tci Part B Insider - 2008 Issue 17

ICD-9 CODING: 2 Scenarios Help You Find the Right ICD-9 Code When the Physician Doesn't Provide It

Tip: Don't choose a code based on the coverage decisionPhysicians do it every day--they hand their coders a chart without an ICD-9 code, leaving the coder to discern a diagnosis code. Some-times selecting the right code is easy--but other times, the coder is left scratching her head.Use these two quick scenarios that can help you sort out this common problem. Get to the Root of the Problem Example 1: The physician performs a subsequent hospital visit, but does not provide an ICD-9 code for the encounter. The physician dictates the initial hospital visit and the discharge summary, but...

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