Can you use an ICD-9 code on a order as a dx?

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A physician orders a chest x-ray and under the diagnosis section the physician wrote 486. Can we code from that or does it have to be in written form (pneumonia). I have been told that coders aren't allowed to code from a neumeric ICD-9 code and only a written diagnosis. Does anyone know where I can find this supporting documentation? Thank you!
 

Cyndi113

True Blue
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Good morning,

if the diagnosis is appropriate for the x-ray, why would you not use it? Whether it's written out as pneumonia or 486, it's still the reason the MD is ordering the x-ray, right?
 
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