in response to: "If the signs and symptoms are "rule out hydronephrosis" and the findings are for ascites, can I code the ascite or would I need to get the actual signs/symptoms?"
I would code primarily what test was order for-- if r/o hydronephrosis & and test is neg. then code the symptoms-- then code unrelated findings. If the finding is related to the reason the test was ordered, then the finding can be the primary dx code.
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