Wiki coding from x-ray report in ED

[BENKA12!]

Can I code from x-ray report for fractures and dislocations? For example: ED physician documents wrist fracture as a final dx. The x-ray was done. Can I use the location of the wrist fracture (nondisplaced ulnar styloid fracture and nondisplaced scaphoid fracture) from the report as the final dx?
thank you,

 

[Mojo]

Yes, since the provider who was responsible for direct care of the patient diagnosed the fracture, the radiology report can be used for more specificity.

http://www.hcpro.com/HIM-323519-5707/QA-Emergency-room-documentation-and-radiology-reports.html

 

[nomerz]

Agree, I use the radiology report quite often for more specificity regarding fractures/traumatic injuries.