I would think that the policy would be based on that of your employer. It is my understanding that as a Coder it is our job to determine the appropriate codes. The determined codes based on the documentation provided may or may not always reflect the same codes as the provider selection.
Try to think of it this way... If the provider documented multiple procedures but only selected a code for one, would you consult the provide prior to adding appropriate codes to increase reimbursement?
Hope this helps!
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