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operative report/path report

  1. #1
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    NEW ORLEANS
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    Default operative report/path report
    Clearnace Sale
    What is the actual diagnosis do you go by
    the operative report says post operative dx or the path dx.
    The reason why I ASK , sometimes the doc would state mass excsion -which is usually a code on a benign code - ex 216.9, but when path report comes back its a 706.2 sebaceous cyst. Which one do you tend to follow .

  2. #2
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    I go by the path...
    NoRaX

  3. #3
    Location
    Albany, New York
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    457
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    As an Amb. Surg. coder, any time a lesion removal is done I wait for and utilize the Path result.
    Karen Maloney, CPC
    Data Quality Specialist

  4. #4
    Location
    Columbia, MO
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    13,021
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    Quote Originally Posted by trent123 View Post
    What is the actual diagnosis do you go by
    the operative report says post operative dx or the path dx.
    The reason why I ASK , sometimes the doc would state mass excsion -which is usually a code on a benign code - ex 216.9, but when path report comes back its a 706.2 sebaceous cyst. Which one do you tend to follow .
    A mass is not a benign code unless path says it is benign. I would always go by the path.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Location
    NEW ORLEANS
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    956
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    path it is -thanks

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