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Wiki Diagnosis coding

CHEINRICH

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Brooksville, FL
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I would say yes. I currently do auditing and so many physicians use probable, likely, suspected, etc... in their assesment. As you know, these are not acceptable diagnoses nor is it acceptable documentation. In these cases you have to code to the patients symptoms, so I would say this is fine as long as you are coding the definitive diagnosis that are listed in the assesment.
 
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