AHA Coding Clinic® for ICD-9 - 2011 Issue 1; Ask the Editor

Code Assignment Based on Up and Down Arrows

Is it appropriate to assign a diagnosis code for a condition listed with up and down arrows? For example, the provider documents ↑ cholesterol, or ↑ lipids, or ↓ hemoglobin and hematocrit—should a code be assigned for hypercholesterolemia, or hyperlipidemia, or low H&H, etc.? Does the advice change depending on whether this is an outpatient encounter versus an inpatient admission? ...

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