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Wiki Coding abnormal diagnostic testing

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SDAlward

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I just want to clear something up that's been a debate. If you are coding from a diagnostic report, and the report indicates a definitive diagnosis (e.g. a carotid u/s was done carotid artery stenosis was found), would it be appropriate to either:

A) report only the carotid stenosis (433.10)

B) report 433.10 AND a code for an abnormal carotid u/s

Any feedback and links to resources would be appreciated :)
 
SDAlward said:
I just want to clear something up that's been a debate. If you are coding from a diagnostic report, and the report indicates a definitive diagnosis (e.g. a carotid u/s was done carotid artery stenosis was found), would it be appropriate to either:

A) report only the carotid stenosis (433.10)

B) report 433.10 AND a code for an abnormal carotid u/s

Any feedback and links to resources would be appreciated :)
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Read your coding guidelines they state that if a definitive dx is rendered your u code the definitive, you do not code any signs or symptom that are related to the dx.
 
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