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Cardiac Cath Documentation Requirements

  1. #1
    Location
    Kansas City, MO
    Posts
    92
    Default Cardiac Cath Documentation Requirements
    Medical Coding Books
    Does anyone know what is required to be in each report and where I can find this in writing?

    For example...are all the following categories required:
    1. Patient information, date & time of procedure
    2. Procedures performed
    3. Operators performing the procedure
    4. Techniques & equipment used
    5. Findings of the procedure
    6. Complications
    7. Final Impression & recommendations
    Olivia Price, CPC, CCC
    Physician Coder Supervisor
    The University of Kansas Health System

  2. Default
    The ACC did an article on structured reporting, I haven't read it yet, but it might help you. Also, look at your Medicare LCD's.

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