Posted on 22. May, 2009 by in Hot Coding Topics
OK, coders. If you aced Doctor’s Slang 101 and think you’re IT, it’s time for Round 2.
If you see these in an note, do you know what they mean?
- A’s and B’s
- Banana Bag
- ROMI or ”romied”
- Swiss Cheese
- Tet Syndrome
A’s and B’s: Often means “apnea and bradycardia,” and it’s most likely to pop up in notes about neonates. Careful, though. A query to the doctor who dictated the note may be in order.
Banana Bag – An IV potassium drip.
ROMI, romied: ROMI means ”rule out myocardial infarction.” And you may see things like “The patient was romied” in a note. It means the patient had a standard series of test to ‘rule out’ MI.
Tip: And remember the coding perils ‘rule out’ can bring when you want to show medical necessity for testing protocols. Don’t code the MI. Code the signs & symptoms.
Swiss Cheese – Radiologists sometime use this term to describe severe osteoporosis.
Tet Syndrome – Tetralogy of Fallot. Please click here to learn more about how to code for it.
UA – Often urinalysis, but it can be ‘uric acid.’ If in doubt, query.
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