Posted on 23. Apr, 2009 by in Toolkit
Check information in these seven places to ensure you report the right procedure code.
1. Anesthesia cover sheet (or charge sheet)
2. Complete anesthesia record
3. Operative (or surgical) report
4. Related consultation notes (history and physical, etc.)
5. Pathology report
6. Hospital medical record and codes
7. Nurses’ notes
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