• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

help with dx code - the provider wants dx for recto-vaginal

SHobbs

Networker
Messages
98
Location
Columbia
Best answers
0
the provider wants dx for recto-vaginal fistula but the note states possible. What would the appropriate diagnosis for this be?

Vaginal Examination reveals: discharge present and is brown, stool . and malodorous . No radiation changes note; possible recto-vaginal fistula present.

Any advise is greatly appreciated :D
 

cblack712

Guest
Messages
109
Best answers
0
619.1 is the code for Rectovaginal fistual, however you can't code for possible. You would have to use the signs and symptoms. On the same hand though - the only time stool will be present in the vaginal canal is when there is a fistula, at this point I would get the physician to clarify or remove the possible.
Sorry I can't help more, I have been coding for a long time and don't understand why doctors will do that.
 
Top