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Radiology Coding Alert

You Be the Coder:
Know When to Combine Documentation From Indication, Impression

Question: A referring doctor sends a patient to us for a magnetic resonance imaging (MRI) scan of the spine due to lumbar radiculopathy. Our radiologist documents a diagnosis of lumbar spondylosis in the impression. Would you code this as lumbar spondylosis with radiculopathy? New York Subscriber Answer: The answer depends on what’s documented in the indication of the dictation report. Just because [...]