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.