tci Part B Insider - 2007 Issue 4

Part B Coding Coach: Quiz--Is Your MD Guilty of This $650 CT Documentation Mistake?

When doctors jumble exam reports, auditors may target your claimYou know your physician's documentation isn't always perfect, and we-ve got a real-life example right here. Read through the report and determine how you would code. Then see the inset on the next page for what our coding expert has to say. CLINICAL HISTORY: Follow-up sigmoid colon cancer with pulmonary metastasis. CT SCAN OF THE CHEST, ABDOMEN, AND PELVIS WITH CONTRAST TECHNIQUE: 5-mm sections through the chest, abdomen, and pelvis were obtained with 100 cc of Isovue 300 (non-ionic) contrast agent intravenously without incident, and oral contrast and images...

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