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Cardiology Coding Alert

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Published on Mon Apr 29, 2024

Question: Does an undiagnosed new problem with an uncertain diagnosis automatically mean a moderate level of problem complexity? North Dakota Subscriber Answer: It really depends on the situation and the documentation, but not much is “automatic” when it comes to leveling an encounter. The confusion here revolves around the different ways ICD-10-CM and CPT® operate regarding uncertain diagnoses. With ICD-10-CM, you are [...]
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