Pediatric Coding Alert

Question: I've read in previous issues of Pediatric Coding Alert that if the treating physician orders a test based on a sign or symptom, we should code the final diagnosis or findings if available instead of the symptom. Where can I locate these guidelines to share with other coders in my office?Colorado SubscriberAnswer: You're exactly right: Code the final diagnosis or results of the test if available rather than the symptom that led to the performance of the test. However, signs and symptoms are acceptable coding to support the tests when there is not a definitive diagnosis at the time of the encounter.You'll find this rule supported by the ICD-9-CM Official Guidelines for Coding and Reporting, Section I.B.6: "Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider."Access the guidelines for ICD-9 [...]