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Radiology diagnosis coding

Hello,

I am just wondering if I can other opinions on radiology diagnosis coding.
1) If a report states that a patient got inured, and the impression states there is a sprain of a ligament, but also states there is osteoarthritis…would you just code the sprain or would you also include the osteoarthritis as the secondary?
2) If a patient has a brain MRI and is seen for dizziness/facial droop and suspected stroke, but the impression just lists atrophy and ischemia…would you code fort the atrophy and ischemia or the sypmtoms?

Just looking for input since there are different answers within our office on how people would code.

Thanks!

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