tci Medicare Compliance & Reimbursement - 2016 Issue 2

Industry Note: New 'Excludes1' Guideline Could Change Your Diagnosis Coding

You’ve been using ICD-10 for nearly four months now, so it’s likely that you’ve run into a few hiccups along the way — particularly involving the “Excludes1” notations in your diagnosis coding manual. Fortunately, the Centers for Disease Control (CDC) has addressed that issue, creating a new temporary guideline that will help you report multiple diagnoses together. “There are circumstances that have been identified where some conditions included in Excludes1 notes should be allowed to both be coded, and thus might be more appropriate for an Excludes2 note,” the CDC said in an...

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