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Wiki EKG diagnosis with "Abnormal EKG"

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Dinaerwin

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Beverly Hills, FL
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I was given direction from my coding manager to always use R94.31 AND the definite dx on EKG billing. Example: My provider billed 93010. His note on the EKG ,"Atrial Fibrillation, abnormal ECG". I have always understood that R94.31 is used ONLY when a more definite diagnosis in not available. I would only code the I48.91, but they are telling me I should code R94.31 with I48.91. I believe the Chapter 18 official guidelines support my reasoning. "Chapter 18 includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined condition regarding which no diagnosis classifiable is recorded". What are your thoughts?
 
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