You are hereIs linking different ICD-9 to multiple CPTs when the M.D. hasn't done so "diagnosing the patient" & wrong for coders to do?

Is linking different ICD-9 to multiple CPTs when the M.D. hasn't done so "diagnosing the patient" & wrong for coders to do?


By ljohnson - Posted on 06 August 2010

Yes
21% (4 votes)
No
11% (2 votes)
I'm a physician, I expect my coding staff to know which diagnosis goes with the procedure(s).
11% (2 votes)
Sometimes it is. Sometimes it isn't. It depends on the documentation &situation.
53% (10 votes)
I never really thought about this.
5% (1 vote)
Total votes: 19
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To clarify the Poll question: If the surgeon lists several diagnoses and has done 3 different procedures, should the coder report all 3 for each of the procedures or ask the MD to do the linkage? Example: Pre- and post-op diagnoses: 1. Neck pain 2. Thoracic pain 3. Sacroiliitis Procedure: 1. Cervical Epidural Sterod Injection with fluoroscopic guidance 2. SI Joint Injection with fluoroscopic guidance Should the coder use all 3 of the diagnoses above to each of these procedures, or link the neck/thoracic pain to the CESI and the Sacroiliitis to the SI Joint injection, knowing that neck pain ICD-9 would never meet the criteria for medical necessity for SI Joint pain? Ditto for Sacroiliitis Dx not meeting the criteria for medical necessity for CESI. If the coder makes the decision to link, do you think this is incorrect to do & considered "diagnosing the patient"? As always, you comments are welcomed and encouraged. LJ