10-11-2017, 05:43 AM | Community Wiki

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Rhonchi??

  1. #11
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    Medical Coding Books
    Quote Originally Posted by ajs View Post
    The doctor has not diagnosed anything with that statement. That is just part of the medical history. You need to go with what the assessment of the patient was after the doctor reviewed all this information. And it does not say anything is abnormal so you cannot diagnose abnormal chest sounds...it might have been normal for this patient!
    Thank you very much for responding, Arlene; I appreciate your help! Remember, though, that I'm doing CRG coding so I have to pick up every little symptom. Aren't rhonchi by their nature an abnormal sound? Would it ever be considered normal to have them?

  2. #12
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    Tacoma, WA
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    Quote Originally Posted by TracyAlder View Post
    Thank you very much for responding, Arlene; I appreciate your help! Remember, though, that I'm doing CRG coding so I have to pick up every little symptom. Aren't rhonchi by their nature an abnormal sound? Would it ever be considered normal to have them?
    That is a question for the provider. This is what I found online as a description:

    "Rhonchi are also described as "continuous" sounds. They are lower in pitch than wheezes and have a snoring quality. They also have a sinusoidal pattern on waveform, but the number of deflections per unit time is less than that of wheezes as they are of lower frequency. Although rhonchi are almost always due to airway secretions and usually clear with cough, they may be present in other conditions that cause airway narrowing."
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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