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MRI Brain

  1. #1
    Default MRI Brain
    Medical Coding Books
    Order states HA'S and syncope.

    IMPRESSION: Normal brain parenchyma. Mild mucosal thickening in the maxially sinuses.

    Would it be apprpriate to code 478019 or 784.0/780.2

  2. Wink
    Depending on what the provider states. Normally the results are not used for code placement in a clinical setting, (diagnosis of CT results are normally not available when the provider orders the testing unless the encounter is a follow up for reading of test results). The providers diagnosis documentation should be coded if seen in a clinical setting and the CT results should be used if you are coding just for the CT.
    Last edited by dtovar; 07-06-2009 at 12:53 PM. Reason: clarification

  3. #3
    We are an IDTF......

  4. Default

    My suggestion on this, we can code this as 784.0 & 780.2

    As 478.19 may get denied
    Joseph Amalraj Antonisamy CPC-H

  5. #5
    Rochester, NY
    Default Mri brain
    I agree with Joe. I would use the 784.0/780.2. I think the sinus results may be incidental and could possibly cause a denial if that is the only code used. If you wanted to you could code the sinus results as a third diagnosis code, but I would probably just leave it off because the 784.0/780.2 should be sufficient for payment.
    Thanks, Jill

  6. Default HI
    The correct sequence of icd is 784.0,780.2 and 478.19

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