Wiki Hospice Coding New 2020 Guidelines

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Does anyone know how we should code a suspected cancer for Hospice? If a patient is being admitted to hospice with a suspected cancer with abnormal findings on a scan and the patient does not want to pursue additional testing, how should that be coded? The new code book has a !Q icon next to all abnormal findings codes. It appears to me they are saying these are not acceptable as primary diagnosis codes for hospice, is that correct?
 
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