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diagnosis coding question for r/o

  1. #1
    Default diagnosis coding question for r/o
    Medical Coding Books
    hi any one can help me

    pt came for nm gastric emptying study and doc wrote on script r/o gastroparesis

    on result says no evidence of gastroparesis was noted.

    there is no sign and sym what is my admit and primary code based on report.
    and ins is medicare and this is for hospital outpt
    i use admit and primary as v71.89 is this is correct?
    thanks

  2. #2
    Location
    Sioux Falls South Dakota
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    Quote Originally Posted by harshila View Post
    hi any one can help me

    pt came for nm gastric emptying study and doc wrote on script r/o gastroparesis

    on result says no evidence of gastroparesis was noted.

    there is no sign and sym what is my admit and primary code based on report.
    and ins is medicare and this is for hospital outpt
    i use admit and primary as v71.89 is this is correct?
    thanks
    You could certainly use V71.89, or you could query the ordering physician for the signs/symptoms and code those. We've been trying to always get our doctors to give the signs/symptoms instead of just r/o - but sometimes it's a losing battle!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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