In outpatient coding (office setting), seems like there has been some back and forth, are coders are allowed to code from the pathology and radiology reports for specificity of a diagnosis?
Patient comes in for shortness of breath and cough, provider orders Xray, patient has pneumonia per radiology results/report. Should this consist of a query for provider to addend report to reflect pneumonia? before claim is sent to billing?
Patient comes in for shortness of breath and cough, provider orders Xray, patient has pneumonia per radiology results/report. Should this consist of a query for provider to addend report to reflect pneumonia? before claim is sent to billing?
