 7 PM Eastern. I am putting a real hospital chart on the screen and coding it with you, live. Register here: https://www.tashtalkscoding.com/free-... THE BLUEPRINT The complete program for going from zero to CCS-certified in inpatient medical coding. Ten modules, mock exams, and twelve months of access. https://www.tashtalkscoding.com ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ ⚠️ DISCLAIMER TASHA JONES, LLC and The Blueprint are educational and are not affiliated with, endorsed by, or sponsored by AHIMA. CCS and CCA are registered trademarks of the American Health Information Management Association (AHIMA). All content is for educational purposes only and does not guarantee certification, employment, or income results. Always verify coding guidance against the current ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ I’ll see you at the top — the bottom is way too crowded. — Coach Tash 💎 #InpatientMedicalCoding #CCSExamPrep #MedicalCodingCareer #CoachTash #TheBlueprint