Wiki ? correct dx

[Kimberley]

Clinical: Basilar atelectasis followup

IMPRESSION: No active heart disease

COMMENT: The lungs are clear with no consolidation, pleural effustion, or pulmonary edema. No pneumothorax.

Normal heart size with a tortuous aorta.

Visualized bones are intact.

Right breast clips are noted.

? V72.85, V71.89, 518.0

 

[megstone]

I'd use 518.0

 

[Kimberley]

Correct dx code

When we do CXR's, alot of times the order and the indication on the report will state for example: MASTOIDITIS, PNEUMONIA, BRONCHITIS. The impression is normal. Would we still code for the MASTOIDITIS, PNEUMONIA, BRONCHITIS or v71.89/v72.85

Thanks

 

[ohn0disaster]

If the impression is normal, you cannot code the mastoiditis, pneumonia, and bronchitis. I would code V71.89 and the code for radiologic examination, V72.5.