I am being told by our compliance officer that an x-ray dictation does not have to match an x-ray order given. The example I have is that our physician dictated in the note that he did an AP and Lateral of the right tib/fib but when I went to code/bill this out I saw that the order was for the right ankle. I was told that I should bill this out as it is dictated and that the order didn’t have to match the x-ray taken. I found documentation online that completely contradicts what they are telling me. I disagree with their answer but am forced to code this way. I would like another compliance officers opinion on this.

Thank you in advance!