Reader Question:
Indicative Phrasing Could Be a Definitive Dx
Published on Tue Dec 10, 2019
Question: In the impression of the report, the provider documents that “contrast opacification of the subacromial and subdeltoid bursa is indicative of a rotator cuff tear.” Is this sufficient documentation to code a rotator cuff tear? Wisconsin Subscriber Answer: There are numerous instances where the terminology behind a particular diagnosis can rule it out from being reported as a diagnosis [...]