I have a mammogram report that describes a nodule of 11*9 mm with obscured margins, in the impression says "Bi Rads O- Incomplete mammogram" with recommendation of US of breast. Should I code the breast nodule or BI-RADS 0 (R92.2)? thank you
Click here for more sample CPC practice exam questions with Full Rationale Answers
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page
Tag Archives: Abnormal
abnormal pneumogram for premature
For some reason I have a difficult time finding a good ICD 10 code for Premature baby of 35 weeks with abnormal pneumogram. That is the diagnosis to have home apnea monitor. Does anyone have suggestion? Thank you.
Abnormal Pap Smear
How long can my provider continue to code abnormal pap smear after normal result? For example, patient had abnormal pap smear in 2013, repeated in 2014 and it was normal. Provider wants 5 years of normal results before she recommends having pap smear every 3 years. I’m not questioning the recommendation only how many years we can continue to use abnormal result diagnosis code. I cannot seem to find a clear answer on this. It seems to me that after the 1st two normal results we should be coding it as a screening with hx of abnormal pap if the provider wants it repeated yearly for this many years.
Is there an e/m code for discussing abnormal lab results
Hi,
Is there an e/m level code to use for discussing lab results with established patients? do I use the MDM to come up with the level of care?
Documenting Abnormal Lab Findings
Hello,
We recently performed an audit with our weight loss clinic (wellness clinic). The provider goes over the lab orders from the PCP with the patient. There is not a way to attached the lab finding with the valves to the patients chart. The provider would like to document without the values. For example patient has evaluated cholesterol levels, with supervised diet blah, blah. Would this be correct documentation? Or would the provider need to state patients cholesterol level, 249, with supervised diet blah, blah. Or would this one be correct? Provider is addressing all the lab issues because they have a connection to the weight, but not treating the issues, the PCP is doing that.