Results 1 to 6 of 6

Thread: Auditing

  1. #1
    Join Date
    Apr 2007
    Location
    St Louis West
    Posts
    9

    Default Auditing

    Promo: Code Books
    When audting the physician states no CV tenderness (costovertebral angle). Using 1997 audting sheet what bullet (if any) woiuld you assign for this? Thanks. Pat:

  2. #2
    Join Date
    Apr 2007
    Location
    York, Pa
    Posts
    1,899

    Default

    I would count that as the 3rd bullet in GI.

    Examination for presence or absence of hernia.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  3. #3
    Join Date
    Apr 2007
    Location
    Cincinnati, Ohio
    Posts
    30

    Default

    Quote Originally Posted by rthames052006 View Post
    I would count that as the 3rd bullet in GI.

    Examination for presence or absence of hernia.
    ************************************************** **************
    I'm not sure that I understand how you get examination for presence or absence of hernia for CVA tenderness as defined below............

    Kidney punch or CVA Tenderness is elicited when gently tapping the area of the back overlying the kidney producing pain in people with an infection around the kidney (perinephric abscess) or pyelonephritis or renal stone. Since the kidney lies directly below this area, known as the costovertebral angle, tapping disturbs the inflamed tissue causing pain.

    Angie Finnigan, CCS-P, CPMA, CPC

  4. #4
    Join Date
    Apr 2007
    Location
    Lubbock, TX
    Posts
    1,504

    Default

    It's odd that there's not really a bullet for this - I guess the closest I'd get is with Examination of abdomen, with notation of masses or tenderness. Kidneys are technically in the abdominal cavity, and I don't see anything else that really fits...

  5. #5
    Join Date
    Apr 2007
    Location
    York, Pa
    Posts
    1,899

    Default

    Quote Originally Posted by ajfinn0216 View Post
    ************************************************** **************
    I'm not sure that I understand how you get examination for presence or absence of hernia for CVA tenderness as defined below............

    Kidney punch or CVA Tenderness is elicited when gently tapping the area of the back overlying the kidney producing pain in people with an infection around the kidney (perinephric abscess) or pyelonephritis or renal stone. Since the kidney lies directly below this area, known as the costovertebral angle, tapping disturbs the inflamed tissue causing pain.

    Angie Finnigan, CCS-P, CPMA, CPC
    I was given that information from a specific carrier seminar.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  6. #6
    Join Date
    Apr 2007
    Location
    York, Pa
    Posts
    1,899

    Default Your suggestion seems like a better fit

    Quote Originally Posted by btadlock1 View Post
    It's odd that there's not really a bullet for this - I guess the closest I'd get is with Examination of abdomen, with notation of masses or tenderness. Kidneys are technically in the abdominal cavity, and I don't see anything else that really fits...
    Seems like a better fit, I wonder if I wrote the info from the carrier behind under/behind the wrong bullet in GI.

    That could be... thanks for your observation as always B
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

Similar Threads

  1. Auditing ? on E/M-
    By msalvatore in forum Auditing General Discussion
    Replies: 2
    Last Post: 03-25-2015, 11:13 AM
  2. Auditing E/M
    By Ronilynn in forum E/M
    Replies: 2
    Last Post: 05-19-2014, 06:20 PM
  3. E/M Auditing
    By magmae in forum Orthopaedics
    Replies: 2
    Last Post: 03-27-2014, 08:29 AM
  4. Auditing
    By Lorij in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-21-2010, 11:42 AM
  5. Please help// auditing
    By COMMALETTI in forum E/M
    Replies: 1
    Last Post: 05-08-2009, 08:32 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.