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Help with "rule out" ICD 9 codes

  1. Default Help with "rule out" ICD 9 codes
    Medical Coding Books
    My Dr diag is "rule out CVA" Anyone have an icd9 suggestion for that?

    Thank you !

  2. #2
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    Columbia, MO
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    You may not code rule out unless you are working for the inpatient facility. You must code the symptoms documented.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    agree
    Walker Bachman, CPC, CPPM

  4. Default
    Physician is seeing patient "in patient" at the hospital. He is a contracted physician and needs to bill for professional services. Hopsital will bill for facility services. Are you saying that unless it is the hospital billing out the charges than it cannot be done? He is seeing the patient under a 99232 so if the above is what I understand, I should code the symptoms the patient is experiencing... correct??? Thanks so much!

  5. #5
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    Columbia, MO
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    yes you are correct the facility coder may code rule out as if it exists nowever the physician coder may not so you will code the symptoms.

    Debra A. Mitchell, MSPH, CPC-H

  6. Default
    Hello, I agree with the previous responses. I am a Physician Coder and rule outs are not coded, you must code symptoms documented.

  7. #7
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    International Member
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    Agreed with above posts.

    Just go thro' the symptoms mentioned. I think, these are weakness, slurred speech etc.

    hope this helps.

  8. Thumbs up
    Very helpful

  9. Default rule out
    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?

  10. #10
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    Columbia, MO
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    code the finding

    Debra A. Mitchell, MSPH, CPC-H

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