|Home » Categories » ICD-9-CM Coding|
Coding Signs and Symptoms vs. Imaging Results
|Article Number: 54 | Rating: Unrated | Last Updated: Tue, Nov 16, 2010 10:13 PM|
The out patient’s order lists signs and symptoms for the chest x-ray. The report comes back negative. Do we code from the report or can we use signs and symptoms?
Coding rules allow you to do either. The official guideline is:
For patients receiving diagnostic services only during an encounter/visit, sequence first the diagnosis, condition, problem, or other reason for encounter/visit shown in the medical record to be chiefly responsible for the outpatient services provided during the encounter/visit. Codes for other diagnoses (e.g., chronic conditions) may be sequenced as additional diagnoses. For encounters for routine laboratory/radiology testing in the absence of any signs, symptoms, or associated diagnosis, assign V72.5 and a code from subcategory V72.6. If routine testing is performed during the same encounter as a test to evaluate a sign, symptom, or diagnosis, it is appropriate to assign both the V code and the code describing the reason for the non-routine test. For outpatient encounters for diagnostic tests that have been interpreted by a physician, and the final report is available at the time of coding, code any confirmed or definitive diagnosis(es) documented in the interpretation. Do not code related signs and symptoms as additional diagnoses.
There are no attachments for this article.
Late Effects Codes For Fracture
Viewed 3463 times since Tue, Feb 15, 2011
Viewed 187 times since Mon, Apr 18, 2011
Viewed 5176 times since Wed, Aug 3, 2011
Viewed 6511 times since Fri, Apr 22, 2011
3-Day Payment Window/POA
Viewed 2432 times since Fri, Dec 3, 2010
Viewed 3264 times since Wed, Nov 17, 2010
Reason for the Admission
Viewed 752 times since Thu, Apr 19, 2012
V57 Category as Principal Diagnosis for Therapy Patients
Viewed 2343 times since Wed, Nov 17, 2010
Acute Versus Chronic Conditions
Viewed 1660 times since Thu, May 12, 2011
Viewed 1568 times since Wed, Nov 17, 2010