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JustCoding News: Outpatient, May 30, 2012

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How do you code from an outpatient doppler study of extremity: a diagnosis of "mild occlusive artery of lower extremity" or mild occlusion of lower extremity artery?

Do you assume this is embolus/thrombus and code to 444.22 as the index leads? There was no follow-up related to an embolus or thrombus. We later asked the radiologist and he said there was no documentation of thrombus. Do we need to have him document "without embolus/thrombus" in order to code the 440.20?
 
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