Please clarify this issue for me. Also please offer any resources I may site reagrding this question. Many of our physicians feel that we can code from the "Procedures Performed" or "Conclusion" section of their note although no interpretation may be given in the body of the note or in the description of the procedure they performed. Those of us in our department, all CPC's, agree that you can't code form those sections that the information must be provided in the body of the note. Does anyone know a good site or source we can provide to the physicians to show they must dictate in the body (procedure description) for it to be coded?