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Echo dx coding help

  1. Default Echo dx coding help
    Medical Coding Books
    A patient had an echocardiogram with the indication of fatigue/malaise which per LCD guidelines is not a covered diagnosis. The findings of the echo state that it is midly abnormal with mild miltral regurgitation, mild aortic insufficiency and mild tricuspid insufficiency with a peak PA pressure of 30mmHg. Are mild finding sufficient to code a 424.0 for mitral regurgitation?

  2. Default
    Quote Originally Posted by AshleyMartin View Post
    A patient had an echocardiogram with the indication of fatigue/malaise which per LCD guidelines is not a covered diagnosis. The findings of the echo state that it is midly abnormal with mild miltral regurgitation, mild aortic insufficiency and mild tricuspid insufficiency with a peak PA pressure of 30mmHg. Are mild finding sufficient to code a 424.0 for mitral regurgitation?
    Yes it is. You might want to look at code 396.3 for the combined mitral and aortic insufficiency/regurgitation . triscupid 424.2
    Theresa CCS-P CPMA CCC ICDCT-CM

  3. Default
    I should have added that if it would have been "trace regurgitation" then you should not code that as a final dx.
    Theresa CCS-P CPMA CCC ICDCT-CM

  4. Default pbsr
    ECG dx strike off by physician and simply states PBSR...Is it an abnormal ECG or a repeat ECG is requested due to any equipment fault....

  5. Default
    not quite sure what that would mean except maybe pulse burst saturation recovery. hmm ?
    Theresa CCS-P CPMA CCC ICDCT-CM

  6. #6
    Location
    Orange Park Florida
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    41
    Default
    yes i agree you can bill it even though it says mild..we do and it pays.

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