tci Outpatient Facility Coding Alert - 2015 Issue 11

Reader Question: Don't Include 'Rule Out' Diagnoses

Question: My ED physician saw a patient for anterior wall chest pain. After examination, he suspected that the patient may have gastroesophageal reflux disease (GERD). He wrote the final diagnosis as “chest pain, rule out GERD.” I’m not sure what my principal diagnosis should be. What should I report? Tennessee Subscriber Answer: Your first code should be R07.89 (Anterior chest-wall pain NOS). Codes that describe symptoms and signs are acceptable when your provider has not established a definitive diagnosis. For outpatient encounters, do not code diagnoses documented as “rule out.” You should code...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.


TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Outpatient Facility Coding Alert +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!