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Thread: Help with "rule out" ICD 9 codes

  1. #11

    Default

    Promo: Code Books
    in response to: "If the signs and symptoms are "rule out hydronephrosis" and the findings are for ascites, can I code the ascite or would I need to get the actual signs/symptoms?"


    I would code primarily what test was order for-- if r/o hydronephrosis & and test is neg. then code the symptoms-- then code unrelated findings. If the finding is related to the reason the test was ordered, then the finding can be the primary dx code.

  2. #12

    Default R/o dvt

    What code would you use for r/o dvt?

  3. #13

    Default

    Do they have edema? swelling? pain?

  4. #14
    Join Date
    Apr 2007
    Location
    Columbia, MO
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    12,170

    Default

    Quote Originally Posted by norrisnab1 View Post
    What code would you use for r/o dvt?
    You must code the presenting symptoms. You cannot code a rule out diagnosis unless you are a facility coder coding for inpatient.

    Debra A. Mitchell, MSPH, CPC-H

  5. #15
    Join Date
    Apr 2007
    Location
    Alexandria, LA
    Posts
    518

    Default

    Quote Originally Posted by norrisnab1 View Post
    What code would you use for r/o dvt?
    As they've said if you are billing for a physician you must go back and look for/ask for the symptoms - what prompted the doctor to think there might be DVT?
    Uncertain diagnoses cannot be coded for physician or out-patient hospital claims- this includes r/o, consistent with, compatible with, possible, differential, suggests, etc.

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