Medicare Compliance & Reimbursement - 2007 Issue 8
Reader Question ~ Wait for Test Results Before Settling on Dx
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Article Overview
This reader question and answer explains how an emergency department visit is handled when a physician performs evaluation and diagnostic testing while considering a possible respiratory diagnosis. The article is aimed at coders who need help understanding the relationship between the documented assessment, the final diagnosis status, and the supporting diagnosis reporting described in the example.
Why This Topic Matters
It helps coders recognize why the final diagnostic outcome can affect supporting diagnosis reporting for a visit, while the service coding itself remains the focus of the encounter.
What You Will Learn
- How a coding Q&A frames an emergency department encounter with diagnostic testing
- How the article distinguishes between a confirmed and an inconclusive diagnostic outcome
- How diagnosis reporting is discussed in relation to medical necessity for the encounter
- How the article presents the relationship between the evaluation service and supporting diagnoses
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
Codes Discussed
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