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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