You are correct in feeling uncomfortable... I am a radiology coder as well as Emergency medicine and If there are no findings on the xray exam, then outpatient coding guidelines state you must code the signs or symptoms that prompted the test, pain in limb, foot, etc. If only rule out/suspected is on the xray report, then send back to ordering md to clarify, in writing and attach to report. This is fine for documentation and auditing purposes as well as coding guidelines.
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