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ICD 10 Coding Alert

ICD-10-CM Coding:

Look to Cause When Selecting Dx for Lower Back Pain

Published on Mon Jun 23, 2025

Question: A patient came to the office complaining of lower back pain. The physician documented that the patient had strained a tendon in their lower back. Do I document the symptom that brought them to the encounter or the documented cause? Oklahoma Subscriber Answer: Always code to the documentation — and query if the documentation doesn’t tell you what you [...]
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ICD 10 Coding Alert