Help regardging icd 10 2017 updates

gnair01476894

Contributor
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Can anyone please explain this statement;

"The assignment of a diagnosis code is based on the provider’s diagnostic
statement that the condition exists. The provider’s statement that the
patient has a particular condition is sufficient. Code assignment is not
based on clinical criteria used by the provider to establish the diagnosis."
 

roy.daman@carolinashealthcare.org

New
Local Chapter Officer
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Can anyone please explain this statement;

"The assignment of a diagnosis code is based on the provider’s diagnostic
statement that the condition exists. The provider’s statement that the
patient has a particular condition is sufficient. Code assignment is not
based on clinical criteria used by the provider to establish the diagnosis."

I am currently taking the CPC course, and the way it was explained to me is that if a provider states that a condition exists, then the methods they use for diagnosis do not have to support it. There is only one exception to this, that I know of, and that refers to immune-compromised patients who are diagnosed with HIV or AIDs.

However, like I said, I am a student so you might want to double-check with an experienced coder.
 

CodingKing

True Blue
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It really means you are not a doctor and cannot diagnose a patient. For example if the doctor says the patient has a cold and you think its really the flu based on other information in the medical record that you cannot code it as the flu.
 
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