Re: "consistent with" diagnosis ???

[Bryan Sims]

Interesting point, but if no x-ray is available, then you can not code fracture.  The MD does not have x-ray vision, so unless we have supporting documentation I would not code fracture.  Just my thoughts.  Have a good day! bryan ----- Original Message ----- From: Jennifer Russo To: [EMAIL PROTECTED] Sent: Tuesday, February 17, 2004 7:57 AM Subject: RE: "consistent with" diagnosis ??? 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! Do you Yahoo!? Yahoo! Finance: Get your refund fast by filing online