If a provider orders a wound culture that turns out positive and the lab does

If a provider orders a wound culture that turns out positive and the lab does sensitivities as a "reflex" test, should that reflex be included as a data element? The physician knows the reflex will happen if certain criteria are met but does not document that in the note or as part of his orders. The same situation happens with urinalysis - it may "reflex" to a culture and then sensitivities. Should these criteria-based lab protocol orders be counted?

To view the Official AMA answer and 1000s more like this:

CPT® Knowledge Base is a compendium of real life coding questions asked by the coding community and answered by CPT® coding experts.

Over 2900 questions and authoritative answers from the CPT® professionals at the AMA. Get specific answers to challenging coding questions, and search the knowledge base of others' real world questions.

Access to this feature is available in the following products:

AMA's CPT® Advanced Coding Pack

Thank you for choosing Find-A-Code, please Sign In to remove ads.

MY NEWSLETTERS

FEES

FACILITY

RISK ADJUSTMENT

CPT Knowledgebase - Jul 6, 2022