Wiki Dx coding for anesthesiologists

[lorrpb]

How extensively do anesthesiologists need to code dx? Do they code enough dx to support the procedures and P modifier, or do they code every condition the surgeon would code?

 

[klevocz]

DX coding for anesthesiologists

It depends first on your companies policies. I code a charge according to what is documented on the record, with two exceptions. First, if I know the procedure listed is sometimes done with a higher ASA procedure, then I will pull the op report and code all, allowing our system to choose the highest ASA to bill. Second, if I get a report that states the procedure performed was a knee scope was done with a stated diagnosis "pelvis" then I will pull the op report and bill per the op report. Once you open the op report, then yes you should be coding per the op report, all procedures and all dx

 

[lorrpb]

Thanks!