AmandaW
Guru
Example:
Dr. orders a TSH for fatigue and hot flashes. Before the patient leaves, the Dr. does dictate the findings of the test. Hypothyroidism was found. The Dr. has hypothyroid in is note but of course did not know the patient was hypothyroid until that test was ordered. I know I could bill hypothyroidism for the E/M, but what about that TSH lab? The reason or the results?
Same for magnesium lab....patient is having muscle cramps. Went to the doc to figure out why. Dr. ordered a magnesium lab, patient is found to have hypomagnesiumemia Dr documented those findings and states "Patient's magnesium lab shows hypomagnesium today" Code the results or reason on the lab charge?
Dr. orders a TSH for fatigue and hot flashes. Before the patient leaves, the Dr. does dictate the findings of the test. Hypothyroidism was found. The Dr. has hypothyroid in is note but of course did not know the patient was hypothyroid until that test was ordered. I know I could bill hypothyroidism for the E/M, but what about that TSH lab? The reason or the results?
Same for magnesium lab....patient is having muscle cramps. Went to the doc to figure out why. Dr. ordered a magnesium lab, patient is found to have hypomagnesiumemia Dr documented those findings and states "Patient's magnesium lab shows hypomagnesium today" Code the results or reason on the lab charge?