AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor
Normal Auditory Screening after Failed Auditory Screening at School
A 7-year-old patient presents to the physician’s office because she failed an auditory screening at school. The patient followed up with the primary care physician. After conducting a formal hearing screening in the office, the subsequent screening is normal. The physician documents “Normal auditory screening after failed screening at school.” What is the correct diagnosis code in ICD-10-CM? ...
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Article Overview
This short coding article explains the diagnostic coding context for a patient who returns for a formal hearing evaluation after an initial failed school screening. It is aimed at coders and clinical documentation staff who need to understand the relevant ICD-10-CM encounter category and the type of documentation the article addresses. The discussion is limited to the general screening-follow-up scenario and the associated diagnosis code selection topic.
Why This Topic Matters
Follow-up hearing-screening encounters are common in pediatric and primary care settings, and correct ICD-10-CM reporting depends on recognizing the visit context. This article helps users identify the relevant diagnosis category for documentation and claim reporting.
What You Will Learn
- How a follow-up hearing screening encounter is categorized in ICD-10-CM
- How the article frames the documentation context after a failed school screening
- Why the encounter type matters for diagnosis code selection in this scenario
- The general relationship between the broader hearing-examination category and the specific follow-up screening visit
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Primary care staff
- Billing and reimbursement staff
Codes Discussed
Code Ranges Discussed
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