Question Diagnoses from pathology requisition

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Hi everyone,

I need help with compliance. PATHOLOGY. I know when a pathology report results as "negative" or "normal" we can't code from such report. So we must report the REASON why such pathology tests was requested. Is it compliant to just add the diagnosis provided on the test requisition? Or medical records need to be requested to support such given diagnosis? Keep in mind that several reports come back as normal. Do we really have to request supporting documentation for ALL of those reports?
 

CatchTheWind

True Blue
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It would seem to me that if the referring provider is giving you a diagnosis on the requisition, why would you need anything more?
 
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