DX from OP reports

[hanoz420@hotmail.com]

Hi,

Looking for some feedback: Is it ok to code an anesthesia service using the diagnosis from the surgeon's operative report? (The surgeon that is performing the procedure) If anyone can refer me to any links and/or websites that would be helpful, I'd really appreciate it!

Thank you!

[mdimitrov]

When coding for anesthesia, the postop diagnosis code or the pathology report code would be the most appropriate code to use.

[hanoz420@hotmail.com]

Thank you for your reply, I really appreciate it! I totally agree. I cannot locate any documentation stating that we CANNOT use the operative report.

[mdimitrov]

Your welcome!