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> The unstructured doctor's notes may be where the best signal lies. Or where the raw data is corrupted ...

• withinboredom 5y ago
  Doctors notes: removed 2 polyps Billing: unremarkable endoscopy Which is true? (Based on a true story)
  • pc86 5y ago
    They're both true of course. Polyps get removed all the time, it is unremarkable in a medical sense, and probably not enough to even warrant its own billing code, otherwise it certainly would have been listed.
    • withinboredom 5y ago
      Ah yeah, that’s good point. In either case, the true story ended with no polyps and it was a transcription error.
    • danachow 5y ago
      No this is not true at all. Procedural documentation in the US is exquisitely detailed both for medical-legal reasons and billing. Any polyp in the colon will be grossly described, it’s approximate position and if any intervention or send out testing is being performed. And as an internist - no colon polyp is medically unremarkable.