Wiki Anesthesia diagnosis codes...

[lidad99]

Do anesthesia dx codes need to on the anesthesia report as well as the operative report,??

thanks any feedback would be greatly appreciated.

 

[lovetocode]

Our anes. usually try to put the diagnosis on the anesthesia record, but we do not rely solely on their diagnosis, and I don't think it's required. We read the operative report and pathology report to determine the correct diagnosis.

 

[lidad99]

thanks alot for the clarification

 

[Pupapu]

Anesthesia dx

Our anes. usually try to put the diagnosis on the anesthesia record, but we do not rely solely on their diagnosis, and I don't think it's required. We read the operative report and pathology report to determine the correct diagnosis.

Do you know if there is any official guidance/rule from reliable source ( like Coding Clinic) that anesthesia dx can be coded from the op note?
Thank you!

 

[danastiff]

re:anesthesia record

I work for an anesthesia billing company. We code strictly from the anesthesia record. If it's not there, we request the op report. Never go strictly off any code the doctors put. They are often missing out on correct reimubursement.