Osteomyelitis Specification from Pathology Report
The MD documents in the discharge summary that the pathology report indicates Osteomyelitis only without documenting Acute or Chronic. However, the pathology report indicates findings of Bone Acute Osteomyelitis. The coder requests a query for the MD to document the specificity of the Osteomyelitis before it can be coded. My question is: Can the greater specificity of the Acute Osteomyelitis on the pathology report be coded since the MD has documented Osteomyelitis without specification in the discharge summary? Or should the MD be queried to documented Acute or Chronic Osteomyelitis in the discharge summary?