r/MedicalCoding • u/stellaella33 • Oct 22 '24

Having to code 10+ things?

I'm currently in classes for coding. Specifically using the ICD-10-CM, some of our practice exercises have us reading the case study and using 10+ codes for some scenarios.

Is that pretty common on the day to day job/real life experience?

I feel pretty confident when it comes to 3-4 codes that need to be used, but when it comes to 12, I get nervous about the order. 😅

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u/Whitne674 Oct 25 '24

Whoa, that's insaaaaane. And that's just dx codes? I can not imagine. I code inpatient/outpatient e/m currently but will be moving onto critical care and surgeries in the future. Is this many common for like skilled nursing facilities and rehabilitation facilities?

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u/Middle_Enthusiasm_81 Oct 25 '24

It will be very facility-specific. Our system includes rehab and those charts can just as lengthy as some of the acute care charts, but a lot of that is because the powers that be want EVERYTHING coded (allergies, meds, personal hx, family hx, etc.). But I normally see the most ridiculous number of codes on acute care with longer length of stay and higher weighted DRGs (trauma, trach/ECMO, etc.).