I have
nothing in writing. I am not a coder.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of MDSNancy
Sent: Tuesday, February 17, 2004 2:27 PM
To: [EMAIL PROTECTED]
Subject: RE: "consistent with" diagnosis ???Is this written somewhere? I've been told by UMR that I can't use a "r/o" diagnosis.
Jennifer Russo <[EMAIL PROTECTED]> wrote: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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