Ask Dr. Z

Are PB coders able to use the embedded/included (not separate) procedure log to identify cath placements etc when 1) the physician includes the detailed procedure log in the final report, 2) Signs: Procedure Log and Final Result signed by John Doe, MD on 12/xx/24 at 1622 CST with corresponding Certification: I certify that I was present for catheter insertion, catheter manipulation, angiography, and angiographic interpretation of this patient, 3) and also notes: The procedure log was documented by Sally Smith listed and verified by John Doe, MD. The final report has all other required headers, signatures and procedure elements..OR..Does the physician need to add and dictate a special "Access" and "Technique" section in the same note to restate the access/technique details that are already stated in the embedded/included procedure log with supporting signatures as noted above? This qx was emailed to the ACC who supported the use of px log as noted above concluding: "in this location it is potentially all one connected flowing document."