tci Outpatient Facility Coding Alert - 2015 Issue 6

Coding Update: Combat the Challenges of Coding Symptoms and Definitive Diagnoses for Outpatient Services

Hint: Understand the disease process and its associated symptoms. Knowing how to code when reporting a symptom, definitive diagnosis, or both, can be challenging because the rules make it complicated. Read on to refresh your knowledge of the various guidelines and their implications. Starting point: Conditions that are intrinsic to a disease should not be reported as additional codes. For example, wheezing should not be coded in addition to a diagnosis of asthma as it is an integral part of the disease. Similarly, in gastroenteritis, nausea and vomiting should not be coded separately. Contrarily, conditions that may not be...

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