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Irisgirl

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Hi! This is my first time since I am a new member. I would like to know if I can code or not.

For example,

The lungs are hyperexpanded with numerous chronic rib fracture changes seen on the right and considerable dorsal spondyloarthropathy seen.

Should I code for spondyloarthropathy or not? Kind of tricky.

Irisgirl :)
 

dmaec

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I would code the spondyloarthropathy also. You wrote "considerable dorsal spondyloarthropathy seen" <<-- dorsal spondyloarthropathy seen so, it WAS seen, it IS there - it IS a definite finding

tricky as far as how much is "considerable" maybe, but - makes no difference really - because a little or a lot, it was seen, it's there.
{that's my opinion on the posted matter}
 
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