Our facility’s lab dept has a protocol when a UA comes back abnormal a culture is automatically done. However since the coder does not code from lab results but the order itself the dx will pass for the UA but not the urine culture. We are considering a policy/protocol where the physician lab director has a standing order for urine cultures with an abnormal findings dx code. Any input from other coders or facilities regarding how to go about this or examples from other facilities would be so appreciated. Thanks for any and all help!

CML, CPC