jsrumples
New
Hi,
We have a Provider who while examining a patient only discussed or reviewed the Diabetes during an office visit. The patient has Diabetes with a manifestation but he did not address nor reference the manifestation in his notes. He coded the encounter with a 250.40 diabetes II renal manifestations.
The coders came back to him asking him to update his note to reference the manifestation as in renal manifestation is being handled by Doctor such and such and to add the renal manifation ICD9 code to the enounter.
The Provider is refusing to since he did not mention or deal with the renal manifestation.
Question is we cant leave the 250.40 ICD9 code on this encounter as it is incomplete without the mention of the manifestation as well as coding of the manifestation but can we actually change it back to a 250.0X code since the patient is already diagnosed with the manifestation diabetes code in prior encounters??
Not sure what to do in this situation so any help would be greatly appreciated!!! Thanks, Jenn
We have a Provider who while examining a patient only discussed or reviewed the Diabetes during an office visit. The patient has Diabetes with a manifestation but he did not address nor reference the manifestation in his notes. He coded the encounter with a 250.40 diabetes II renal manifestations.
The coders came back to him asking him to update his note to reference the manifestation as in renal manifestation is being handled by Doctor such and such and to add the renal manifation ICD9 code to the enounter.
The Provider is refusing to since he did not mention or deal with the renal manifestation.
Question is we cant leave the 250.40 ICD9 code on this encounter as it is incomplete without the mention of the manifestation as well as coding of the manifestation but can we actually change it back to a 250.0X code since the patient is already diagnosed with the manifestation diabetes code in prior encounters??
Not sure what to do in this situation so any help would be greatly appreciated!!! Thanks, Jenn