AAPC - Back to school
Page 2 of 2 FirstFirst 12
Results 11 to 13 of 13

Thread: Screening vs procedure

  1. #11
    Join Date
    Apr 2007

    Default ASC Coding guidelines for dx

    AAPC: Back to School
    Documentation to support the ASC coding guidelines that you requested, are in the ICD9 code book under coding guidelines, Section IV, Diagnostic Coding and Reporting Guidelines for OP services, under the letter "O".

    It states:

    For ambulatory surgery, code the diagnosis for which the surgery was performed. IF the POSTOPERATIVE dx is known to be different from the preoperative dx at the time the diagnosis is confirmed, SELECT THE POSTOPERATIVE DX for coding since it is the most definitive.

    I know every payor is different, but I would suggest you make sure you get something in writing from the payor to support doing it differently. I would also check with your audit company to find out what rules they were following when they dinged you.

    Hope this helps

  2. #12
    Join Date
    Apr 2007
    Palm Beach


    Medicare has recently sent out notification that the screening diagnosis should be coded as the primary and any additional findings be coded as secondary. This can be found in the Federal Register, Vol 71, No. 231, Page 69665, Dec 1 2006.

  3. #13
    Join Date
    Apr 2007


    It is true that Medicare just announced (again) that they want the screening first and any findings secondary but if a biopsy or polyp is removed your diagnosis pointer has to point to the second diagnosis. I believe that someone earlier explained the whole diagnosis pointer thing. The article is on the CMS website under MLN Matters # SE0746.

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Replies: 1
    Last Post: 04-24-2014, 07:38 AM
  2. screening colon converted to open procedure
    By MSPEAKM in forum Gastroenterology
    Replies: 2
    Last Post: 07-26-2013, 11:28 AM
  3. mChat Screening Procedure Coding
    By burnam in forum Pediatrics
    Replies: 2
    Last Post: 05-02-2011, 10:45 AM
  4. Screening Code W/O Procedure?
    By dballard2004 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 08-02-2010, 02:06 PM
  5. coding off from a hand written procedure from the procedure doctor
    By vsmith in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-18-2010, 09:06 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.