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Order of DX

  1. #1
    Question Order of DX
    Medical Coding Books
    If a patient comes in for a colonoscopy and the reasons for the procedure are History of colon polyp (V12.72), Abdominal pain-gen (789.07), and change in bowel habits (787.99) and it ends up being a normal colonoscopy with no problems what order would these DX's be billed in? The patient has a commercial insurance, NOT Medicare.

  2. #2
    Duluth, Minnesota
    I'd put my dx's as follows:

    but, that's just me
    Donna, CPC, CPC-H

  3. #3
    If a patient is having symptoms I always put those prior to the history just like the previous post.
    Susie Corrado, CPC
    ENT Coding/Billing

  4. #4
    Charlotte, NC
    You should always start with the reason/symptom the patient came in for.

    So dmaec is right.

  5. Question change of dx
    What is your employer wants the collectors to change the dx from what the pathologist finds to screening, which is why the patient had the colonoscopy in the first place? Shouldn't the claims we filed with the findings of the pathologist not screening or routine? Wouldn't this be fraud?

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