Wiki ? DX on MRI shoulder

[Kimberley]

Impression reads:

Mild partial/tear tendinitis at supraspinatus, infranspinatus and subscapular tendon.

Would you code as a tear or code the clinical of shoulder pain???

 

[tmlbwells]

I would probably code the tear because it's likely that it is the cause of the pain.

 

[Tonyj]

Impression reads:

Mild partial/tear tendinitis at supraspinatus, infranspinatus and subscapular tendon.

Would you code as a tear or code the clinical of shoulder pain???

supraspinatus 840.6, infraspinatus 840.3, subscapularis 840.5. You would code what the Rad stated.

TonyJ

 

[harshila]

i agree with tony i am outpt radiology coder for hospital and i code as tear
harshila

 

[jgf-CPC]

Code what is found. Code the pain if there are no findings.