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operative report

Rene Posted Thu 05th of March, 2015 17:50:36 PM

when coding an operative report... are you supposed to code based off of the information in that report or can you go searching in the patients chart for the information other MDs/other office visits?

SuperCoder Answered Thu 05th of March, 2015 18:28:11 PM

You should code from the operative report and the information provided for the procedure in the documentation.

Hope this helps.

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