jennburgel
Networker
I was wondering if it makes a difference if a dx for a pain injection ie: Lumbar radiculopathy which is stated on the pre op and post op dx of the op note, however within the body of th note it says they injected l5-s1. Wouldn't you code to th specificity of the level m54.17. I am seeing it coded as m54.16 which is lumbar region. When i asked i was informed that it is coded off of the pre op, post op description not the body of the note. My question is two fold. Why is there an actual icd10 for each region if its not being used and for auditing can this hurt us? I welcome any educated reponses. Thanks