ruthan
Networker
We have read the CC1Q2012 Page. 15 - 16, and are still unsure. For example we have a study in which the patient came in for Dysphagia, during the EGD they took biopsy of some gastric erosions and the Physician also said even though patient had no masses or strictures, there was a Schatzki's Ring present at the GE junction. Later in the EGD report is stated they did a dilation using a Savary dilating guidewire.
So we are questioning first of all because the patient came in with Dysphagia (and according to what we read schatzki ring is a sign of Dysphagia) should we even be picking this diagnosis up....
Also questioning on the coding of the Congenital or Acquired portion. In our facility I have never seen our Gastro. Doctor's documented if it is acquired or congenital. And upon my reading it says if it is a new significant finding then code as acquired. But if we don't know if this is truly a initial finding of this....should we be sending the Phys. a query on all of these??