Results 1 to 6 of 6

Screening mammo

  1. #1
    Question Screening mammo
    Exam Training Packages
    I was wondering can anyone tell me if there is no documentation for a screening mammo and you cant look into the persons other visits if they had hx breast cancer or absent breast because of our guidelines, would you wait for the documentation to be complete or would you code it as is a screening.
    thanks
    T

  2. #2
    Location
    Columbia, MO
    Posts
    12,572
    Default
    You must have the documentation that specifies the reason for the study or it cannot be coded. You cannot assume.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default Screening mammo
    THANK YOU
    i thougth the same and my work has been telling me to use v7612 without documentation and i refused to do so , i told my boss and also my lead coder that i am going bye the coding guidelines .
    thank you for youre input

  4. #4
    Default
    if anyone has any comments on this please post them i want to be sure and print this out and bring it into my boss and lead coder to show them, so i am not walking in blind and i have evidence on why i wont do them till the documentation comes in .
    thanks again

  5. #5
    Location
    Columbia, MO
    Posts
    12,572
    Default
    See if this helps, it is from the first page of the Official ICD-9 coding guidelines:
    A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses and procedures that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.

    Just remember entire record for a physician claim is that day as you cannot go back in time.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
    Default
    Thank you so much its greatly appreciated
    herget

Similar Threads

  1. Mammo Screening
    By amylis1 in forum OB/GYN
    Replies: 1
    Last Post: 02-16-2012, 06:29 PM
  2. Screening Mammo-
    By caroline in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-11-2011, 10:48 AM
  3. Screening mammo vs diagnostic mammo
    By uhlerclarem in forum Employment General Discussion
    Replies: 1
    Last Post: 07-14-2009, 02:29 PM
  4. screening mammo
    By srinivas r sajja in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-30-2007, 08:03 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?

Login

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.