hpierce
Guest
I have a question. Are there guidelines documented anywhere that says you can or can't code from certain "sections" of the op note? I know you shouldn't only code from the heading of the note, that you need to read the entire note and I understand that, but I have a note where the physician lists he did a hernia repair ("hiatal hernia repaired posteriorly with single stitch") but the repair isn't mentioned in his description of the procedure. It seems to me like he should dictate an addendum however, this particular physician will want documentation to support my argument. Is there anything that I can show him?
Please help!!
Heather, CPC
Please help!!
Heather, CPC