Can you code from a radiology report in the E.D. setting??

[meleah80]

I thought the answer was yes, but I am not finding any documentation that specifically states that in the Emergency Department it is okay. Can anyone provide me with a link to this?

Thanks,
Meleah

[mitchellde]

As long as you are not coding inpatient facility, then yes for outpatint or physician you may code findings from the radiology report. Check the gudelines for coding and reporting as posted on the CDC website for this information.

[ms2blessed]

Originally Posted by meleah80

I thought the answer was yes, but I am not finding any documentation that specifically states that in the Emergency Department it is okay. Can anyone provide me with a link to this?

Thanks,
Meleah

Yes you can in a ER setting. Either as secondary findings or you can use the rpt as a better detail of an primary dx- i.e. fracture sites.
You should be able to find these guidelines in your coding clinic.