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Diagnosis controversy

  1. #1
    Default Diagnosis controversy
    Exam Training Packages
    Order states OVARIAN CYST....US TV/Pelvic

    Scan is normal.

    Is it ok to code 620.2 even though the scan was normal? Nothing else to go by


  2. #2
    Sounds like you need some additional information to clarify the pre-op DX. You could start by requesting an H&P. Review the Chief Complaint and determine if the patient was experiencing symptoms or perhaps the patient has a history of ovarian cyst. If you don't find sufficient info on the H&P, query the doctor.

  3. #3
    Any other helpful suggestions?


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