Coder Bradley
Guest
A patient came into the ER, evaluated and treated by the PA.
Patient had a CT scan, read by a MD.
MD documented an absence of the left kidney, PA documented congenital atrophied left kidney.
Per my supervisor I should code the atrophied kidney and NOT the absence of the same kidney, because the PA was the one that evaluated and treated the patient, not the MD?
Is this accurate or should only the absence of the kidney be coded?
Patient had a CT scan, read by a MD.
MD documented an absence of the left kidney, PA documented congenital atrophied left kidney.
Per my supervisor I should code the atrophied kidney and NOT the absence of the same kidney, because the PA was the one that evaluated and treated the patient, not the MD?
Is this accurate or should only the absence of the kidney be coded?