Op Note Decoder Ring: Red Flags for Multiple Procedures
Posted on 23. Feb, 2009 by in Hot Coding Topics
Never rely on an op note’s “procedure performed” line for your coding, warns Coding Institute speaker Joanne Schade-Boyce.
Many times, surgeons perform more procedures than what they dictate in that line. Read through the report and look for tell-tale phrases that indicate procedures you may be able to code separately, such as:
- “attention was then turned to”
- “at a separate site”
- “through a separate incision”
- “now entered”
More op note advice from Joanne.
Plus, our 2009 General Surgery Coder’s Survival Guide.
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