Results 1 to 2 of 2

diagnosis coding physician inpatient

  1. #1
    Default diagnosis coding physician inpatient
    Medical Coding Books
    I am looking for information on how to handle this. Our doctors see patients at the hospital and use hospital rounding cards to submit their charges.
    The cards have more than one day attached to them, but only 1 place for diagnosis codes.
    So if a patient is seen one day with Acute CHF, HTN, and DMII and then later develops another condition of say pneumonia, the rounding card will list all 4 diagnosis codes on it for all days that the provider saw the patient.
    Now if I am reviewing notes on day 3, the notes might only list the first 3 diagnoses, but the actual bill will have all 4.
    Would you consider this incorrect?


  2. #2
    Columbia, MO
    Coding must come from a review of the note, so yes it is incorrect if the claim contains codes not supported by the encounter note for that date of encounter.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. DX coding inpatient d/c for physician services
    By aw in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-04-2014, 04:09 PM
  2. Inpatient Diagnosis Coding
    By huguezbrian in forum Diagnosis Coding
    Replies: 5
    Last Post: 08-22-2012, 08:13 AM
  3. Inpatient diagnosis code help..coding from MD orders
    By sphaines in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-16-2012, 03:35 AM
  4. Inpatient physician billing E/M
    By Tonyj in forum E/M
    Replies: 2
    Last Post: 05-26-2011, 12:12 PM
  5. Inpatient vs. Outpatient radiology diagnosis coding
    By gailmc in forum Interventional Radiology
    Replies: 1
    Last Post: 04-06-2009, 09:18 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.