tci Part B Insider - 2003 Issue 8

DIAGNOSIS CODING: CMN Doesn't Need to Justify Diagnosis Code, CMS Says

You may still be in the dark as to which ICD9 Codes to put on a claim, especially in cases where Medicare now requires a four- or five-digit code. But at least you won't find yourself dinged for clashing with the code on your certificates of medical necessity. It doesn't matter if the ICD-9 on your claims matches the one on your physician order or CMN, as long as you can back it up, the Centers for Medicare & Medicaid Services said in program memo B-03-028 released April 18. There should be evidence in the patient's medical record to...

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