Networker3412
Networker
hello,
i was taught that you can code from the history portion on the xray report since the radiologist are md that it is ok. one of my coworkers say she was taught by her teacher that you cannot not even for medical necessity purposes. i also have research this on the american academy of radiology assoication that states that at the time of the xray that if the radiology dept cannot get a dx from the ordering physician they can what the pt says. can someone answer this and provide me a link or documentation.
also my director says on er's that if a physician checks marks the box that says nursing assessment reviewed that we can take dx from the nursing record.i was not taught that way any thoughts from anyone on here as i have used other sights, talked with several teachers who also give different answers.
thanks
i was taught that you can code from the history portion on the xray report since the radiologist are md that it is ok. one of my coworkers say she was taught by her teacher that you cannot not even for medical necessity purposes. i also have research this on the american academy of radiology assoication that states that at the time of the xray that if the radiology dept cannot get a dx from the ordering physician they can what the pt says. can someone answer this and provide me a link or documentation.
also my director says on er's that if a physician checks marks the box that says nursing assessment reviewed that we can take dx from the nursing record.i was not taught that way any thoughts from anyone on here as i have used other sights, talked with several teachers who also give different answers.
thanks