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  1. N

    Diagnosis Documentation

    Hi Everyone! I'm new at the whole auditing portion, so bear with me, please! Patient is 5 months post-op odontoid screw placement, no new issues. Chief complaint says postop visit and followup for odontoid screw. The doctor doesn't state "reason for visit" or any "diagnosis". Throughout the...
  2. J

    BH Assessments - ER Diagnosis Codes

    I code for BH and I receive BH assessments (completed by LSCSW) in the ER. I am having issues with the diagnosis coding. On one hand there are the diagnoses, signs, and symptoms the patient (or outside source) reports. On another hand the LSCSW reports different (or the same) diagnoses in the...
  3. E

    Wiki Steroid Withdrawal ICD-10

    Hi everyone, I'm looking for a diagnosis code for "Steroid Withdrawal". Initially, I came up with ICD-10 F19.230; but after researching online, I found that "All of these drugs (Narcotics, Depressants, Stimulants and Hallucinogens), with the exception of anabolic steroids, are considered to be...
  4. M

    Billing for MNT

    Hello, I work in an office with PCPs and RDs and I am looking for some guidance. We are billing MNT, ordered by our clinicians and billed by our RDs. How important do you feel that the order/referral from the PCP with DX is to the DX billed by the RD? Do you see any issue with the RD adding...
  5. M

    Oncology Dx

    Reaching out to oncology practices, we recently had a professional audit team come in to audit our records they stated diagnoses must be coded off of progress notes only, however in the past we have used pathology reports to confirm diagnoses. Can anyone else give us direction as to how you...
  6. D

    ICD code question

    I have a patient who is 28 days old and was diagnosed with Intestional malabsorption, diarrhea unspecified, and diaper dermatitis but insurance is denying because one of these diagnoses is not age related. I am thinking it is the intestional malabsorption and if this is what would you diagnose with?