Wiki Handwritten procedure note`

[lindacoder]

Medicare patient had evac hematoma -

handwritten note reads:

Hematoma rt calf

procedure - evac hematoma rt calf

surgeon: Dr.

Anesth: MAC

EBL - min

CX - none

tol well.

Since this is handwritten is this enough to charge aspiration of hematoma - pt has Medicare? I'm thinking there is not enough here.

Thanks.

 

[cmartin]

Assuming there is also a date, I don't see any reason the service wouldn't be billable, but I would ask the provider to specify whether it was an aspiration or an I&D.