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chest x-ray diagnosis

fisherdawnmarie

Networker
Messages
49
Best answers
0
Chest x-ray report reads rule out infiltrate. History is ? pneumonia. Conclusion states that there are no acute abnormalities. However, during this patient's stay a Chest CT and a previous chest x-ray state that the patient does have pneumonia.

Would it be correct to use 486 for this chest x-ray performed several days later?

Thank you.
 

allisonm6383

Contributor
Messages
14
Location
Lancaster, PA
Best answers
0
If the chest xray report does not state pneumonia, you cannot use the 486. Based on the report, you may just have to use V71.89 for the "rule out". Some would say you could also use 786.9 which is just other signs or symptoms and would be better than using the V71.89
 

Anna Weaver

True Blue
Messages
769
Location
Kokomo, IN
Best answers
0
chest x ray

I would personally, not code anything without clarification. I would send it back and ask for a diagnosis. There has to be something that isn't R/O or questionable for the reason for the test.
Just my opinion, anyone else?
 

007CPC

Guest
Messages
302
Best answers
0
Chest x-ray report reads rule out infiltrate. History is ? pneumonia. Conclusion states that there are no acute abnormalities. However, during this patient's stay a Chest CT and a previous chest x-ray state that the patient does have pneumonia.

Would it be correct to use 486 for this chest x-ray performed several days later?

Thank you.
If the patient has a pneumonia, code pneumonia!
 
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