AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 1; Ask the Editor

Coding of Social Determinants Using Non-Physician Documentation

Is it appropriate to utilize nonphysician documentation to assign codes that provide information on social determinants of health?  For example, codes from categories Z55-Z65, Persons with potential health hazards related to socioeconomic and psychosocial circumstances, provide important information that is typically only found in nurses or social worker documentation. ...

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