Jacoder
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A few months ago our facility started offering Physical Therapy. One of the problems I have been running into is where the diagnoses are coming from. The person over PT (contract worker) will give me the MD order and a refferal sheet with additional diagnoses determined by the certified Physical Therapist. In some cases when I call her for a DX (because there isn't one on the order) she will give me one that PT determined. I was always under the impression that I cannot code from anything other than that which has been asigned by a physician. You know, the person has to have MD or PA after their name.
I thought it would be easy to find some kind of guideline to back this up, but I haven't found anything. Is it true that we can ONLY code from a Dr or PA's work? And where can I find this in writing? Thanks!
I thought it would be easy to find some kind of guideline to back this up, but I haven't found anything. Is it true that we can ONLY code from a Dr or PA's work? And where can I find this in writing? Thanks!