Wiki Fracture vs sprain

[kjohnson]

I'd interested to know how others handle this scenerio. When a patient presents to the ER and the ER clinician diagnosises visit as a sprain, then after patient leaves, the radiologist views the xray, reads it and diagnosises it as a fracture. What are you putting on the bill for the ER visit? Does the radiiologist "overrule" the ER clinician as far as the final diagnosis? Would you code the visit as SPRAIN or FRACTURE?
Thanks!

 

[jimbo1231]

After Visit

If you are saying that the Radiologist interp came in after the ED chart was completed and signed, i would go with the sprain to be consistent with the Dx. on the ED chart.

Jim