Okay, let's try this scenario (I am making this up, but coder-in-mo please let us know if this fits your circumstance)

Patient undergoes biopsy by Doctor A; specimen sent to path.
Patient referred to specialist - Doctor B - for treatment after path report comes in.
Coder-in-mo is trying to code for Doctor B; the path report precedes any visit at all with Doctor B.

Now, coder-in-mo ... what are you being told to code from the path report ... diagnosis? (why isn't your doctor stating dx in his documentation?) ... are you needing to code to get pre-auth for additional procedure/visit?

If you can more clearly outline the scenario, we might be able to give you an answer to your question.

F Tessa Bartels, CPC, CPC-E/M