You Be the Coder:
Know When to Combine Documentation From Indication, Impression
Published on Thu Mar 14, 2019
Question: A referring doctor sends a patient to us for a magnetic resonance imaging (MRI) scan of the spine due to lumbar radiculopathy. Our radiologist documents a diagnosis of lumbar spondylosis in the impression. Would you code this as lumbar spondylosis with radiculopathy? New York Subscriber Answer: The answer depends on what’s documented in the indication of the dictation report. Just because [...]