Looking for some help with a report we use to count the number of visits our residents have that at least in part deal with GYN issues. I have a report that finds when ICD-9 codes related to GYN issues are assessed in office visits, but the problem I am having is finding them in appends to those office visits. Here is a specific example of what I need to be able to extract:
Office visit is done, physician uses the V70.0 code for the pap smear, and signs the visit. The coder reviews the visit and switches the V70.0 code to the correct V72.31 code in the problem list using a full update append.
The report I have does not pick up the correct code in the append, and I fear we are not tracking our numbers completely. We need to track them for curricular requirements so accuracy and completeness are key.
So, how do I pick up the correct GYN codes when they are in appends to office visits? Thanks!
John Metz, JFK Family Medicine Residency, Edison, NJ