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Wiki Covid Diagnosis

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poshley203646

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Montezuma Creek, UT
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I have a question regarding covid diagnosis. Say for instance patient came in 7 days ago for URI and during that visit got tested for COVID. The Covid result came back positive, can the provider go back and retroactively add Covid diagnosis? The encounter hasn't been billed nor has the charges been entered.
 
Yes. AHIMA developed a Q&A that included this:

  • 12. How should we handle cases related to COVID-19 when the test results aren’t back yet? The supplementary guidance and FAQs are confusing since some times COVID-19 is not “ruled out” during the encounter, since the test results aren’t back yet. (3/24/2020)
    • Due to the heightened need to capture accurate data on positive COVID-19 cases, we recommend that providers consider developing facility-specific coding guidelines to hold back coding of inpatient admissions and outpatient encounters until the test results for COVID-19 testing are available. This advice is limited to cases related to COVID-19.
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We're a PCP office and we're following the same guidelines.
 
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