Page 1 of 2 12 LastLast
Results 1 to 10 of 14

PA documentation trumps MD?

  1. #1
    Wenatchee Washington.
    Default PA documentation trumps MD?
    Exam Training Packages
    A patient came into the ER, evaluated and treated by the PA.
    Patient had a CT scan, read by a MD.

    MD documented an absence of the left kidney, PA documented congenital atrophied left kidney.

    Per my supervisor I should code the atrophied kidney and NOT the absence of the same kidney, because the PA was the one that evaluated and treated the patient, not the MD?

    Is this accurate or should only the absence of the kidney be coded?

  2. Default
    A radiologosit should be doing the final read on the CT. See what the final report says.

    But regardless, the PA did the face-to-face encounter with the patient independent from the MD, so you code the E&M encounter based on the PA's assessment and findings.

    If it turns out the Radiologist's report supports the MD's review, then the PA can make an addendum to her documentation. And whoever sees the patient for f/up will have the PA's addendum and the Radiologist's report to correctly code the f/up encounter

  3. #3
    Wenatchee Washington.
    The MD was the one that did the final report and documented the absence of the kidney.

    I'm wondering if V45.73 should be reported in place or in addition to 753.0
    Last edited by Coder Bradley; 06-01-2010 at 03:27 PM.

  4. Default
    Maybe we are just using terms differently.

    An MD can look and state what his findings are in order to treat his patient. But a Radiologist must provide the final written interp of the xray. Unless your MD is also credentialed as a Radiologist, his "interp" is irrelevant

    Either way, your PA was the only one face-to-face with the patient and the encounter is coded based on her exam, eval and MDM

    Now I'll throw my 2 cents in.... you are a CPC-A meaning you are in a learning-mode. If you have questions on guidance your supervisior has provided, you should be discussing these with her and not double checking or questioning her guidance in this forum
    Last edited by sbicknell; 06-02-2010 at 08:27 PM.

  5. #5
    Wenatchee Washington.
    When my supervisor makes herself available for such a discussion I will happily do such, however most of my contact with her is through post it notes stating that I did it wrong and to do it her way.

    Thank you for your time in replying.

  6. Default

    My apologies for my 2-cents. Also, sorry to hear you are working with such a lack of support from your Supv. There is no opportunity to learn with "don't do xxx, do zzz" without an explanation or discussion. Hopefully you have an experienced coder at your site that is more available to you.
    Last edited by sbicknell; 06-03-2010 at 11:10 PM.

  7. #7
    North Carolina

    I would encourage you to continue to post your questions here, also. There are many seasoned coders in this forum that will happily assist you with questions. As seasoned, older coders, it is our responsibility to take the younger coders under our wings and support them, guide them and supply them with proper coding information. This should be a safe place to post questions and debate them openly. Personally, I have worked with managers (former) that were completely ignorant of coding guidelines, Medicare regs, etc. Were they at fault? Not necessarily. Sometimes, their skills lie elsewhere. This is why we must ask questions when in doubt, gather information, present the information/facts and have a healthy debate.

    Best of luck~

  8. #8
    Columbia, MO
    I am in agreement with Rebecca. This is the best place for open debate. I too hav eworked in places where the supervisor was only looking for the easy way to get it done and there was no place like this available to question things. Please continue to ask away.

    Debra A. Mitchell, MSPH, CPC-H

  9. #9
    Wenatchee Washington.
    There is no need to apologize for your 2 cents, I agree completely. ^^

    If there are any suggestions as to websites that I can look things like that up it would be very helpful, I don't have a lot of luck asking my coworkers about things like this since I seem to be the only coder here.

  10. Default
    Unresponsive supv and no other on-site coders to discuss with. Boy, you are working in a black hole. Then this forum is probably your best bet for feedback. I'm not sure where you are located or what specialty you are working but here are some suggestions

    --Sign-up for your Medicare payers webinars/conference call programs. They are free, topics vary and they earn CEUs
    --Make contact with a coder at another practice that is same specialty to you
    --See if there is a local AAPC chapter where you can establish some contacts
    --Part B used to have a list serve that you could register and participate and post questions (I have lost touch with that but someone may be able to give you the current link and info)
    --can also just do an internet search for what you need (ie MD vs PA documentation) and you get a lot of links and sites that this question has been asked/discussed
    Last edited by sbicknell; 06-04-2010 at 12:07 PM.

Page 1 of 2 12 LastLast

Similar Threads

  1. Documentation on correct documentation placement of procedure notes in the EMR
    By ashephard in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-25-2014, 04:36 PM
  2. Ed e/m documentation
    By ANWALKER in forum E/M
    Replies: 0
    Last Post: 11-21-2013, 05:35 PM
  3. MDM trumps History and Exam ??
    By Orthocoderpgu in forum E/M
    Replies: 1
    Last Post: 11-19-2010, 07:30 AM
  4. Documentation?????
    By JSHAFER in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 09-21-2010, 07:38 PM
  5. Documentation?????
    By JSHAFER in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-21-2010, 09:20 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.