It is my understanding that when an MD is "ruling something out" you code for what ever is being ruled out so I would code for the fracture especially since the MD has it documented and it is affecting her current status.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of MDSNancy
Sent: Tuesday, February 17, 2004 10:22 AM
To: [EMAIL PROTECTED]
Subject: "consistant with" diagnosis ???

I have a resident who is on hospice services.  She apparently told the doctor that she fell, but not the nurses!!  No one saw it.   She is c/o of rib pain.  There was no xray done r/t hospice.  The doctor wrote in his progress note   "pain....  consistant with rib fracture".  and  "acute rib fracture".    Do I code these or not?????    General opinion here is not to code it without the supporting xrays, but wanted other opinions .
Thanks!


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