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coding from path report

  1. #1
    Default coding from path report
    Medical Coding Books
    What is everyone's opinion on coding from a path report before pt is seen by doctor?? I don't agree with this, just wondering how everyone else feels.

  2. #2
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    Louisville, KY
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    The pathologist is a doctor.

  3. #3
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    Ok, let me rephrase that, I know that a pathologist is a dr., how about they are seen before the dr. you work for sees the patient?

  4. #4
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    How could you be coding from the pathology report if your physician hasnt see the patient yet? Could you post the entire scenario in order for members to better assist you?

  5. #5
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    That's exactly my point, they are wanting to change to me coding from the path report before the pt is even being seen by our dr.'s, I'm trying to tell them I don't feel comfortable doing that, so I'm trying to get other people's opinions to help prove my point.

  6. #6
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    the only thing you would be pulling from a pathology report would be a diagnosis. Are they wanting you to code/bill for an E/M visit before the doc sees the patient using a dx from the pathology report?

  7. #7
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    WORD TO THE WISE: no matter what the scenario is, instead of saying you 'don't feel comfortable' (because employers don't care about their employees feelings and someone's feelings are not contractual[if you are in a union environment]), quote guidelines and compliance regulations with proof in a very tactful way....if then your employer insists you follow their directive, then code according to their specifications....just keep a personal log-at home-of the scenario and keep it pushing....don't keep pt's files just the pertinent info...if it becomes an adversarial environment, then look for employment elsewhere
    also, I would advise you to get insurance if you don't already have it-there's a great discount from the AAPC...look under member benefits for more info
    GOOD LUCK!!!!!!

    Quote Originally Posted by coder in mo View Post
    That's exactly my point, they are wanting to change to me coding from the path report before the pt is even being seen by our dr.'s, I'm trying to tell them I don't feel comfortable doing that, so I'm trying to get other people's opinions to help prove my point.
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  8. #8
    Location
    NCF Gainesville
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    64
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    I merely use the path report as an additional source to get any information that might be lacking in the op note, that is necessary for coding.
    Jeni Smith, CPC, CPMA

  9. #9
    Location
    Hartford, CT
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    I don't understand what they want you to code. If your doctor did the surgery you can certainly use the path report to help with the diagnosis coding, however any follow-up would be in the global period. It would help to know what type of doctor you work for and why he/she is seeing the patient.

  10. #10
    Location
    Duluth, Minnesota
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    I'm with dclark7 on this - I don't understand the question. How can you have a path report if the patient hasn't been seen yet? Who ordered (or did) whatever was sent to pathology for findings? (some other provider?).. What are you coding, the path report itself, pathology findings? You can certainly code that if you're coding pathology. (I've coded tons of pathology, profee side only -I had to append the modifier .26 to the codes if needed). For our providers who send stuff to path, we usually will hold the claim until the results come in and code accordingly. The patients are always seen by the provider first, because how else would they get the sample to send to pathology? OR, is your doctor a specialist, and the patient has been sent to them for consult due to whatever came back on a path report from another provider? Could you rephrase your question again? A bit more specific.
    Donna, CPC, CPC-H

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