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Compliant Documentation for Hysterosalpingography Between Two Specialties

Date: Jul 22, 2019

Question:

This question pertains to facility coding. In our hospitals when patient is referred for hysterosalpingography the gynecologist comes in for the catheterization and injection portion of the procedure (58340). The radiologist is responsible for the S&I (74740). Should we have both specialties providing separate notes for their respective portion of the procedure? Or would you say if the radiologist dictates a note describing the findings and also and mentions that gynecologist was present that is sufficient and compliant documentation for billing both codes?

Question ID : 12829
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