KStaten
Guru
Hello Everyone!
I need confirmation on documentation for x-rays, please.
Scenario: A physician orders and reviews knee x-rays in his/her office. The orders that appear in the note state the number of views. Does the physician ALSO have to state the number (or specific name/type) of views in his / her interpretation?
My AAPC Codify account states as a tip, "Be sure that the provider’s documentation clearly describes each view taken in a radiology service. Check the documentation for the patient’s body position and projection of the X–ray to assign the correct number of views."
This article from AAPC suggests that the physician must state the number of views in the interpretation report in addition to the orders, as it states "The medical report must state the number of views, AND referring physician orders must indicate the number of views or the name of the specific views desired."
https://www.aapc.com/blog/32399-cou...ogy department or,or she would like performed.
Thank you in Advance,
Kim
I need confirmation on documentation for x-rays, please.
Scenario: A physician orders and reviews knee x-rays in his/her office. The orders that appear in the note state the number of views. Does the physician ALSO have to state the number (or specific name/type) of views in his / her interpretation?
My AAPC Codify account states as a tip, "Be sure that the provider’s documentation clearly describes each view taken in a radiology service. Check the documentation for the patient’s body position and projection of the X–ray to assign the correct number of views."
This article from AAPC suggests that the physician must state the number of views in the interpretation report in addition to the orders, as it states "The medical report must state the number of views, AND referring physician orders must indicate the number of views or the name of the specific views desired."
https://www.aapc.com/blog/32399-cou...ogy department or,or she would like performed.
Thank you in Advance,
Kim