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Case Coding

  • koke74
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19 years 2 weeks ago - 19 years 2 weeks ago #28002 by koke74
Case Coding was created by koke74
What percentage of a case do we need to do to count it for the ACGME site? I know in general surgery, the rule is you need to do 50% or more of the case to count it. Does this rule stand in ortho? I am a second year on a adult recon rotation, and I am getting to do more and more each time. Do I not count the first 10 cases where I was the 1st assist and did not do much?

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19 years 2 weeks ago - 19 years 2 weeks ago #11840 by
Replied by on topic you count everything.
you count everything.

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19 years 1 week ago - 19 years 1 week ago #11855 by
Replied by on topic You count every case that
You count every case that you are first assist. If you're at a program where you double scrub, you're not supposed to count cases where you're second assist.

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19 years 1 week ago - 19 years 1 week ago #11868 by
Replied by on topic count it all
My chairman says you count anything you are present for. I do not know of any published guidelines on the acgme site or otherwise. In the coming years you will see hospitals asking you or your program how many of such and such case you have done. If you haven't done enough for their quota they won't give you priveleges to do that case in their hospital. I know this sounds ridiculous but I guarantee you it is coming. It is in fact silly because there are way more cases out there than any given resident can do more than one of during a residency, but does that mean you aren't qualified to do it? absolutely not. I know that is a bit of a rant, but if I were you I would count every case you are a part of, even if you are just looking over someone's shoulder.

Also note that you should count fracture reductions done in the ER. I know the attending is rarely if ever present, but you should log them with the name of your staff on call that night. These are important orthopaedic procedures that you should get credit for doing, and when else will you get to log them. How often do you take someone to the OR for closed reduction and casting/splinting? almost never. Put them all in the computer man.

Of note, you cannot count putting in traction pins, but you should code for removing them. Another ridiculous vagary of the system.

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19 years 1 week ago - 19 years 1 week ago #11876 by
Replied by on topic PGY-2 through PGY-5 residents and
PGY-2 through PGY-5 residents and fellows
in all accredited programs should be
reporting procedures when they were the
resident/fellow surgeon or 1st assistant.

· Operative procedures and manipulative
reductions, in the emergency room or any
other venue, should be reported. Casting or
splinting for strains, sprains, and/or nondisplaced
fractures should not, nor should
joint aspirations or Steinman pin placements.

· In some situations, cases will involve more
that 6 CPT codes. For the Case Log system,
there is a limit of 6 codes per anesthesia.

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