tci Part B Insider - 2010 Issue 27

Reader Questions: Base Dx Code on Reason for Test

Question: A patient comes into the emergency room for a fall from a ladder, and the ER docs order a CT of the head and cervical spine. The radiologist notes no acute findings except for some degeneration in the spine. Is it OK to code the degeneration even though it wasn't really the reason the person had the scan and wasn't related to the reason the test was ordered?Answer: You should report the reason for the exam rather than an  incidental finding as your first-listed diagnosis. For example, if the ordering doctor notes swelling on the head and...

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