Jacoder
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Part of my job at my hospital is to code the outpatient x-rays. I see a lot with the diagnosis "Truama" which I in turn code as an injury, but I never get an explanation of what the injury is (you know, those E codes). I am torn between whether I should or shouldn't query my physicians about this. I recently sent a query stating that I needed more specification of the trauma such as a fall, MVA, crushing injury, ect. and the provider faxed the query back to me with the diagnosis of "Trauma/Pain."
I think this information is needed, and according to AHIMA, I can query when:
*Clinical evidence for a higher degree of specificity or severity
*A cause-and-effect relationship between two conditions or organism
But then again, maybe I'm reading too much into that. Basically, I know how busy our providers are and I don't want to query them about things that are not required of them.
Are E codes required? Thanks in advance.
I think this information is needed, and according to AHIMA, I can query when:
*Clinical evidence for a higher degree of specificity or severity
*A cause-and-effect relationship between two conditions or organism
But then again, maybe I'm reading too much into that. Basically, I know how busy our providers are and I don't want to query them about things that are not required of them.
Are E codes required? Thanks in advance.