Results 1 to 3 of 3

Help regardging icd 10 2017 updates

  1. Default Help regardging icd 10 2017 updates
    Medical Coding Books
    Can anyone please explain this statement;

    "The assignment of a diagnosis code is based on the providerís diagnostic
    statement that the condition exists. The providerís 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."

  2. Default
    Quote Originally Posted by ganesh.nair@gebbs.com View Post
    Can anyone please explain this statement;

    "The assignment of a diagnosis code is based on the providerís diagnostic
    statement that the condition exists. The providerís 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.

  3. #3
    Default
    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.
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
    Fee Schedule Configuration Specialist - Remote

    15 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

Similar Threads

  1. 2017 cpt coding updates
    By Tracy592 in forum Gastroenterology
    Replies: 4
    Last Post: 01-03-2017, 08:41 AM
  2. Icd 10 2017 updates
    By mkndevh@msn.com in forum ICD-10
    Replies: 2
    Last Post: 10-06-2016, 07:47 AM
  3. ICD-10 Urology updates 2017
    By skaur in forum Urology
    Replies: 2
    Last Post: 09-13-2016, 03:19 PM

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?

Login

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.