decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 8 (August)
Don't load up claim with ICD-9 codes, but they may help increase MDM level
Subscribe or sign in to view the full article.
Article Overview
This article discusses how diagnosis information in a patient encounter may affect medical decision-making for E/M coding in urology. It focuses on when multiple conditions, chronic problems, and history of disease can be relevant to the visit, and why documentation placement in the chart matters. The discussion is aimed at coders, billers, and urology practices that want to understand general MDM considerations without overreporting diagnoses on the claim.
Why This Topic Matters
Understanding what diagnosis information can support MDM is important for accurate E/M level selection and documentation review. The article helps urology practices distinguish between diagnoses that belong on the claim and those that may still influence coding analysis for the encounter.
What You Will Learn
- How diagnosis information can relate to medical decision-making in E/M coding
- Why not every diagnosis mentioned during an encounter should necessarily appear on the claim
- How history and chronic conditions may factor into encounter documentation
- Why note placement within the chart can matter for coding review
Who Should Read This
- Urologists
- Medical coders
- Billers
- Practice managers
- ASC staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com