answersLogoWhite

0

How to Code from an Operative Report There is no quick way to code an operative report. You must read and reread the report to be sure your coding reflects all the procedures and diagnoses contained in the report. To code only the "preoperative diagnosis, postoperative diagnosis, and operation performed" as listed at the beginning of the operative report would be incorrect. Additional procedures/diagnoses may be identified in the body of the operative report that are not indicated in the information provided at the top of the form. By coding directly from the text of the operative report, you will ensure that your coding reflects the procedure(s) actually performed, as well as the diagnosis(es) related to the procedure(s). It is essential to communicate with the surgeon whenever you have a question about a procedure or the diagnosis related to it. You may also need to refer to other portions of the patient's chart, such as the pathology report or history and physical examination, to correctly code the diagnosis for which a procedure was performed. For example, the pathology report will indicate whether a lesion that was removed was benign or malignant. Be sure to follow official ICD-9-CM coding guidelines for coding and reporting when assigning diagnosis codes. Official guidelines for coding and reporting ICD-9-CM are available from the Central Office on ICD-9-CM at the American Hospital Association (phone number: 312 422-3000).

User Avatar

Macy Wuckert

Lvl 10
3y ago

What else can I help you with?

Related Questions

Explain how you would code an operative report?

How to Code from an Operative Report There is no quick way to code an operative report. You must read and reread the report to be sure your coding reflects all the procedures and diagnoses contained in the report. To code only the "preoperative diagnosis, postoperative diagnosis, and operation performed" as listed at the beginning of the operative report would be incorrect. Additional procedures/diagnoses may be identified in the body of the operative report that are not indicated in the information provided at the top of the form. By coding directly from the text of the operative report, you will ensure that your coding reflects the procedure(s) actually performed, as well as the diagnosis(es) related to the procedure(s). It is essential to communicate with the surgeon whenever you have a question about a procedure or the diagnosis related to it. You may also need to refer to other portions of the patient's chart, such as the pathology report or history and physical examination, to correctly code the diagnosis for which a procedure was performed. For example, the pathology report will indicate whether a lesion that was removed was benign or malignant. Be sure to follow official ICD-9-CM coding guidelines for coding and reporting when assigning diagnosis codes. Official guidelines for coding and reporting ICD-9-CM are available from the Central Office on ICD-9-CM at the American Hospital Association (phone number: 312 422-3000).


Swift Code for Co-operative bank of Kenya?

The Swift code or BIC for NBK Kenya LTD is: NBKEKENX


Where can you go to pick up a operative report?

At the Medical Records department of the hospital that performed the surgery.


What has the author Co-operative Union written?

Co-operative Union. has written: 'Co-operative statistics 1971' 'Rules of the Co-operative Union Limited' 'Staff pension scheme' 'Wartime work of the Co-operative Union' 'Publicity and stationery list' 'Machinery of the Co-operative Union' 'Bibliography on the Co-operative movement' 'General rules for an industrial and provident society, registered under the Industrial and Provident Societies Acts, 1965-1968' 'The Co-operative directory' 'Report of the Corporate Governance working group, April 1994' 'Co-operatives' 'National Government's real record' 'Special report on the operations of the Ministry of Food' -- subject(s): Great Britain, Great Britain. Ministry of Food


What is the Penal code for Grand theft and is it a felony?

The operative word is GRAND theft. This signifies it is a felony offense. If it was not, it would be called PETITtheft. The questioner did not include their state. Unable to determine which state's Code he is referring to.


Which code would assign to report for a physician who provides directed emergency care?

99288


Which code would you assign to report for a physician who provides directed emergency care?

99288


What sort code is 08-92-99?

It's the sort code for the Business Banking arm of the Co-Operative Bank.


What bank has this sort code 089286?

This sort code belongs to The Co-Operative Bank PLC. The code is assigned to the SMILE current account department.


Which branch is sort code 08-92-87?

This sort code belongs to The Co-Operative Bank PLC. This code is assigned to the student account department.


Which CPT code would you assign to report for a physician who provides directed emergency care?

98001


Why would the number of members of an unlimited liability co-operative society be restricted?

why would the number of members of an unlimited liability co-operative society be restricted?