Results 1 to 4 of 4

dx re: reason for procedure vs findings

  1. #1
    Default dx re: reason for procedure vs findings
    Exam Training Packages
    if a patient had a colonoscopy for constipation and blood in stool, however, the provider found a colon polyp and uncomplicated internal hemorrohoids - would you code all diagnoses or just the findings?

    you can e-mail me directly at: coding_compliance@msn.com
    Shellie Sulzberger, LPN, CPC
    Coding & Compliance Initiatives, Inc.

    website: www.ccipro.net

  2. #2
    Location
    Portland, Oregon
    Posts
    20
    Wink procedure vs findings
    Hi Shellie,

    You should use the most specific diagnosis appropriate for the patient and make sure it is well-documented in the medical record.
    Also, you should check on EdgeBlast #120 March 2009, title: CT Colonography Fails NCA test. That would be help.

    I hope it can help,

    Good luck,

  3. #3
    Location
    Charlotte, NC
    Posts
    534
    Default
    I would put the colon polyp on line one and the constipation and blood in stool on subsequent lines as additional dx if needed.

  4. Default
    I would bill colon polyp as primary diagnosis (make sure you go by path results), bleeding as second, and constipation as third. The colon polyp is reason for polypectomy.

Similar Threads

  1. reason for pre-op
    By kaydlady in forum Diagnosis Coding
    Replies: 2
    Last Post: 09-29-2015, 09:14 AM
  2. Reason for visit codes
    By Lomakema in forum Emergency Department
    Replies: 3
    Last Post: 10-04-2013, 12:32 PM
  3. no medical reason
    By heatherwinters in forum Diagnosis Coding
    Replies: 3
    Last Post: 06-25-2010, 07:11 AM
  4. Valid Reason
    By Gemini18 in forum E/M
    Replies: 1
    Last Post: 07-21-2009, 01:39 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.