Forum - Questions & Answers

Nov 11th, 2010 - stacic

Surgical dx

I am new to doing surgical coding. Am I suppose to use the pre-op dx, the post-op dx, or both when I am submitting the charge for the actual surgery?

Nov 11th, 2010 - koatsj 160 

surgical dx

I was taught to first use the preop diagnosis and then any postop diagnosis secondary when billing the surgeries.

Nov 11th, 2010 - nmaguire   2,606 

diagnosis

When a patient presents for an outpatient procedure or ambulatory surgery, the reason for the procedure or surgery is the first-listed diagnosis, unless the preoperative diagnosis and the postoperative diagnosis are different. If this happens, then the postoperative diagnosis is coded.

Nov 11th, 2010 -

this also applies to radiology

If I order a CXR in a patient with cough and I write "Cough" on the requisition, and the xray shows pneumonia, the radiologist codes the bill as pneumonia, not cough.



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