Forum - Questions & Answers

Nov 18th, 2013 - peggy.glodgett

Fracture Care diagnosis coding

Good morning:

If the Orthopeaedic surgeon states in his documentation, I think pt may have sustained a ft. radial styloid fx. then also states after reviewing x-ray possible radial syloid fx.

Can we code the injury with the wording of "think and possible"?
I have looked for guidelines on this in our coding book but it really doesn't help me much.
any help you can provide on this would be wonderful

Thanks for your help

Nov 18th, 2013 - nmaguire   2,606 

re: Fracture Care diagnosis coding

Possible, probable, suspected--can not be coded in outpatient settings. Code symptoms until a definitive diagnosis is established.



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