DVT Documentation

robert.hodges2robert.hodges2
edited May 2016 in CDI Talk Archive
I am looking for some coding expertise here (as usual).



I had someone ask me the other day about performing a query to specify
which vein a DVT was located in. My question is if an ultrasound had
been done, if those results could be used to code the vein with the DVT,
much as an x-ray is used to code the specifics of a fracture?



Thanks in advance for the help.



Robert



Robert S. Hodges, BSN, MSN, RN, CCDS

Clinical Documentation Improvement Specialist

Aleda E. Lutz VAMC

Mail Code 136

1500 Weiss Street

Saginaw MI 48602



P: 989-497-2500 x13101

F: 989-321-4912

E: Robert.Hodges2@va.gov



"We are dealing with Veterans, not procedures; With their problems, not
ours." --General Omar Bradley

Comments

  • ssalinasssalinas
    edited May 2016
    Our physicians often state DVT LE or UE. I use Dopplers to obtain the
    specific location and have never been questioned about it by reviewers
    or auditors. As you said, I figure the same logic applies as with fxs
    and radiology.


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