AAPC - Back to school
Results 1 to 3 of 3

Thread: Dx Question

  1. #1

    Default Dx Question

    AAPC: Back to School
    Just a quick question, I code for an ASC, in the ICD-9 guidelines it says to report the post op dx if it is different from the pre-op dx, because the post-op dx is more definitive. But as an example, what if a Doctor performs a colonoscopy, his pre-op dx is abdominal pain, his post of dx is internal hemorrhoids. Internal hemorrhoids is not on the carriers LCD list for a colonscopy can you report both diagnosis, the pre-op and the post-op ???
    Thanks in advance for any responses.

  2. #2


    I'm curious to find out a more concrete response to this as welll especially when the finding is hemorrhoids.

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    Does the provider indicate the hemorrhoids are the reason for the abd pain? If he just mentions the hemorrhoids are present but not explain the patient presenting symptoms then yes you code the symptom first and the finding secondary. If the finding is documented as the reason for the symptom then no you do not code code both.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. ROS Question and Exam Bullet Question
    By Stefanie in forum Auditing General Discussion
    Replies: 1
    Last Post: 05-21-2010, 04:04 PM
  2. Replies: 5
    Last Post: 10-13-2008, 07:55 AM

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?


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.