Results 1 to 5 of 5

Either/or, versus

  1. #1
    Springfield, Mo
    Default Either/or, versus
    Clearnace Sale
    Can someone clarify, please? According to Section II, part D, when two or more contrasting or comparative diagnoses are documented as either/or (or similar terminology) they are coded as if the diagnoses were confirmed....
    Does this apply to both inpatient and outpatient coding?
    solocoder CPC

  2. #2
    Dover Seacoast New Hampshire
    Section II begins: "the circumstances of inpatient admission".....
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  3. #3
    Columbia, MO
    Also please note that inpatient guidelines apply to the facility coder, not the coder for physician reimbursement

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Springfield, Mo
    Thank you for your replies. I did actually see "the circumstances of inpatient admission"..... at the beginning of Section II, but just wasn't sure if I should interpret that to mean everything in Section II applies to inpatient only. Sounds like that is the case?
    solocoder CPC

  5. #5
    Section II and Section III are inpatient guidelines, so it won't apply to outpatient coders (coders using CPT and HCPCS to code for services)

    One of the main differences of outpatient and inpatient coding guidelines is that outpatient coders will not code suspected, probable, possible conditions, but inpatient coders will.

    hope this clarifies your question.
    Marco Unzueta CIC, CPC
    - Medical Records Tech - Inpatient Coder
    - Outpatient Instructor
    AAPC El Paso Chapter - President

Similar Threads

  1. POS, 11 versus 81 and 11 versus 22
    By annettebec in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 07-13-2016, 07:26 AM
  2. Versus
    By velmaperales-Diaz in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-19-2016, 05:13 PM
  3. Wiki S versus D
    By HeidiLynn in forum ICD-10
    Replies: 3
    Last Post: 03-15-2016, 03:06 PM
  4. Dx versus another Dx
    By Trendale in forum Diagnosis Coding
    Replies: 6
    Last Post: 07-15-2009, 07:45 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.