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Maarit Posted Fri 09th of March, 2012 21:41:13 PM

EGD note reads under "impression": esophagitis. The pathology report on Bx says "normal". Can I use the physician impression as Dx, or should I default to symptom Dx in this case?

Maarit Posted Mon 12th of March, 2012 18:28:41 PM

Expert advice within 24 hrs....?

SuperCoder Answered Mon 12th of March, 2012 18:56:24 PM

You can use impression Dx if its documented in OP report.

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