Annie Posted Wed 04th of February, 2015 13:37:25 PM
Path report reads Bronchial and perialveolar parenchyma with focal intra-alveolar pulmonary pigment-laden macrophages. (Right upper lobe biopsy) Provider did a Diagnostic bronchoscopy.
How do you code this are can it be coded?
Annie Posted Fri 06th of February, 2015 18:51:21 PM
SuperCoder Answered Mon 09th of February, 2015 09:35:01 AM
As focal intra-alveolar pulmonary pigment-laden macrophages is a histological findings and normally found in bronchiolitis; but we can't assume that. As this finding is from a path report we can not correlate and assume any diagnosis out if. The provider is the best person to establish diagnosis out of it. Request you to please review the documentation thoroughly and find out if there something mentioned regarding bronchiolitis, if not, try using other specified code. But in such situation coding sign and symptoms is most recommended as it is a diagnostic procedure and should support well for payment.