ladangelo
New
Can anyone point me to guidelines for diagnosis coding at surgical facility? I am interested specifically which should be included besides the pre-op and post-op diagnosis. Where can co-morbidity be pulled from reasonably? Only the H&P or should additional provider notes within the previous 30 days be reviewed if coders have access to the system wide notes?
Is it important to code something not relevant to the surgery? for example, having ACL surgery on right knee, pt has personal history of nicotine use...
thank you in advance
Is it important to code something not relevant to the surgery? for example, having ACL surgery on right knee, pt has personal history of nicotine use...
thank you in advance