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Dx ? for CXR

  1. #1
    Default Dx ? for CXR
    Medical Coding Books
    I work for an imaging center and have numerous x-ray reports that come across stating the following....what dx should I be using? Help!!


    IMPRESSION: No active disease of the chest.

    FINDINGS: Tubes and lines. None.

    Lungs: Clear bilaterally without focal consolidation, pleural effusion or edema.

    Cardiomediastinal silhouette: Within normal limits.

    regional osseous structures/soft tissues: Mild degenerative changes of the spine.

  2. #2
    Columbia, MO
    AB-01-144 States that you may use the physician's dx as the indication for the test as the dx, so looks like pneumonia.

    Debra A. Mitchell, MSPH, CPC-H

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