Radiology Coding Alert

Reader Question:
Know When to Overrule Impression With Indication Dx

Question: I’m working on a chest X-ray with an indicating diagnosis of chest pain and cardiomegaly documented in the impression. Should I code this as cardiomegaly? Montana Subscriber Answer: If there are no other indicating diagnoses referenced outside of the chest pain to refer to, you should not report code I51.7 (Cardiomegaly) as your primary or secondary diagnosis. That’s because [...]