How should a situation be handled. A patient came to the ER and CT scans of the brain, neck and a CTA of the neck were ordered. The reason on the order were for MVA and dizziness. A radiology coder coded it out for neck pain, dizziness and stenosis. The only insurance information provided was health insurance. Follow up was done on these claims and a it was of another coders opinion that the diagnosis should be changed to trauma (due to the MVA). My 2 part question is:
1. Should the diagnosis codes be changed to trauma
2. If they are changed, should a corrected claim be submitted to the health insurance to update the new diagnosis codes
Thank you for any input!! Any documentation to reflect your input would be even more helpful!!
1. Should the diagnosis codes be changed to trauma
2. If they are changed, should a corrected claim be submitted to the health insurance to update the new diagnosis codes
Thank you for any input!! Any documentation to reflect your input would be even more helpful!!