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ICD 10 Coding Alert

ICD-10-CM Coding:

Code Causal Dx, not Just the Context for Encounter

Published on Tue Jul 08, 2025

Question: A provider at my practice documented that a patient came in to receive hormone replacement therapy for menopausal symptoms. We billed an evaluation and management (E/M) service with Z79.890 and the claim came back because of an incorrect diagnosis. Although the provider documents “menopausal symptoms,” they didn’t record any specifics. How should this be documented correctly? Florida Subscriber Answer: [...]
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ICD 10 Coding Alert